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HomeMy WebLinkAbout0045 FORSYTH COURT ys rNe Cr. ACTIVE Town of Barnstable Building s rnav�rn®c� ; Post This Card So That it is Visible From the Street-Aoproved Plans Must be Retained on Job and this Card Must be Kept Posted Until Final Inspection Has Been Made:163 Permit Where,a Certificate of Occupancy is Required;such Building shall NotLLbe Occupied until a Final Inspection has,been made. Permit No. B-19-1860 Applicant Name: FABIO G ZOCANTE Approvals Date Issued: 06/06/2019 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 12/06/2019 foundation: Location: 45 FORSYTH COURT,COTUIT Map/Lot: 055-065 Zoning District: RF Sheathing: Owner on Record: MALEK,SAYEED&ALSHIRAWI, REEMA q Contractor Name: w FABIO G ZOCANTE Framing: 1 Address: 6 JENNA CIRCLE Contractor,License: 8586 2 NEEDHAM, MA 02492 - -� Est Project Cost: $0.00 Chimney: Description: Install forced heat cool equiptment in the basement 95%AFUE Permit FeFe: $85.00 Insulation: 80,000 BTUh gas furnace with central 17 seer,air conditioning. (2) f Fee Paid; $85.00 Zone Systems with Zone(1) 1st floor Zone(2)Second Floor R* and �+ Final: R6 sheetmetal galavanized main trunk and flexible pipes to' all Date: ,f 6/6/2019 rooms Plumbing/Gas q Project Review Re DUCT LEAKAGE TEST WILL BE REQUIRED. J Rough Plumbing: 1 ` ,,Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after`issuance. All work authorized by this permit shall conform to the approved application and the"approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for publicinspection for the entire duration of the Final Gas: work until the completion of the same. r Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:l A� Service: 1.Foundation or Footing £2.Sheathing Inspection Rough: � a n _n. -�~''` 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 contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Commonwealth of Massachusetts i1�, r1 rn Sheet Metal Permit ,�i►�► Map �/� Parcel Date: 0 6/05/19 Permit# �j q Estimated Job Cost: $ 4,009. JINN 0 2019 Permit Fee: $ �J Plans Submitted: YES N��� ��� 6AHN IL Reviewed: YES NO Business License# Applicant License# 8586 Business Information: Property Owner/Job Location Information: Name: Air Rite HVAC Name: J cc 1"'+ LS Street: 88 West Main St Street: 45 Forsyth Ct City/Town.: Hyannis City/Town:.C.otuit Telephone: 508-360-766 2 Telephone:' 508-9 22-725 5 Photo I.D. required/Copy of Photo I.D. attached: YES X`. NO Staff Initial J-1/M-1-unrestricted license J-2/.M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft./2-stories or less Residential: 1-2 family X Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept.Approval Institutional_ Other Square Footage: under 10,000 sq. ft. X over 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New Work: X Renovation: HVAC X' Metal Watershed Roofing Kitchen Exhaust System Metal Chimney/,Vents Air Balancing Provide detailed description of work to be done: hnstall :forced heat cool ewuipment in the basement 95% AFUE 800000 BTUH gas furnace with central 17 seer air conditioning, Zones Syste* with Zone 1 — +st -Floor Zone 2 — Second Floor R8 and R6 sheetmetal galvanized main trunk and flexible pipes to all rooms ] f ACORD. CERTIFICATE OF LIABILITY INSURANCE 4/2512019 4/25/2 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 pollcy(les)must have ADDITIONAL INSURED provisions or 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 any rights to the certificate holder In lieu of such endorsement(s). PRODUCER CONT ACT NAME: The Hilb Group of N.E.dba PHONE 508 775-1620 FA1C A/c N Ext: A!C No: 5087781218 Dowling&O'Neil Insurance Agy E-MAIL P.O.Box 1990 ADDRESS: INSURER(S)AFFORDING COVERAGE NAIC S Hyannis,MA 02601 INSURER A:NGM Insurance Company 14788 INSURED INSURER B: Air Rite HVAC Inc. INSURER C: 330 Elliott Rd. INSURER D Centerville,MA 02632 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LJMRS LTR INS D POLICY NUMBER MMIDD MM/DD A X COMMERCIAL GENERAL LIABILITY MPT8454A DW1312019 04/13/202 EACH OCCURRENCE _ $1 000 000 CLAIMS-MADE a OCCUR PREMISES EaEurrence $500 000 MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1,000 000 GEN'LAGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE s2,000,000 POLICY PRO- JECT rx]LOC PRODUCTS-COMP/OP AGG s2,000,000 OTHER: $ A AUTOMOBILE LIABILITY MITS454A 4/13/2019 04/13/202 E° ' SINGLE LIMB 1,000,000 ANY AUTO BODILY INJURY(Per person) $ OWNED SCAUTOS HEDULED BODILY INJURY(Per accident) $ AUTOS ONLY X HIRED NON-OWNED PROPERTY DAMAGE, $ X AUTOS ONLY X AUTOS ONLY Per accident $ A X UMBRELLA LIAS OCCUR CUT8454A 4A 2019 MAW= EACH OCCURRENCE Z OOO OOO EXCESS LI1B CLAIMS-MADE AGGREGATE s2,000,000 DED I X RETENTION$10000 $ A WORKERS COMPENSATION WCT8454A 4/13/2019 04/13/202 X PER OTH- AND EMPLOYERS'LIABILITY ANY PROPRIETORIPARTNER/EXECUTIVE Y/N -EACH ACCIDENT $5OO OOO OFFICER/MEMBER EXCLUDED? � N/A (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $5OO 000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION Town Of Mash SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Bldg Dept. ACCORDANCE WITH THE POLICY PROVISIONS. 16 Great Neck Road North Mashpee,MA 02649 AUTHORED REPRESENTATIVE ©1988-2015 ACORD CORPORATION.All rights reserved. �W, Town of Barnstable Building Department Services 33AJMSrr.AJ3M Brian Florence,CBO Mess. 61 Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section - If Using A Builder ne L -E CMA ��SL I (—NI ,as Owner of the subject property hereby authorize E to act on my behalf in all matters relative to work authorized by this budding permit application for. 45 Forsyth Ct, Cotuit, MA. (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 inspection�are;r;med2md accepted. r� Signature of Owner S, ppli t S FAbio adcante Print Name Print Name 06/65/19 Date Q:FORMS:MgRPERMISSIONPOOLS Rev:08/16/17 Town of Barnstable ; Building Department Services Brian Florence,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 AARAIflILlif+y aAss www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number Street. village ' "AOMFOwNER": name home phone# work pbone# CURRENT MAILING ADDRESS: c4hown- state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER 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 pemrit. (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 inspection procedures andrequirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any 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 this issue is a form currently used by several towns. You may care to amend and adopt such a form/cerdfication for use in your community. Q:\WPFMES\FORMS\building permit forms\MWR.ESS.doe 08/16/17 rF E COVERAGE:ent liability insurance policy or its equivalentwhich meets the requirements of M.G.L.Ch.112 Yes❑ No ❑yhecked)LU, indicate the ty coverage by checking the appropriate box below: A liability insurance policy Other type of indemnity [] Bond ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One O Owner Agent ❑ �ofr Owner's Agent By checking this box[],I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my knowledge and that all sheet metal work and installations performed under the permit issued for this application will be in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation: YES NO Proiress Inspections Date Comments Final Inspection Date Comments . Type of Licens By aster r Title ❑Master-Restricted Cityrrown f ❑Journeyperson S nature of Licensee Permit# ❑Journeyperson-Restricted License Number: yv Fee$ ❑ Check at www.mass.ggX I Email: I IZI Inspector Signature of Permit Approval The Commommakh of A&xwchuse Y Office o, wext gatiam ' 600 Wadiuloon, rset Boston,MA 02111 MVMMaSMgVP1d= Workers' Campensaf an Insurance Affidavit Bml&r- CnnntrachmsMecf*-Lrm.■-&lP-Immhers APPHC2HtInfarmafran Flew Prima EIY Name :_Air Rite-HVAC AdckesK 88 West. Main St C tL-tTZt-.Hyannis, MA, 02601 Phwnoi- 508-360-7662 Are you an employer?f heckthe appropriate bom ' Type of project(raga ired)- L❑ I am a enployer ufth 4. ❑I am a general comfractar and I 6. []New tonslru on employees(fait amLlor part-lime)-* grave l imd9e sub-comfirat- rs 2.❑ I am a sale groprrietor orpartaer- listed onttze attached sheet ?- ❑Remadeliag sbip and have no employees . These sub-condractais have 8-.❑Demolition wotlang for nae in any capacity.. employees and have wodcers' 9 ❑Buildleg addition JNo wpdoe&romp.isu ante comp.insurana 5. ® We are a cegx ratiraa and its 10_0 Electrical repairs or ad�iaas officers have eYE+�ed their 1L Flumbin xe or addifiens 3-❑ I am a hon=Uner doing all Wok ❑ g P� mymAi[No woik='gip- TigbL of esemP&n per 1'(M 11❑Roofregairs c.f52,JIMandwe have no' HV n incnra�re ielrsitSd j i employees To woss' r1 Y A4: l3-Ll Other corm.inummoe requinA] •$ny agp€�B�stci�erksboz Fl mail also fdlo ttre sectleabdawsha tL twad me mmpe�aricapnl epi ua #Mameoaraerswbosubmitdosdfdnixi thepziaddagsg. aa4&m1 Maaeddecoaftscmrs—stsnbmiranewsMdsdci"M =CIL fCa iE!rr cluxjcites 6ao[mast sttadse�mt addiiirm9t s�eet stag thence of @�e sub cemdcscma�sd slide�lseiht��mtfhese e (islisee emQ3oyees.Iftbesnb-coatm��shaveempIaSers;the�'�+sCprmvideY�it wacka�'•mmp.paTi�aimmbcL ' lam air eulpJo}`ar t7irrfispruuidingororkers'cottreresrzfrrrn i�rsrira>zca far�r}'smP�y'ees $einav is�hTtspaticy arr3 jab sits ttrf ormat FDrL ,usuraucecomp=yNa=: Dowling & 0 Neil. Insurance Agency ToRcy A ar Self ir�€I.ie,4-� MPT854 P�pi abate: 04/1 3/20 20 Job TfeAddress 45 Forsyth Ct C,ouit MA. CiW- Stater p- Aftach a copy of the workers°compensatioagolicydedTzration page(showing the policy,number m d espi anon date). FaRum to secure coverage as required under Section 25A o€MQ.o_157—can lead to the imposi6m of crimina4 peuaHses of a fine up to$UOQ00 and!'or one-gear imprisonment,as wadi as civl.penatties m the font of a STOP WORK ORDERand a#ne of up to$250.00 a day against f viiohdar. Be adtnsed that a copy of this statement maybe foswamed.ta the Office of Investigations of the DIA far insurance cavemge Vedficatinn- I da hereby care undsr th dyer psrjzcrJ�thatSre infacwra#iurt prot-i abn�ns ig tars a�trl correct s; 1atp: 06/05/19 Phamir 508 — 65 2, a,Okird um wily. Do not Arita M flds areir,frt be-wmp&ad by city arfalcn ajok&I City or Tara: PermR91cense:9 Issmrtg dl[¢ordy(made one): ].Board of.Ut2iffi 2.Bwffi mg Deparftn n 3.CAyfL own Clem 4 Electrical Inspector S.Plumbing Enspector 6.Other Contact Person: Phone#- 6 Y Taformation and lastructious ; Mmsarl ctts GetMal Laws chVIE r lu requires-a =npeusa]ion fort,=enploye:es. FDZMI=ttD this staiz¢e,an rnrploy L is defined as_`.cvezypers6nin the service of anoflim des aoy coafract ofhi m. express or implied,oral orwatten." Air is deifined as San mdxvidnal,parfnctsb ,associs fiam,Corporation or oi3m legal a Y,or any two or mo=e of the foregoing engaged is a Join else,and inchrdmg tb.Iegal=p= of a deceased em:xployer,or f= reoeavza'or trastee of an ilff nal,partnership,asDcfiIion or other Legal may,= Ploying M3PIoyexs. However the owner of a dweIlinghonse havingnotMC'=tbaa three apartmcuts aadwho resides Sierem,or the occapaait oftho- dwelTmg house of anofer who employs prrs®s to do main===,caasiraction or repair wDr3r on.such dwelling house or an tho grounds or buildog -ffieretu shaIlnotbecanse of such employramtbe deemedfo be an employees" MGL ahapte'r I52,§25C(6)also sfatos that'every state or Iocal heensing agency-shag wiflihold the issuance or renewal of a license or permit to operafE a brshiess or to contract Ii-,�Jdmgs is the commonwealth for any applicantw'ho has notproduced acceptable eviamm of compliaa.ce with the ism-ance coverage required." A dffi,tirma IIy,MtH,chapter I52,§25C(7)stirs�Nm tl=the _ nor a'ny ofits political snbd vi_sioas shall ex�fPr into any contact frgthep e.ofgnbhr,wmkm ff ac=ptable evidence of comphm=wn the ms*—sp.. regam-ameEts of this rhsp�have bees presented to the cotrad�anthoIXLy." Applicants PIea se fiII.oixt the wozkeas'cDmpensafion affidavit completely,by checid3rg-fl�boxrs 1hat apply to your saaaiion anc,if necessary,supply s)name(s), addaw(es)m2d pb==Mbm(s)alongwithfam cesti s)of ,,crnance. Limier d LiahilttlY Companies(LLG)or LimrScd LiabiTiiy Paziae<sbips(LLP)withno employees other Phan the members or partners,are not required to cagy woxkasa coazpensafim fiLwx nce. If au LLC or M2 does have employecs,apolicyisrequited. Be advisedtbatthisa$tdayhmaybemabmitb�:dto the;DepatmentofIndasfda.T Accident inr coffin of fi mn,-an m coverage. Also be sure to sign and dafE the affidavit. The affidavit should beamed to$e city or town that the application for the pem it or license is being requestA not the Departneaf of ' TndnstaEI.A ccidenfs. Shouldyou have aay question regarding the law orifyou are regmied to obtain a wormers, camp=sation policy,please call theDeparimeatatther=.ber listed below. Self-fimnrdcaMPM:dessbonIde their self-i sara„ce Hc:=ase anmber am the approgdahe line. Glfy or Town Officials- f - Please be sta-e that fhe affidavit is camplete antiprirftdlegi6ly. The Deparhnentbas provided a space at the bottom of the affidav:it for you to fill out is the event the Office ofI-hvesEigaf=has to cmtactyou Eag the applicant. Please be sum tofillinthepenm. cemmmnnber which vdIlbe used asa=5=ccnnmber. Iuaddition,anapplicant fiat must sabhmit multiple pem<itlrceose applitaiioas in any given year,net�ci only salt one affidavit indicating eox Mt . policv inftomation(ifnecessmy)and tmel `lob She Q_ff&C *the applicant rho V. "all Iocatbns in (coy or town)-"A copy of the-a$-tdavrtthat has beea officially sbmaped or ma3ed.by the city or tovrn may be provided to the aPPlicaat as proofthat a valid affidavit is on file for fnfnre'pezm#s-or Hc:=M A new a$tdavit mrst be fEaed out each year.'i he=a home owner or citizcu is obtaiomg a license or p==utnotxrlafed fz Hny busmess or mmmezcial YmItme (i.e.a dog license orpeonit to bum leaves etc.)said person is NOT x to complete fins affidavit . The Of E=0 f IMVCSfigafi=would liketo;thank You inadvauce for yoa cooperaiion and sbovld you have,any quesims, please do nothesitaiz to give us a rill The Departmeaifa address,telephone afnd�.faXCxnmml�e�M may/,�� - W�RME Of Dement cif l k AwideutEt C tc ofjnv �fio= Bns�MA(dill Fax-617 72:7-'749 Revised 4-24-07 - g� r, OMMONWMASSAQHIJSETTS.�. BOARD OF SHEET 1NIETAL WORKERS IS$UES THE FOLLOWING LICENSE . FABIO G ZOCANTE r r 3301=LLIOTT 90 . CENTERViL1_E,MA 0263:2-3 0 i 8586 07/2812020 519585 0 D > - Town of Barnstable Building Post This Card So That it is Visible From the Street-Approved Plans Must be Retained on Job and this Card Must be KeptBARNSTABM f A Posted Until Final Inspection Has Been Made. p yam °Uct° Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final Inspection has been made. 1 ei mit , _... �_T_. .:.) Permit No. B-19-460 Applicant Name: Mark E Smith Approvals Date Issued: 03/08/2019 Current Use: Structure Permit Type: Building-Addition/Alteration- Residential iExpiration Date: 09/08/2019 Foundation: Location: 45 FORSYTH COURT,COTUIT Map/Lot: 055 065 Zoning District: RF Sheathing: i Owner on Record: MALEK,SAYEED&ALSHIRAWI, REEMA a Contractor.Name: Mark E Smith Framing: 1 Address: 6 JENNA CIRCLE t Contractor License: CS-050545 2 NEEDHAM, MA 02492 r _ �`" Est. Project Cost: $80,000.00 Chimney: y: Description: Replace Kitchen/Reframe Breeze Way. ' Permit Fee: '$458.00 • _ Insulation: Project Review Req:n MUST PROVIDE AND/OR MAINTAIN GARAGE/DWELLING FIRE Fee Paid: $458.00 SEPERATION REQUIREMENTS. Date: 3/8/2019, Final: Plumbing/Gas i � ) Rough Plumbing: BuildiAg Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months after issuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes.- THis permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. The Certificate of Occupancy will not be issued until all applicable signatures by the Building and'Fire Officials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: fF, Service: 1.Foundation or Footing 2.Sheathing Inspection M Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed' —'" 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection- Final: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: r O Application Number......r.9....................J............................ s BARNST '+ as[F,� B U{LD1NG DEPeraut Fee.........!..q�...................Other F .................. FEB r #��7 ��> Total Fee Paid............................................................ ...... 1 TOWN OF BARNSTABLE Permit Approval by....... .............on.... �a��.�........ BUILDING PERMIT �� .............. Map......... .. ......... ..........Parcel..........v. .. ............ APPLICATION Section 1 — Owner's Information and Project Location Project Address "TSTjZ:sL4L�- Village eo-� c-t' Owners Name A Owners Legal Address Jett 6E Ci State Zip 0-2 4( -2 Owners Cell# 17— -/ 6 E-mail Section 2 —Use of Structure Use Group� ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,00-0 cubic feet ❑ Single/Two Family Dwelling Section 3— Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment ® Sprinkler System ❑,Addition ❑ Retaining wall ❑ . Solar L'7 Renovation ❑ Pool ❑ Insulation Other—Specify. // //Section 4 -/Work Description �e k �. fiChPig K Last updated: 11/15/2018 Application Number.................................................... Section 5—Detail Cost of Proposed Construction 0 02;U Square Footage of Project Age of Structure A Dig Safe Number #Of Bedrooms Existing 3 Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics M—'V ing ❑ Oil Tank Storage ❑ Smoke Detectors 2 'lumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply D116blic ❑ Private Sewage Disposal ❑ Municipal 0 Un Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes E No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No L� Section 8-Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 Eloise Cascade Single 1-3/4" X 9-1/2" VERSA-LAM®2.0 3100 SP PASSIE® FB02(Floor Beam) BC CALC@ Member Report Dry 11 span(No cant. January 29,2019 17:03:39 Build 6782 Job name: Alshirawi File name: Address: 45 Forsyth Ct Description: hall beam City,State,Zip: Cotuit, MA Specifier: Builder: Botello Lumber Designer: Charles Coombs Code reports: ESR-1040 Company: Boise Cascade i 3 • 1 I, I, x wg 12-00-00 - B1 B2 Total Horizontal Product Length=12-00-00 Reaction Summary (Down/ Uplift) (Ibs) Bearing Live Dead Snow Wind Roof Live B1,3-1/2" 480/0 569/0. B2,3-1/2" 480/0 569/0 "'Load Summary Live Dead Snow Wind Roof Tributary Live Tag Description Load Type Ref. Start End Loc. 100% 90% 115% 160% 125% 0 Self-Weight Unf. Lin. (lb/ft) L 00-00-00 12-00-00 Top 5 00-00-00 1 floor Unf.Area(lb/ftz) L 00-00-00 12-00-00 Top 40 10 01-00-00 2 wall Unf. Lin.'(Ib/ft) L_ 00-00-00 12-00-00 Top 0 60 n\a 3 ceiling Unf.Area(lb/ft2) L 00-00-00 12-00-00 Top 20 10 02-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 2911 ft-Ibs 41.7% 100% 1 06-00-00 .End:Shear 860 Ibs 27.2% 100% 1 01-01-00 Total Load Deflection U496(0.279") 48.4% n\a 1 06-00-00 Live Load Deflection U1084(0.128") 33.2% n\a 2 06-00-00 Max Defl. 0.279" 27.9% n\a 1 06-00-00 Span/Depth 14.6 %Allow • %Allow Bearing Supports Dim.(LxW) Value Support Member Material B1 Wall/Plate 3-1/2"x 1-3/4 1049 Ibs n\a 22.8% Unspecified B2 Wall/Plate 3-1/2"x 1-3/4" 1049 Ibs n\a 22.8% Unspecified Disclosure Use of the Boise Cascade Software is Notes subject to the terms of the End User Design meets Code minimum(U240)Total load deflection criteria. License Agreement(EULA). Design meets Code minimum(L/360)Live load deflection criteria. Completeness and accuracy of inputmust be reviewed and verified by a Design meets arbitrary(1")Maximum Total load deflection criteria. qualified engineer or other appropriate Calculations assume member is fully braced. expert to assure its adequacy,prior to BC CALC®analysis is based on IBC 2015. an evidence yone relying on such output as of suitability for a particular Design based on Dry Service Condition. application.The output here is based on building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in �iN OF Mgssgc accordance Guide and applicable Installation current cab a building codes.To Z y obtain Installation Guide or ask g0 CHRISTOPHER G (P questions,please call(800)232-0788 0 DUDEK In before installation. OU CIVIL v N0.29566 BC CALC@,BC FRAMER@,AJS- ALLJOISTO,BC RIM BOARD rm,BCIO, BOISE GLULAM'TM BC FloorValue®, AL VERSA-LAM®,VERSA-RIM PLUS@, Page 1 of 1 BoiseCasCade Triple 1-3/4" X 9-1/2" VERSA-LAM@ 2.0 3100 SP PASSED FB01 (Floor Beam) BC CALCO Member Report Dry 11 span I No cant. January 29,2019 17:00:54 Build 6782 Job name: Alshirawi File name: Address: 45 Forsyth Ct Description: edge beam City,State,Zip: Cotuit, MA Specifier: Builder: Botello Lumber Designer: Charles Coombs Code reports: ESR-1040 Company: Boise Cascade Connection Diagram: Full Length of Member b d a 0 o c e 0 0 0 a minimum=2" c=4-1/2" b minimum=3" d=24" e minimum=3" ' Connection design assumes point load is top-loaded. For connection design of side-loaded point loads, please consult a technical representative or professional of Record. Nailing schedule applies to both sides of the member. Member has no side loads. Connectors are:3-1/4 in. Pneumatic Gun Nails Disclosure Use of the Boise Cascade Software is subject to the terms of the End User License Agreement(EULA). - Completeness and accuracy of input must be reviewed and verified by a qualified engineer or other appropriate expert to assure its adequacy,prior to anyone relying on such output as evidence of suitability for a particular application.The output here is based on building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in SIN OF)yq accordance with current Installation Guide and applicable building codes.To y obtain Installation Guide or ask CHRISTOPHER G G � N questions,please call(800)232-0788 DUDE K before installation. ov CIVIL W No.29566 BC CALCO,BC FRAMER@,AJS'T p Q ALLJOISTO,BC RIM BOARD-,BCIO, BOISE GLULAM'TM BC FloorValueO, F AL VERSA-LAW,VERSA-RIM PLUS@, Page 2 of 2 Boise Cascade Double 1-3/4" x 11-7/8" VERSA-LAM@ 2.0 3100 SP Pd►SSED RB01 (Roof Beam) BC CALCO Member Report Dry 11 span I No cant. January 29,2019 16:57:23 Build 6782 Job name: Alshirawi File name: Address: 45 Forsyth Ct Description: ridge beam City, State,Zip: Cotuit, MA Specifier: Builder: Botello Lumber Designer: Charles Coombs Code reports: ESR-1040 Company: Boise Cascade Connection Diagram: Full Length of Member bbdd a c a minimum=2" c=7-7/8" b minimum=3" d= 12" Calculated Side Load=360.0 Ib/ft Connectors are: 16d Box Nails Disclosure Use of the Boise Cascade Software is subject to the terms of the End User License Agreement(EULA). Completeness and accuracy of input must be reviewed and verified by a qualified engineer or other appropriate expert to assure its adequacy,prior to anyone relying on such output as evidence of suitability for a particular application.The output here is based on building code-accepted design properties and analysis methods. Installation of Boise Cascade engineered wood products must be in PAIN OF A1,4 accordance with current Installation �� qc Guide and applicable building codes.To y obtain Installation Guide or ask g� CHRISTOPHER G u, questions,please call(800)232-0788 z DUDEK R', before installation. ov CIVIL U No.29566 BC CALCO,BC FRAMER®,AJS-TM ALLJOISTO,BC RIM BOARD-,BCIO, BOISE GLULAM1m,BC FloorValue®, AL VERSA-LAM®,VERSA-RIM PLUS®, Page 2 of 2 ¢oise Cascade Double 1-3/4" x 11-7/8" VERSA-LAM®2.0 3100 SP PASSED RB01 (Roof Beam) BC CALCO Member Report Dry 11 span I No cant. January 29,2019 16:57:23 Build 6782 Job name: Alshirawi File name: Address: 45 Forsyth Ct Description: ridge beam City, State,Zip: Cotuit, MA Specifier: Builder: Botello Lumber Designer: Charles Coombs Code reports: ESR-1040 Company: Boise Cascade �0 12 0 It I, I. B1 14-08-00 62 Total Horizontal Product Length=14-08-00 Reaction Summary (Down / Uplift) (Ibs) Bearing - Live Dead Snow Wind Roof Live B1,3-1/2" 968/0 1760/0 B2,3-1/2" 968/0 1760%0 Load Summary Live Dead Snow Wind Roof Tributary - Live Tag Description Load Type Ref. Start End Loc. 100% 90% 115% 160% 125% 0 Self-Weight Unf. Lin.(lb/ft) L 00-00-00 14-08-00 Top 12 00-00-00 1 roof Unf.Area(lb/ft2) L 00-00-00 14-08-00 Back 15 30 08-00-00 Controls Summary Value %Allowable Duration Case Location Pos. Moment 9388 ft-Ibs 38.4% 115% 4 07-04-00 End Shear 2252 Ibs 24.8% 115% 4 01-03-06 Total Load Deflection U488(0.349") 36.9% n\a 4 07-04-00 Live Load Deflection U757(0.225") 31.7% n\a 5 07-04-00 Max Defl. 0.349" 34.9% n\a 4 07-04-00 Span/Depth 14.4 %Allow %Allow Bearing Supports Dim.(LxW) Value - Support Member Material B1 Wall/Plate 3-1/2"x 3-1/2" 2728 Ibs n\a 29.7% Unspecified B2 Column 3-1/2"x 3-1/2" 2728 Ibs n\a 2.9.7% Unspecified Cautions For roof members with slope(1/4)/12 or less final design must ensure that ponding instability will not occur. For roof members with slope(1/2)/12 or less final design must account for Rain-on-Snow surcharge load. Notes Design meets Code minimum(L/180)Total load deflection criteria. Design meets Code minimum(L/240)Live load deflection criteria. Design meets arbitrary(1")Maximum Total load deflection criteria. Calculations assume member is fully braced. BC CALC®analysis,is based on IBC 2015. Design based on Dry Service Condition. �p\IN OF MASS CHRISTOPHER G yN DUDEK CIVIL Cnn No.29566 . PLO �Q Page 1 of 2 Boise Casbade Triple 1-3/4" x 9-1/2" VERSA-LAM@ 2.0 3100 SP PLISSE® FB01 (Floor Beam) BC CALC®Member Report Dry 11 span I No cant. January 29,2019 17:00:54 Build 6782 Job name: Alshirawi File name: Address: 45 Forsyth Ct Description: edge beam City,State,Zip: Cotuit, MA Specifier: Builder: Botello Lumber Designer: Charles Coombs Code reports: ESR-1040 Company: Boise Cascade 127 - 4 3 0 1 3a r { _. r '� ,.r �'E a�' �. - a� �� _ a , 14-00-00 B1 132 Total Horizontal Product Length=14-00-00 Reaction Summary (Down / Uplift) (lbs) Bearing Live . Dead Snow Wind Roof Live B 1,3-1/2" 280/0 1422/0 1018/0 B2, 3-1/2" 280/0 1639/0 1162/0 Load Summary Live Dead Snow Wind Roof Tributary Live Tag Description Load Type Ref. Start End Loc. 100% 90°% 115% 160% 125% 0 Self-Weight Unf. Lin. (lb/ft) L 00-00-00 14-00-00 Top 14 00-00-00 1 floor Unf.Area(Ib/ft2) L 00-00-00 14-00-00 Top' 40 10 01-00-00 2 Reaction from RB01 at Conc.Pt. (lbs) L 07-00-00 07-00-00 Top 968 1760 n\a bearing B2 3 wall Unf. Lin. (lb/ft) L 00-00-00 14-00-00 Top 80 n\a 4 gable Trapezoidal(lb/ft) L 00-00-00 Top 0 0 n\a 14-00-00 90 60 Controls Summary Value %Allowable Duration Case Location Pos. Moment 13351 ft-lbs 55.5% 115% 2 07-00-00 End Shear 2645 lbs 24.3% 115% 2 12-11-00 Total Load Deflection U321 (0.506") 74.7% n\a 2 07-00-00 Live Load Deflection L/677(0.24") 53.2% n\a 5 07-00-00 Max Defl. 0.506" 50.6% n\a 2 07-00-00 Span/Depth 17.1 %Allow %Allow Bearing Supports Dim.(LxW) Value Support Member Material B1 Wall/Plate 3-1/2"x 5-1/4" 2439 lbs n\a 17.7% Unspecified B2 Wall/Plate 3-1/2"x 5-1/4" 2801 lbs n\a 20.3% Unspecified Notes Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(L/360)Live load deflection criteria. Design meets arbitrary(1")Maximum Total load deflection criteria. Calculations assume member is fully braced. BC CALC®analysis is based on IBC 2015. Design based on Dry Service Condition. �K OF Am Connection design assumes point load is top-loaded. For -loaded point loads, please consult a technical representative or professional dd �yG Nailing schedule applies to both sides of the member. �R,DUDEKER G . Member has no side loads. o CIVIL c No..29566 / T AL Page 1 of 2 Appheatian Nwnber f.ski.. •�R:1: is-:ii ♦i •.. :.. $0 c o9 -o action Supervisor _ Naive_.M 2k ._ � `elephon Numt a 7®)SS A•ddzess .�� �4�5 License Number s I acense;T ype C Expiration Date :. Contractors Email I o r f t Cell# I iiadsrstanii`my responsbififesuvder the rules and regulations for Licensed Constcacton Sv}�en+�s�r i accordace 780: C1VIR the MsSsachtrsetts State Budd g Cods. I understand the construction itspsctionpincedure5;specific inspechbn5 aril documenta#Olt required by T84 CMR` the Toi ,of a copy of ±our Ticense: Section 3f?—dame I>utaprvvement GotractQir Name._ �� n'� - T leph'r N riber Address State Registration Number l 2 5 5 3 fia t, Date I end:ary r$spon5ibi7rn'es under the rules and regulations for Home Impiveriienti Goniractois sn accordance vt�th 780 CTv1R the Massachusetts Star Building Code. i understand the canstr hQn inspection procedures specific Barons and-- _taWn requn Ed by 780 CTVIRand;ti�e 1'ovt of BemstaTaTs Attach a co of THY your ec�aaa$ 33t3me Oersaceise�zempiion Home Owners lame: Telephone Nuanber <. , . _ __ CeII or Work Nimiber _ IunderstandmY respor�sibxlrtie5 under the rules and re gulahbns fbr Lrceused Construction Supernsor in;accordatzce w ;7$0' CMIt the Massachusetts State]3uiTdiag Code. I understand the.construction mspectkon procdures,specific.utsgectivns anti docuiuentatipa regiured by 780 CMIt and the Town"ofarnstalTe::. Signattue., :_.. PnntName t elephone Number 0 ( -.7o) �� may petit to �, �C0 ki Cur, Last undA&4!i,ff snni.Q 5eetion a— eparnnent blgn-vus Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review(if reared) .❑ Fire Department ❑ Conservation For commercial world please lake yo.o plans directly to the fire departrnentfor. approval i Section 13=Owner's Authorization. er of the subject:property hereby authorize. tP2�c wt. to act on my behalf,.in all. matters, Ad to work mithotized by-this buil ` g=pernzit'application for: As s Cofv (Address of job) ,yam a 3 QVIq Signature of Owner date ALSkyl :Print Name 1 Office of Consumer Affairs & Business Regulation- Mass.Gov Page 1 of 2 1 Mass.,,wv ;,:::: "` uffice of Consumer A f f a i rs' a n a' B u sin.e s s Regulation COCABR Home Improvement Contractor Registration Lookup To search by registration number, enter the registration number in the textbox below and' click the'Search' button. Search by Registration Number 1194553 Search You must click the"Search Registrant" button to search by name or location. Search by Registrant Company search Re istrant name Search by Registrant Last name City/Town State Zip code ......._.......... https:Hservices.oca:state.ma.us/hic/licenseelist.aspx 2/22/2019 Office of Consumer Affairs & Business Regulation- Mass.Gov Page 2 of 2 Click on the registration number to view complaint history. You can also view arbitration and Guaranty Fund history. The list is current as of Thursday, February 21, 2019. Search Results - .. Reg.strantNan ESPONSISL' EGISItRATKMRESS EXPIRATI A'TU INDIVIDUAL NUMBER I ®ATE ME SMITH INC. `Smith, Mark �194553 109 Hasting 162--ii-V-121-021-11—Current E Road SPENCER, MA { 01562L.......... Site Policies Contact Us © 2018 Commonwealth of Massachusetts. Mass.Gov® is a registered service mark of the Commonwealth of Massachusetts. https:Hservices.oca.state.ma.us/hic/licenseelist.aspx 2/22/2019 (Office Of Corisurner Affai"rs and Busriess, Regulation 1000`Washington Street- Suite 7`10` Boston;;Massachusetts 0211fl 8 Home ImprO�emen#*:Contractor Registration W Type: Corporation .a m a.� R%istratlon 194553 ME SMITH INC. Expiration:` 02l17/202] 109 HASTING ROAD ~ + SPENCER,MA 01562 ' ....... k Update Address and:Return Gard. SCA 1,v 20M-o5L17 `l/L/ /,(/71/7lllLflf.'llfl�! L/Ijlld-XIf1U.JP�fI Office of Consumer Affairs&Busmess.Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for indnndual use'only TYPE Corporation before the expiration date. If found return to_ Registration Ezairation. Office of Consumer Affairs and Business Regulation ' OR_i. 02h 7/2021. 1000`Washington Street--Sul 710 Boston,MA,02118 _. ME SMITH INC.s;, ,. MARK E.SMITH 109 HAS TING ROAQk" _.. SPENCER,MA,01562 Undersecretary Not valid.Without Signature; a_ i i Tlie Co�zxai omverrlth of 1 lassac3twow l3eparfi rent of ar c 4YO, t A� cter is - .�,fice o,f.I�iivgatinr�r. 60Q W. --glo- 3'tm - Bnstota, D2�71' '9Vorkers' Compe�satro;t l[usuranc� cia.�t�.Bni�t�erslC�nfrac�ors/EElectricfai�s/Pliairabers; A Olicant lnforauat on Iease,]Print L Name uainess. ' llnaivid '�,�(( � - Address ��(✓'1" I^'gi5 6Q Are you an ernpIoyer�t>heck the appraprate bo T'ype.of project(reclred). 1.�]I am a employer wi#li` 4 �sm a general mo. ctor and T employees(Egli and/or part tare):, have hvred'the sa contractors 6 Q N construcliog; 2.Q I am a sole propaebpr:or partner, listed on the attach ed sheet: X. odelmg and have no tiri'1 These soli-coactars ha�'e shag. P.-ayees 8 Q.Demoliton w fa :me,m eutplvyees and hays warkers' g Q;Baaaldgig addafion orhg Y [No woaers'"camp, uance. �P•Insurance. requir�.j 5 Q We ace a cx�aporat€on and tO.Q Biechrseal repass or,,addrtaons officeas have�cercised then am.a homeawner doing all"work. 1 l.Q I'Igmbmg repairs'or adduftons m sel£ crvvoilters right o€exemptson per MffL. y #Mwopm. sastir'ance regs�d;],� c.:�52;§I{4�andwe have no. employees,:jNo"wakkers' 13.Q;Othet._ gimp aisuance'.regahed=] ... _::_ Grarittlffit c ied c baX 3 utust aisb fiA O tiie sec6nri Ueloar shown their aPP . @> 's9arkcis� �pRhcy mfanmaQon. fi Fiomeov�mm who submit tins.a�davit maica Ping they:are doing alt work and then hiie:puts�do citntractors nmstsubmif,a new afi6dav t mdit' sup I #Coriliactois IM check this box mustattacbett an addifionat sheefs$owing the nazne of riot8iose eel mi�xre employees. If the sfi& oft scrota have employees,they Tl=provide then WOTkers'comp poUcy►umber f am an mtployer ffiat is proy tvor carr�peisatrbn iarsurartre for rrry yob srte ax,forrnafion �,.. Ilasance Company: C l'o icy#,or$eF ms;lac.# '7 7J�T Expugtion Date ,s, �`/ 42, _ c Job Si#aAddress: Afach a copy of t}e workers'corn'"ensafion pofscy-deciarasion page(showg tyre goLcy agmber and expitatson date);: Faille to secuxe coverage as requareet tinder Section 25A of IvMGL c 152 c an lead to the mmposi#a>z of cmiaai penalties o£a: fine,nP to$1,540.4Q and/or olw Par mgn$omn(m- as well,as �vll penaIt<es in;the fotn of a STOP @(A RK t)RDER aird a flue; of nip to�250.04 a.day against the v gii& Be advase l that a,gopy pf bus statement may lie fartyarded to doe C1ff ce of Investigations of The DIA for.msuirance toymage ver fiI*an. _ ........ I do hereby-a :under the pacts, _ _ o tat>`he fornuuzon pros tied aUgve zs true arui.cgfnec " Si atm•e: : ..` _..' �__ _ .:Dater..._. _. .. �U". ., � � Ptiane �. . � .P7_.-7a�5S. ... 11 ctal rise only: Do not Cy Wrtfe o iri:tlt>s area,to be rontplded ' or faun ,ffrcxaC" or Iowa _ _ :: Permit%Lsceasg Tssnmg Anthonty(csrcle one}: 1,hard:of$uaafth Z.Bu;luimg 1?epartme0 3.Csfy own Cterk 4.EleetrFcai Inspector' 5.IU tubing-Inspect or .. ContnctrPerson; _ � ,- _ - Phone-#. MESMITH-t)1 CSTEVENS DATE(t7lM1DDMlYY) CEI�.TIFICATE OF LIABILOTY INSURAN-CE 10122i201a THIS CERTIFICATE IS ISSUED! AS A MATTER OF:INFORMATION.ONLY AND CONFERS NO RIGHTS UPON THE:CERTIFICATEHOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY'OR NEGATIVELY. AMEND EXTEND OR ALTER THE .COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT EONSTITOTE A.CONTRACT. BE THE ISSUING tNSURER(Sj,AUTHORt2ED REPRESENTATIVE OR PRODUCER,AAND THE CERTIFICATE HOLDER: IMPORTANT: If the certificate holder is an.ADDITIONAL INSURED,the policy((es)"must have ADDITIONAL,INSURED proJstons or:be endorsed. If SUBROGALION 15 WANED, subject,to the terms and conditions of the policy,certain policies may require an endorsement Astatement:on this certificate does not Confer rights to.the Certificateholder in Ileu oftuch endorsem;ent(s). . .. .-:... ... _. CONTACT _ PRODUCER: NAME:..._ Thomas J.Woods Insurance,Agency`Iric.. PHONE FAx (Arc,No:ExL: 5 755-5944 1(ac No) — 20 Park Ave EdJAIL Info@woodsnsurance.com Worcester,MA 01605 ADORess — e __ ..INSURER�AFPORDING COVERAGE - - �C ..-,r..,_.._....._,..- .. . INsuRERn ATAIN Specialtx Insurance Com an wsuRERB:Gommerce'rinsurance Company 134754 INSURED M.;E,Smith Inc_ �NsuRER c:Evanston lnsuUq— z Go. 35378 W� _ _ Mark E.Smith wsuReR o v — 109 Hastings Road Spencer,MA 01562: INSURER E. INSURER F.:. COVERAGES CERTIFICATE NUMBER.._, REVISION NUMBER THIS I$ TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAM ED.ABOVE FOR THE;POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,.`TERM OR CONDITION OF ANY CONTRACT OR OTHER`DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR'MAY PERTAIN, THE;INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL,THE.TERMS`, EXCLUSIONS AND CONDITIONS OFSUCH POLIGtES.LIMITS SHOWN MAY HAVE BEEN:REDUCED'BY PAID[CLAIMS.. _ 1NSR ADDL SUER - POLICY NUMBER: 4 POLICY EFF POMIICY EXP �: LIMITS - TYPEOFINSURANCE - 1,000,000: A X. COMMERCIAL GENERAL-LIABILITY EACH OCCURRENCE S- 10/15/2018 .10/1:512019 DAMAGE TO RENTED 300,000. cLA1Ms-MAOE Q'oCCUR, CIP363531I PR °C"1Qe s.. 5.000 - :A7£D EXP An one __nZ $ - i000,000PERSONAC:g ADV INJURY S 000000 GEN'L AGGREGATE LIMIT APPLIES PER,:. GENERAL AGGREGATE S_ POLICY F- PRO- ( LOC. PRODUCTS COMP/OP AGG Z,000,000 tl JECT l OTHER: COMBINED SINGLE LIMIT I.B... 1;000,000 $ AUTOMOBILE LIABILITY tE ANY AUTO B.DHD68 1011512018 1011512019 BODILY{NJURY(Per -'OWNEO { SCHEDULED .. ...BODILY IN7LIRY_(Per.,"accidentl S:._., ._. AUTOS ONLY I X I AUTOS - -H RED X NON WNED PROPER'[Y OANAGE p. X A TOSONLY 1, AUTO E_CH OCCURRENCE S. jol. C X UMBRELLA LIAB __ OCCUR. if I Excess uae cLaIMs-MADE ( XOBW78T1:09$. 10115l2098 10}1512019 AGGREGATE s' i DED X RETENTIONS 51000 ( _ i PER:::TE OE_Re- WORKERS COMPENSATION - '- "—`-'— AND-EMPLOYERS'LIABILITY -Y/N. _ ANY PROPRIETORIPARTNERtEXECUTIVE. 1 s E.LEACH:ACCIDENT S: QFFICERIMEMB R:EXCLUDED? N!At• EE _! E.L.DISEASE-EA EMPLOYE b : —� (Mandatory in-NH)if yes,describe under I ,: E.L.;DISEASE-poudY bivirr 5 .. .. ... .. DESCRIPTION OF OPERATIONS betow- DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Adddionaf,Remarks Schedule tray be attached gmore space Is required) ln:d) Certificate:holder is considered additionaV insured:as respects,General Liabdlty policy where required:by Wrltten'contracf., l CERTIEIGATE HOLDER CANCELLATION. . SHOULD ANY OF THE ABOVE;OESCRIBED POLICIES BE CANCELLED BEFORE THE .EXPIRATION._.DATE THEREOF,.. NOTICE -WILL-:BE DELIVERED IN. .� ACCORDANCE:WITH THE,POLICY PROVISIONS. '- AUTHORIZED REPRESENTATIVE 85��T ACOR0'25(2016%03). ©198$2015 AGORD CORPORATION. A11 rights reserved:. The ACORD name and logo are registered rnzirks.of;ACORD DATElM67rODiYYYY} 4CaiRD►" CERTIFIGATE OF LIABILITY INURANGE. MIS MKIMICAtE IS ISSUED AS A MATTER OF INFOi2MAT10N ONL-Y AND CONFERS.fltO R1GHT31fPIjN THE'GERTtFICA7E FtOLQER 71 t9 CERTIFICATE bOES-NOT AFEIt2MATNELY-OR NEGATIVELY A.M_ ND, EXTEND.ail ALTER FHE:COVERAGE AFFORDED BY TFiE POI:fGtES BELOW. THIS.CERWICA'T£ aF INSURANCE DOES NQf CONSTtTUTE_A CONTRACT BETWEEN lwE 0-pumG I1401RER{S);1411THOIiIZE4 ftEPRES.ENTATII/E OR PRODUCER,ANQ THE CE[2TIp0TE HO.[;DEFi IMPORTANT If the certificate holtler is an ADDITIONAL INSURED,the pollcy{ies)must be entlorsed If.SUBROGATION IS WI lVE[2,Subs O#4o the terrrLs and con, !ods of the,pollty,tettoln poticces may requ►ne an endorsement Ad ment pri:this ce t sate t oes.not confer:rtght�f b the certificate holder in lieu osuch endor§etnent{s).. - _. _ �_ C a Stevens - - 'PNQId� THQMAS J WOOD�:fNSURANC)✓AGEf�CY INC. Arc No. _ _ _ ADDDRREESS.`.. CSteVenSQFtOQdSiflSUri3tice.X/ IT) .__.. 20PARK,AVENUE r INSU S AFFORDING;GOVERAGE:_ _ [.. - NAIC#-_ v�aRcscE� ..... _. ,..R MA 016i3G . - :uusuRERA.;::AMGUARDiNSUl2ANt;EGO` 4239Q fNBURERB:_.. NI E SMITH iNC _�. INsuRE�a . 1NSURERDs'. 1OSHPtSTlNUS•RD': INSURER :':; SPENCER MA 01562:.. rrisuRERF:: :. GOVEt3AGES_..... CERTIFICATE�Nt1MBER,33.1 !14 REU(MON NUMBER:`., THIS{S TO CERTIFY THAT THE-POLICIES OF—IN _Q__FtIYCE LISTED BF101tit t-NAVE BEEN!$SUED TO+THE INSt)RED`iIAMEb ABQVE FOR"THE POLICY PERI0p INbICaTED NOT1MTti$TANDINQ AIVY REQUIREMF�IT;TERM OR CONbIT10N OF ANY COiVTRACT 0ii OTFIER DOCUMENT 171A7H RESPECT TQ}IVHICIi THIS sU CF_Ri tFIGRTE 611A1'BE ISSUED QR anptY PEf2TA1N THE INSURANCI 'AfFORDt E},BY THE POLiCIF_S DESCR{BED F1EItElN AS SUBJECT`TO Alt }t9E TERMS; QCCLt1S_IONS ANQ CONpll7 PIS OF SIiCH POUCIEs t.fMtt•�'SHQWN NUkY HAVE SEEN RF_DUCE[I PY PAID CiAIMS. , INSR ,;. P..OU¢YEFF ;;P011GYEXP LTR Yoe FINSURANbE_ -.._ ....-.ROLICY.NUMBER .. :::MMlDOIYYYY..h% , -, _!!NITS PPAMERQIALGENERitr 1IABtUTY' EACtI_OCCURREPICE -Y S CLA# A7ADE 0 OCCUR_ PRErtIS)SrEausatr[e[sce}_ g - - MEDEXR Anyotiaperson) S Alit PERSE3NAl&ADV INJURY_. S.. GEnAGGW(WA UMWAPPLIEBPER. .GENERALAGGREGATE _ $� POL{C,Y. J rOC:- t' PRODUCTS40NlP10PACxG S _. _. AUTOfQlOBILELiA81LJTY _M-N ANYAUTO :.:. BOPiLYiN3URY,1FerPecscn)` $ .__._. _. ilLt OVJfJET)- SCHEDULEQ' N!A' BODILY wiW&tPer acddwOj S AUTOS NON-0VtyD PROPERTYQAMAGE liIREQAUTOS AUTOS -- ii acacddent � _ E<Sf S LIAB �� WA: AGGREGATE, 5 WORKERS COldPENSATION' ANDEMPLOIZER5UAB111T1. ` ANXi"OPTtIET-o"ARTNERteYMCILM JE Y!N EL EACiiACCt6EPl; $ 100tT O00 A OFFICECEMBEREXCLUDED? NIA hUA N)A R2WC94.3080 10I35(2018 '10(15/2019 ---- IMaiidatoryinNH) - EL DISEASE �AEMPLOYE S_.1.t)t}000Q _ tf e-+ibe uhder . DWIPTtONOFOPERA770N5bet0lb::__ EL>DISEASE.a?OUC'ltMiT, $ i t}OODO_ _ 'VA; DESCRiPT10N OF OPERAflONS LOCAMONSI VENICI rmwe s ave is"iidk'd Workers"Compensation benefits w171 be peid to MassactlUsetfs empID son Pursuar>t to Ehdb menf WG 24 03 Q6 B,rta authorfzaiiott rs Wien to , c{alrns for benefits to emplgj o lrl,states other than.MassaFhysetts if tl a tnsu�red;FuPes,or fias hires hose.employees oistsrde of iJiaSsachuseB9s p This cerlificate of iis4►ance shows tl�e policy in farce 6n the date tfiat this certificate was issued(unless the ezpirattoritlate on,the abouepotrcy precedes ttie j sue date of this certificate of Irlsurancej The status of[I' coverag?:Capndhit t dvdW0 r ng the Proof gf Coverage Coverage Venfipat<on, :'.Search tool at w_uvw mass govAtiardWuorl�ers-compen�aUonrnves�ga6ons( GERTfFlCA1E.HOLD,ER:_ .._ _ ..___ ._.—_- -- _._ _--_ CANCELLATION SHOULD ANY OF THE ABiSVE DESCEtiBED Rai tC1ES:BECANCEt1 Ed BEFORE: THE 'EXPIRATION DAME THHREOF, f;0100E V4111.L BE DEtItrE#tED;' rN ACC4ItDANCEt41tTy TH POLICY PR0I/ISICINS ' s• test. .. . ,.:., _..'. _,._ w__ AUTHORfiU REPRESENTATIVE Plalstour- NH 0W Wdet Y CPCU;Vice Prasldent—Residual Market—VJCi21BIVIA r. AGORD CORPt)RATtaN All_rights{ SerV,. AGORD:25{261d101.j The AC:ORl7 naive arid:Iogo are registececl rrlar[<s afAGORi]: Barnstable.Bldg:. Dep YFSOPO_-J CD �i a�FL+sa,E: + , Approved by: a i :P P,oP oiEl� r3 o6F�:1n1- Permit# - rL�-- j r �.. rT 1� tm. - — - L1 - r _ _ .. '; y,.,..r4 � m ...-�,xx.. ..�a...x-" �:+.. ...r -• ,R— y, t r, T r:' � - - �I I 'I NCw W l,+J r�a.,.i5-: NEVJ P.Ko�i6LZ , F F 'O N ,E v �a 1' ►®t :i '/ _ E A E 1_E v A r o�► I q.� _..... , ::, ',:. •. .. 6 \J S'i a75t E- IMF ' .C.. ` F. `•� �•'�/ - �r[ro�'��✓ . • `� } � A+rin,>,Atc.. f.itr'+WtcL �' _ ; I i mar t''•: 1.-2C+t!� - .. • - . F . 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Cy) IV j no s C14 SPAN) � ' 6x� aysTs w/GAw P - P�TEs 4 Mho , '�T SCrt 1 I ]JI nr 1 i_ .. .._._-�. .(��L. s ....`�� -._J" ..+-1.._J..J-.ft.�,v._,�._� � .�,.......,". �''•.--.J>:-.J �.t ._,..�.�ui.� Jf1._15'.JJJ� E 'v 57d r2 i )4►G - 15 Mc' i LAYOUT hLANS WALL 5ECTIONS EXI5TING BUILDING Ni C 96.75" 96.75" 81 81" (MAX) V. 81 o 5TUDIO 51DE WALL(A) 5TUDIO 51DE WALL(C) � w �� A --- --- - — A55EM13LY DETAILS AF; n ' LTA ALUM.PANEL HANGER 5 fah` a =`Dt4 C,7 CONNECT5 TO WALL STUDS ; 81'z98 BLE 1 u�•—ten_. —_1J OR ROOF RAFIEPS I , r -- Li WALL 5EE A OWABI C LOAD,. 0.� (MAX) TA FOP. 5'PANEL 51ZE 'I 81 - 81' — I 5TUDIO FLOOR PLAN MINIMUM 5LOPE 1:12 (NOT TO 5CALE) GU1 TER FA5C.1AIL ��a N— — --- 9 HEADER SUPPORT BEAM 5TUD10 FRONT WALL(15) TRANSOM(OPTIONAL) ALUM.SLIDING ALLOWABLE LIVE LOAD TA13LE FOP,15 FT. FAN k(WITH 14 FT.OR LE55 5PAN —. POOR ORwwDowl 20 P5F 25 P5F 30 P5F r .35 P5F 40 P5F 45 P5F 50 P5F 55 P5F 60 PSf — --— - TEMPERED GLA55 3"IiC 3"HC+FI 4 5 HC E. 45'hIC 4.5"HC 4.5"HC+I-1 4'.5'HC+H 4.5"HC+H 4 5 HC FH 3"EP5 I , EPSII 6'ESrI 6"EPS+H 6"EPSII 6"EP5 . ,DO1OR,L3EP5+H + bE HIDING P 0I 51 T1EH SEC710NWITI, , V ^.r y ; NOTES FOP.STUDIO CONS"fI:UCTION s 4, �'s�` FLOOD:CHANNI=L I ti 4.WIND LOAD5=20 P5F 10.ABBRE"VIA110N5' x °° 1.STRUCTUPAL IvIEMBEPS SHALL COMPRISE �v cnau; 6063 Tr,ALU1�1NUM C XTRU510N5 PROVIDED FOR 80 MPH EXP05UKE A,B,C I)=DOOR t• = i doss DECK/SLAB-----I S AND WINDOW IOCATI0N5 POOP. AND COMPANY. W N 5.DEAD LOAD5=5 P5F DM ;.DOOR MULLION WIDON/, t BY CRAF f " = TYPICAL,STUD15 SECTION 2.ALLOWABLE,LOAD5 ARE BASED UPON 6. WM :WINDOW MULLIONf0.5CAlE ARE INTERCHANGEABLE. THE LE590R;OF.71IE ULTIMATE LOAD/2.5 U 'U=C.HANNEL r nL�'. OR THE LOAD AT SPAN/12D. 7.GLA55 KNEE WALLS ARE f IC h ONEYCOIvID PANELS INT-RCIi.ANGEABLE WITH PANELS. EP5=POLYSTYRENE PANELS �o� ass\ PROJECT: CONTRACTOR HC/EP5 REFERS TO GRAFT-GILT STRUCTURAL k y��J` qF , PANEL5 WITH ALUMINUM 5KIN5 BONDED TO 8.WIDTH OF B-WALL MAY VARY PER H=THERMALLY-BROKEN t CRAG d. u:w n HONEYCOMB/POLY5TYRENE CORE5(3".4 W' DOOR/WINDOW LAYOUT UPTO 24FT. ALUM H-5TIFFENEK doss }v- 14'O X �q -2 9.AUTHORIZED FOR 13ETTEPLIVING 0/H=OVERHANG STRUCTURAL c AND6"ThIICKNES5E5.). 4032q STUDIO ENCLOSURE DEALER USE ONLY. P5F=POUIdD5/50 FOOT a DWG NO.: ADJACENT PANEL5 ARE CONNECTED USING a o 'nRAWN BY:CJJ VINYLCLEA'f50R115. FT PANEL I',. \o\SrrsI�PFOF!, c?n50-l4'xl+Jwg GENERAL LAYOUT )y /oNALf� w 5CALE:V=50" %. ALI1tvl.=ALUMINUI i ,?. L DATE:11/27/2000 , E _ 3 r Iti vyE 4. �yj� _ 6 b oF A De F1- f. A c 16- F. Wo � . � 40 r � PAUL' �N svq �- T. y GROVER pG. 499 � ��, �x Kv atilt N ,eeee.m ue.@.e icy c.l l�e-ee�r_ �.^+i: r�i - 'F a a r.art�t� a:i V::. :':.E.::j;:S:% E ..6r:.`.T E E£.:.E�,F1 :.r: a` -m a f[+.Gb � o eZtaz r �t�es �the local., x� b�-Lao i i,efect� 4 11 - �, � - _� --t t Seale:. 1 �6 S f�r� or-i's m �vrm �Cc� . e m s Dee: �/Z-s3 o c�w it f"A�4fa 11 f`�. v a�.cNi��v'�ci.f�„c`�a rv.. . c .. �w tw i v '7. �`i}� iev. PLEASE NOTE: The structures as shown on this plot plan are approximate only. An actual survey is necessary for a..precise determination of the building location and encroachments, if any exist, either way across property lines. This plan must oot be lI used for recording purposes or for use in preparing deed descriptions and must not. be used for variance or building plan purposes. This plan must hot be used to Iocate property lines. Verification of building.Ior^ations, property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown. hereon. Please note that this is 'NOT A BOUNDARY SURVEY' and is `FOR MORTGAGE PURPOSES ONLY', COLONIAL LAND. SURVEYING CO Ply INC. v. ,.SLIDII\)G OWL H5 Tohs..i i Na cT. F m t� JE C:OT67 mb aZ3SS t R Nevv Dc-rx- TUN Zk(o ¢ rT IF(:Wyy-- tb ' tico T6P �z�5" 13'-I ". 1.5 - t • 5v1.1(� �"it,�kint 6, D , M IPAa! F ° I,�L- Si®(- a-nls. s TalpLe zx l o PT &-C-,btY S C F-� -t� . poi sys`' . ,�4) IZ° �r� ��;�"��� s '^�/An�GNartS 14� sP��� �' j` a 6� s wI ,�� �� �s � LV ��. o[4TEs MAce 31q"T i G FLY a4Arv-F�4W2 ' F1 _- R(W 7 "T _ }_...__ E ..'.� _. 1 e In! i _ - stfc�-- COLLINS loca ttott of-Pmderty= corer r t 'A!,�5 c t rq `-�, AV a �� . AV— JQ a>� cz 40 ZZ Alto _gage &tpw t PC. ca �OVE� w CPU 4XUing ahowm-ha I'ivYei ,LV ee L.l..e R _2�d "I We Cr r ever ,�i� P are G 6 c3-- {�°f9h"dvri� � V� fr.Ea�y`.�`r`v v g e v f 6.:`�'.�* �a �' 'F� �E ENEe E.F •JS��_� 4aC'! e . i t�ce elt�n�r does efts tfie 1vcal u ig f y-U%O ir�e�ct' , at-the- c ��- t - e setb"k ��� Ma6 or is arm 7a M Me Dae: f-rz-93 o �+�-4•r net s the rl U er cc (..v��QQr+ra 1 �E c�e f�r€#,.4 � � N-1 _ Get'�'t it�4 '7 �. .. nr.. -.s AT s®*Z �iw►V t sr�iAra.i. Vbt W� VW�i�.i v./ vc{.�IY�I.`V.a '�v s �awa.w a v �. a lev. &7�a F✓ PLEASE NOTE: The structures as shown on this plot plan are approximate only. An actual survey is necessary for a precise determination of the building location and encroachments, if any exist, either way_across property lines. This plan must not be used for recording purposes or for use in preparing deed descriptions and must not be used for variance or building plan purposes. This plan must not be used to locate property lines. Verification of building.locations, property line dimensions, fences or lot configuration can only be accomplished by an accurate instrument survey which may reflect different information than what is shown.hereon. Please note that this is "NOT A 3OUhrDARY SURVEY" and is "FOR MORTGAGE PURPOSES ONLY*. MLO TIAL ND SURVEYING PAN _; INC. �( �.: ^Kn CFI. ..o 0L� - FE______� n C tii--- r LAYOUT FLAN5 WALL5ECTION5 EXI5-PING BUILDING 96.75" Fsce't .3 96.75" w_ rn (MAX) v 81° (MAX) 81" 81 a a a 81 5TIJDIO 51PE WALL(A) 51UDI0 51PE WALL(C) 13� oD o A55EMBLY DETAILS ;4.• y a gg- ALUM.PANEI HANGERr. Dlvl CONNECTS TO WALL STUDS ?` u i OR ROOF RAF/"EP5 -- .. 96.75" — w ,> 5EE ALLOWABI_L-LOAD B WALL {? p (MAX) �" TABLE FOP PANEL SIZES k � � 14' "--- re y tij 5TUDIO FLOOR PLAN MINIMUM SLOPE 1:12 (No-r TO 5CALE) :t GUTIER FASCIA -HEADER SUPPORT BEAM 5TUDIO FRONT WALL(B) ALUM.SLIDING TRAN50M(OPTIONAL) I ALLOWABLE LIVE LOAD TABLE FOP 15 FT, FAN FL WITH 14 FT,OF, LE55 5FAN _ r. POOP,OR WINDOW/ 20 P5F 25 P5F 30 P5F -- — HS 4 PF 0 SF — 55I' .0 P5 F 65 T i,, 45 HC 4 TEMPERED GLA55— 3"HC 3"HC+H ' - " "HC+ H d 3"EP5+H 3"EPS+FI _�45 EP5 i H,$ 4.5"EP5+H 6'EP5+H 6"EPS+H 6'EPSid I 6"EP5+I I 6 EP +I(, 511t r c �s,�sts�enu�� 51_IDING DOOP ON _L a mac; c 5ECTIO IWIIN-IDOOR c NOTES FOR 5TUPIO CON5TPUCTION s - :,, CRAIG 1.5TRUCTURAL MEMBEP5`5HALL COMPRISE 4.WIND LOADS=2.0'P5F 10.AB5P.CVIA1 IONS 6063 T6 ALUMINUM EX fRU510N5 PROVIDED FOR 80 MPH EXPOSURE"A,B,C I)=DOORe" .joss DECK/SLAB--------� 5.DEAD LOAD5=5 P5F DM=:DOOR MULLION BY CRAFT GILT,MANUFACTURING COMPANY. W WINDOW "' ? TYPICAL 57UDI6 SECTION 6.POOP,AND WINDOW LOCATIONS s� o Etas ' ALLOWABLE LOADS AP.E BASED UPON WM=WINDOW MULLION .� c° ti✓G -•a' NOT TO SCALE ARE INTERCHANGEABLE. (HE LE550K-OF THE ULTIMATE LOAD/2.5 U U,CHA'PINEI_ j ;Fr/ nye OR TI-IL LOAD AT SPAN/120. 7.GLA55 KNEE WALLS ARE FIC—`HONEYCOMB PANELS sr PROJECT: C R. HC/EP5 REI=ERS TO CRAP(-BILT cTRUC'I"URAL INTERCHANGEABLE WITH PANELS. EP5=POLYSTYRENE PANELS- ONTRACTO , � 8.WIDTH OF:B-WALL MAY VARY PER H=THERMALLY-BROKEN o �%'E" r u > n PANELS WIl}i ALUMINUM SKINS BONDED TO � Cr3AiG d. 4{., HONEYCOMB/POLYSTYRENE CORE5(3 4'/z" DOOR/WINDOW LAYOUT UPTO 24FT. ALUM H-STIFFENER o joss _t 14— x 14 AND 6"TIiIGKNE55E5J. 9.AUTHORIZED FOR BETTERLIVING 0/H=OVERFIANG :?sTRucruRaL STUDIO ENCLOSURE r P5F=POUND5/50.FOOF - goaza DWG NO.: DEALER USE ONLY. 9 o BRAWN BY:CJJ ADJACENT PANEL5 ARE CONNECTED U51NG P=PANEL �o Fcl51FPE ��f' GENERAL LAYOUT VINYL CLEA'f5 OR FIS. FT=FEE'( FSSIOgaLF a.� ens50-14x14'.dwg a ALUM.=ALUMINUM I* M1 T�"' �- .. '� SCALE:1"=50" DATE:11/27/2000 ` "+ f t`sia jui..YZ. +1 4 SEPTIC TANK x MAINTENANCE W. NUNN COD H L 3 .. O � as �- c R Approximately '90% of Cape Cod's population disposes of its wastewater, through" individual y - a o on-site sewage disposal systems. if properly y operated and maintained, anon-site system can provide many years.of trouble free service. If neglected, however, the system is likely to fail, creating public health hazards and expensive i repairs for the homeowner. This pamphlet describes the principles of septic system operation and explains the maintenance pro- mo cedures necessary to insure long life for the m y systeM. A YidmZgwner's maintenance record is 2 .E c provided on the brick. a� P. ° o Prepared by: . - Cape Cod Planning&Economic Development Commission- �C y Ist District Court House. T c ,��, Barnstable,MA 02630 Ems.. Tel.362-2511•Ext.477 -a i RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET LIVING SPACE 22 �. square feet x$96/sq.foot= 2 I � x.0031= Y plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= x .0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100:00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x .0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee projcost __ J i00 0r,s_.._:__ —_bo- ,'-NIA 0;M • ^ne(508)393-0400•= :(508)393 03A') risir us a ' os.rom C�tl TIRACTQR LIT i .N S _ �!'ii 07 HI S.1 III - ., lj is BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR , Number: CS: 070998 ' Sirthdafie`02120/1967 Expires:.02l20/2003 T Tr. no: 7227 Restricted i o 1.G ANDREW T MALONE 41 l^lASHINGT ON S i =2 NATICK, MA 0i760 Administrator ' r F 1HE The Town of Barnstable . '+ BARNSTABM ' 9 MAS.A -Regulatory Services `bA i639' . Thomas F. Geiler, Director, lED MP'l Building Division Peter F. DiMatteo, Building Commissioner 367 Main Street,Hyannis MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date b l S O/ 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. -�� ' Banc Estimated Cost Type of Work: i Address of Work: Owner's Name: �� Date of Application: l vl I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 ❑Building not owner-occupied r []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. ,SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: ��e�}trac N e Registration No. Datec� � G=- : 0 7 0 g 9 3 OR Date Owner's Name q:forms:Affidav:rev-070601 ' 11tVH_Q. CERTIFICATE OF LIABILI I Y' INSURANCE D/26/ M;DD,'":, 07/26/2001 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Joseph McKeone ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE JP McKeone Insurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND; EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P.O. Box 333 Ann Arbor, MI 48106-0333 INSURERS AFFORDING COVERAGE INSURED Patio Rooms of Boston, Inc. John Esler INSURER A: HARTFORD INSURANCE OF THE MIDWEST 100 Otis St. INSURER B: Northboro, MA 01532 INSURER C: INSURER D: I INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN SR POLICY EFFECTIVE -1^LICY EXPIRATION LTR I TYPE OF INSURANCE POLICY NUMBER I ..DATE MMlDDlYY I DATE MM/DD LIMITS A GENERAL LIABILITY 35 U UC 35019 11/01/2000 11/01/2001 I EACH OCCURRENCE I$ 1,000,000 �X COMMERCIAL GENERAL LIABILITY FIRE[DAMAGE(Anyone;ire) $ 100,000 CLAIMS MADE i _ OCCUR - MED EXP(Any one person) I$ 5,000 PERSONAL&ADV INJURY I$ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 O POLICY joCT n LOC I i A AUTOMOBILE LIABILITY 35 MCC 302718 11/01/2000 11/01/2001 COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ 1,000,000 ALL OWNED.AUTOS BODILY INJURY X SCHEDULED AUTOS - (Per person) $ — X HIRED AUTOS ` BODILY INJURY X NON-OWNED AUTOS - - (Per accident) $ PROPERTY DAMAGE $ (Per accident) i GARAGE LIABILITY AUTO ONLY-EA ACCIDENT 1 $ ANY AUTO - OTHER THAN EA ACC 1$ AUTO ONLY: AGG 1$ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE I$ I$ DEDUCTIBLE $ RETENTION $ - $ WORKERS COMPENSATION AND WC S O TH- A 35 WBC FI3935 08/01/2000 OS/O1/ZOOZ TORY LIMITS ERR EMPLOYERS' E.L.EACH ACCIDENT $ 1,000,000. E.L.DISEASE-EA EMPLOYEE $ 1,000,000 E.L.DISEASE-POLICY LIMIT $ 1,000 000 A OTHER 135 UUC 35019 11/01/2000 11/01/2001 PROPERTY DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS Certificate Holder is additional insured 2. CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: _ CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 30 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL IMPOSE NO OBLIGATION OR LIABILITY OF AM(//KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES: A dR AUTrI D REPRESENTA I l f.P /t_ v .d� ACORD 25-S(7l97) � O ACORD CORPORATION 1988 / I JUTA-04-2001 11:34 EL HA UEY RNLI SONS I NC 1 800 212 C1300 P.02 A"IDAVZT -� acco dace wit _zs=4 cla i Section _I 4. l_3 Of itia "u +-a,.4 '.-a+- z ��?..'_��i=�•,��T V,,,=t. i fv ��:�._y C`3i. w�� Will ,� �^. - n=c) a-1"Dey a- S-;:�cse'w'Y a t [��i j"yl"°�" +.,. E .� 4✓..iS:...3 t1��s i 1 _r�G L`!i Tni- 4, d_7..sposal, = r'i i zy a s� vs C_V 1 U U tL U I°1 d"d OC{" ,-;5'f -I�/� j(j-�'•� .�� jL-' rRXE 135) 15s? _ f� l h f /00 OT- _ ={ lfl stom' r vu ' Aadress 12, w51rt �_;e DeiHeal-, ei/ e nfforc m.e t acting�umdar ��R�-ew }�,L'�i" 3 � S i ? an }ice 1�tad d s4--d rece 7= from the l ice sed _ di � s Soal - I] acility co-tain_4m �. e ellowirzg i nor^=t=on. A �e �'r---pti-Grit ofc theme C'Zebris e WSJ ght �:3rt 'S7C the �1on C. d1= PC�1.7� iAt�SL u-SO II "v'� arvs?gmal-ure 0i -,-e 0 aarat—or 0- '-tie d-isposais facility. ai—z—e to commply W-i tL tL."'Le of Ch- J-s. C1rdin'-- ce act:,L 5r1 by TOTAL P.u2 f .�1 ^;moire? � .'.y .. _•____ ___� _���._ .. .. '7 :�I2�5P.0 ,. hus_t State�TuiI li4D D.Cil .Y1:Sja011:iJ' is S`a`s�1iiIGit?g d� (780 C.I lncl C� l�R) i d-s �rOV1;IQ'$ i0�i?St�ji iP.ai IlOL•$_�$ and POU30 add-LiO73 mtlt t ti'l--r --i.ICiCimc d� i T, gy y aa-].iar >. in.$ SL?plerf(trft aI CGNSli?�.�R �NOR.�ti'�GN ' i G�'� 1$ i0 DB I11�d as �a.(i GI �L 0 DUlIdIIl� 17Ci::fli a7UI1Ca:i0r1 �i'e1Ci1 2 DU1. '�COIlu 3C,f0r Oi" RG-t90ir�Ci, COi S1�Ci1P.?�I S`2liii?t' a hoUSt addition 'r'i }1 iaA� gg- o VC-1 a 37'0IaI ni1C7 COIISCi vailOil C::�fT , ' n 'ri 'J i`i =1 7:1$=i C J iGII J�TIOIl Oi 5:___rGGril 2dC_L.0. 5 i0 _.� i10L5a (/�� C'y A.77ar1'iY. J SCC:IOil JI.I2.3.I 1 11iS i 1S l0` ?I1 C ' Or ��_ �i .y 'Ot� �d i0 OVCftt a hwnto+h'--_ t} a _ J �• _ 'Oi11 5...��Liil� ,t cc;=:.S OGiT 1'J GI an, ✓ Si.J n.-�-� {•... - .. ✓ ._�. `__ _ .r ,•✓c_'1"tir =lOil OiI0i1:3ii0i IGi�(1 �JIlS _1CtiG=1 '✓J DC: �Il`. I2.'ltft' i_ r11�� =0 eSSiS: 1)c)- '�%?CrS i l JCCO li] 'k'a7C Oi S0 �� OI -!?t Ii`I::)oftan, CIlC nrj CO SCi ra`i01 mil' __ f li__i .iviiff G+ CCC:J�' .I O.;.i'J!iJ t:1VC1 ���•li1 J�v-.-..!j G! iL',..i tl� JL+:ti`���!i( _'lol.l'J :. L ait. Comp Ct1'JR G su' ,-07 7U'kOit ISS CS Cillti to ' YCOI1frOTiC Spflr O';P ?: it, ; ,_ c �,lin, O` 1nCO `r A rad" Jn CO>- ''t _ mrai o' n ' _fC SCICC`uOR and vlo.v :S 3 .. � E�d ' OI XOdUCt and d�SI=1 CORS!oCraL10^5 "hi" ? :^ajj con. S ICi??JI2S-?!II2� 2 cST RrOO R -L IS'r CDi?li:1CD� `.1 L'f;3i COnSTUM--rSiCaiCl Ily rc:vinW th1�:sC op ioi?5 i i1Cit dCS1?ncC , 7iiil lCi, of COrft-rdCiOr, ID oTd.--i t' MiiliiiliZC Im 0-1 and/ T hG7_';C CiiSGOiulOi( 15Sll S_ In addiLi0r1, thl and r�7iiiat)011 OI _1-1C COMIDariJ' Or Iri,uIVlr'T,, } .2z.S.iO Dt :)Jrtd art ImDo ant COi Sl� ra`IO�iS_ . PRO�ivC:i A 'D DES GN..CON-51)11:�'�TIDINS RELATED:.Ij i 0 -`:�T�`N C)0 Y=S" Corr Gr"Cntafi n and N;lf—u'r'O ad; - � i�7C.Oi�InZIii� y I i lnsulatinr7 Solar hcaf 7a iF rime rna`erials €slaz;nt,- t0 frame S 21iT.2✓ --ad gaslr-,tin— n1.?t"r:alS/Saal Cd'ur abill y and/or W egl7.fler UCi7'np> tz m if1P zyi-nrnnrn - deC1123fC YeRfl12Goa - GI?-r:ibl--vrlildo-,�,s and fans Insulation Ievel In floor�, IVRIi$, P-nd CCIIIR,7S 4 d oss*,bl.e Si?nroom-FSG_:,tionfrc;zn LIIC TT-,-tin housa�'.Ia:a Wall anQlOr door Gr Siide�r ACC.4 LAfJ� tiffu �.:V Vf/fl�,jT��LAf V..J- 4i F1IL1.:'AI c v, .C.�`J LLLAI= c1 i,S 1d C.,,V Ti L1 Vis H6m owner AclCnowled inent ? Bil' d'rI,7 Codt StCilnr( .11.1.2 3 1 " q.,ir actual 'ra- <nt 1 S a�> 'I � �, .�. , s� �s�.�a� ti/ t�_I �-o�e,�� ou- -I•„� OJ i)OI __ r< e hi5 G ?STN 1�" �_?.�AI!G N FO?.i I DriOr to i$$tlaIIC� OL ? U11Gii?' Cr^Ji for 1 7rOj'-Cf 1}Jai irlC1UOCS SUi?rOGi 7" arlritl0?S i0 2R _};!S`ir, iCSIdCr] IZI LilCzi'j- in aCCOrG]ai1C� ,vifll'LI115 i'�1(UtrC l i)i iil 1I1)d�--'•?ned 111CiCby aCT_�0wI'�? of 0 fJl J S L� )��;� i25 i�ad � I �IIj;l ?i0)1 li1 `i)2.S '�Q'CUi:1C;)`L 3I1nroo-7-n con-1 Ori and tnt af C0715t7-�,,af-ion. 711ow J �� Ji_r g �O i Ur :�lCi' aI �E l.iUJ lj C 1Cr a,.� r Jkl- P:ir!l :CC!!!P+ .^.d"•r..=S Gi?`vi: ... �� �rGj �SFLp s3D GwTJCi^..CiOr_SS �II CIii 0j t 0r:rrCi'5 .t1a✓ l0"` -10Tr,jt ' L R Property Owaer Muss Couple e and Sig,:1 This Se�C:Lion Tf U_in�A ?uiIder. as 0 %_Ae_of-ae s �j�c grope71 n_i?.0 tea.==a Yti* _ c_?�Li? nn-r.c �C-.D.?. — an0 1.Oo l s ice- i=1C'C j _O B.Ci G � 7 all vv_. � - "''_� �_•---7,- CFI 7.Ls ,ii i_�j ri '_1�•,-._�` R7.1"1i;C'?7�^_, LO o �a ^l:l VA L.i 4'Y.F.".rl \�f t.J'- I CN as 0_n J_i:4u i�o-ized _�� 4,7aTG 2i �... ii.. :liSa_idi-liJ%73i�OrlO11' Oi-��oiil� �7 2 Or r �1�'-ess o joy)' `i_ )• -�= �S ��, � � - ' ^ - and aCC�_ra �, _O �e l7'JL Oi 1 j� '_ 0 i�%'_ n 3. CCilCi. Sign�d mder _h-,pains and Pei.a1_ es of o�,ary. , n N-z f. N± �. Si /I Assessor's map and lot number .. Sewage Permit numb rg�...&............................................ g SEPTIC SYSTEM House number ...! 5.. c:.................................................. INSTALLED IN CO �4 ' WITH TITLE i639• V Ti Y a' TOWN OF BARN STM EGU ONS BUILDING INSPECTOR APPLICATION FOR PERMIT TO �" /r:4.t:. .......... ' ��� ,r� /fig....... ..�....s .. J........... lc.rn,:. ......... .. TYPEOF CONSTRUCTION ............. �........................................................................ " ...........�r��rt�!4'�.1....bt'.......... 19. �. TO THE INSPECTOR OF BUILDINGS: r The undersigned hereby applies for a permit according to the following information: Location ...... ........1..Oxr�T'. j�/......&&,v......-..... ................................................................. ProposedUse ............��S..Gd'e'n.14iP./.... ................................................................................................................ Zoning District ........ P je.u.........Fire District .........jz&lr.O.l.-j�................................................. Name of Owner ..... �Gt. �'P..........Address ................................... Name of Builder ....�7e.,Vi.0 be....ZJ,...874.. e6........Address 0..1��.�.`!'; Nameof Architect ..................................................................Address .................................................................................... Number of Rooms .................5 .................................................Foundation ......... .k.i4�S<4 ............. IM eE!.::....<�X �i4�.. .C'�l dt.?'/�r�Roofin ,� �' �.................................................... Exterior ............... g .........(Z ,eG?.:.. .. Floors .... ...... ....�/� �k' :f.............Interior ........... /.. .v./Q.//.............................................. Heating .......� l`7� f V. ...........Plumbing Fireplace ....AR.4W. , t' .�..r+2 .... 1,...G. . ..........Approximate Cost .......... . �....................................... Definitive Plan Approved by Planning Board -----------_______-----------19______. Area ...... f ................ Diagram of Lot and Building with Dimensions Fee ......... .. ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH � 4 � v I hereby agree to conform to all the Rules and Regulations of the T7 oflkgrnstable regarding the above construction. Name .f ............................. ......................... 'o GALLAGHER, STEPHEN 0 229 Permit for . ONE,,,S,tQKy, ................. ........ Single...Fami,ly,. DwQ.1.1' g Location ...Lot # .1...!. ... A S. .. Court .............Cotuit.................................................. Owner ...StephQn.... .................. Type of Construction ...Frain.......................... ................................................................................ Plot ............................ Lot ................................ Permit Granted April 2 i// '� .....19 81 ............... Date of Inspection .................� / '19 8� Date CCoomplet d .....................?:7 2.19n PERMIT REFUSED ................................................................ 19 ............................................................................... ............................................................................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... �. �,s ... ..... d..,.../ r W- �� >� Assessor's map and lot number 6 5� � �. ,................::. THE Sewage Permit number ...! ............................................. W Z i House number ... BAHB9TADLE, ..::..::..:............................................:..... 90o NAB ♦� �Fp YpY h\ .TOWN OF BARNSTABLE d BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........ r`r!.a?.:: :...... f TYPE OF CONSTRUCTION .... `:............................:............................................ 19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ...... '!!.7:.'�.. I/...... ! r,�',C �� ..... .......... .....1.`.............:........:... Proposed Use /t ZoningDistrict ° :.:. .: �� :. �:.'? / ,;,Z.(.<.:......Fire District ......... !:?`. ci.:. ................................................. .......//...... Name of Owner .......,i�.f' /'..� ':.:::. � k Address .................................................................................... .......... l f / Name of Builder .... f..........Address ..............:..............:.............. ,.�.,��.�.:...�. c!.......d�.�1 . Nameof Architect ..................................................................Address .................................................................................... Number of Rooms ...........................................:......................Foundation ...........e".t� f.................. Exierior ..,e f.xZ:.". �! ...lt° ?G... .!� � '.� :i�Roofing ......... ................................................... Floors ......s (fin,"' f.!ar 7 G ; ,,� .,.!d..r!. .............................................. .......................Interior ..............r✓........... _Heating ......... � ....:... ................... .........................i5 . .....................Plumbing ............. ..................-................................................ ...... . ; � .0... . ....Fireplace ..:.lC ...........Approximate Cost ..... .� l Definitive Plan Approved by Planning Board -------------------_-----------19________. Area .......................................... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH a t • � J • n I hereby agree to conform to all the Rules and Regulations of the Town of.Barnstable regarding the above construction. '� �` Name .. ............................. ......................... GALLAGHER, S EPHEN =5-65 S5- No Permit for .,One Story Single Family Dwelling Location ,Lot...#41 45 ForsXth... ourt Cotuit ............................................. ..... ... ............. ... .... I. Owner .. Stephen Gallagher.................. Type of Construction ...Frame ............................................. .................................. Plot ......................... . of ................................ Permit Granted April 2, 19 81 .. .............r.. ................ Date of Inspecti�n ....................................19 Date Completed ..............f.......................19 PERIV�IT REFUSED ................................J/............................... 19 .......... � ..... �. .................... ............................................................................... ............................................................................... Approved ................................................ 19 ............................................................................... ............................................................................... TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map S Parcel 06-5 AUG �U Permit#, S3 q Health Division S ?� ��®�'0� Date Issued11�1 / „_ �a�� Conservation Division I e s ! 15 of Fee Tax Collector �' '1 0�3101 cs, 3 �� 5 9� Treasurer , tea SEPTIC SYSTEM M a�E INSTALLED IN COMPLIANCE 'ti'Vti� Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN_REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address S` -�b cT, Village 7 3 65 Owner 6d L115 Address ! Telephone 1;D b " 92B "1 5 75 D Permit Request w()�EQ Su KIR00nll\ cl!)w -A Square feet: 1 st floor: existing proposed P I 2nd floor: existing proposed Total new Valuation \ rz�. bra . Zoning District Flood Plain Groundwater Overlay Construction Type S Lot^Size ( , 64 - G:Cc-,S 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 Cl 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 (A Central Air: ❑Yes -$d No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage: ❑existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ -Commercial ❑Yes O No If yes, site plan review# Y Current Use Proposed Use 3 BUILDER INFORMATION Name Am u MaJ )- Telephone Number 50$` zci3 Address `A 1 ��s�� S� License# 0-7 0 t\� C\�G O 1-7(o O Home Improvement Contractor# Worker's Compensation#I 139:ZS ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4\0, �o C3 l 5 SIGNATURE / — DATE Z 0 i FOR OFFICIAL USE ONLY ; PERMIT NO. DATE-ISSUED MAP/PARCEL NO. ADDRESS 'tp ` ' VILLAGE OWNER DATE OF INSPECTION: , FOUNDATION d v�� �' 21�� f FRAME f INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH �.w .-:. FINAL ` # GAS: ROUGH FINAL -� FINAL BUILDING a DATE CLOSED OUT W" ASSOCIATION PLAN NO.+ f. Town of Barnstable- *Per1Xd1#G)6�' ' Expires b months from issue date' . Regulatory Services Fee X-PRESS PERMIT Thomas F.Geiler,Director Building Division SEP 18 2006 Tom Perry,CBO, Building Commissioner TOWN OF BARNSTABLE 200 Main Street,Hyannis,MA 02601 www.towmbarrstable.maus - Office: 508-862-4038 Fax: 508 790-6230 EXPRESS PERNHT APPLICATION - RESIDENTIAL ONLY Not Valid wWwut Red X-Press Imprint Maphm-celNumber ' 55 ®�5 J_/( Property Address Residential Value of Work t_z�r eM Minimum feg of$25.00 for work under$6000.00 Owner's Name&Address /J_„ _& O�lzM Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) 120 79-5 Construction Supervisor's License#(if applicable) �fav�� ❑Worlanan's Compensation Insurance - Che one: I am a sole proprietor ❑ I amthe Homeowner' ❑ I have Worker's Compensation Insurance Insurance Company Name 'Werlmnals # /G�.Ji-�� ���icc�, Ir-F'Q 20-q2,aZ Copy of Insurance Compliance Certificate n1ust be on Me. Permit Request(check box) ❑ Re-roof(stripping old sbingles) All construction debris will be taken to ft7(YUA ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows. U Value ©,3Y (maximum.44) •Where required: Issuance of this permit does not exempt compliance with otbet town department regulations,i.e.Historic.Consem'don,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ome Iinprov Contractors License is required. SIGNATURE: G! Q:Forms:expm>trg Revise071405 1 C Board of Building Regulations and Standards :! HOME IMPROVEMENT CONTRACTOR Registration: 124793 Expiratlow V25/2007 r per Individual Vasco E. Nunez,III Vasco Nunez,III 79 Mayfair Rd. G G..• "" S.Dennis, MA 02660 Administrator 77 � G ; O B IL I�Ifi RE. ,CATIONS License: CONSTRUCTION SUPERVISOR t, Number CS 069680 Birthdate 10103/1.948 i i Expires 10/03/2008 Tr.no: 2714.0 RestFicted 1 G VASCO:E NUNEZ II 79 MAYFAIR RD S DENNIS, MA 02660 Commissioner I pUopo� � VAS -0%.WNEZ CARPENTRY 79 Mayfair Rd." SOUTH;DENN1. MA;02660.. MA Ltc #069680 H;1 C #124793 (866) 398;1,511 • Toil Free (5U8) 8, 1511; • Deri.nts, MA PHONE narE TO M/M James :.Collins 508=428 1536 : . 8f15/20;06 4 Forsythe Court JOB NAME LOCATION..::" Cotuit. MA '02635 Andersen::windows ,. JOB NUMBER JOB PHONE: 1530 SAME We hereby submitspecificattons aril esttmates for. 1 Remove three ` looden double hung windows from study/den., and replace/install with three Andersen:,•double hung,:w:indows New Andersen:windo.ws have been purchased by; home owner * ls, less new Andersen: windows. three at $3.75:.00 each.: . . : : :$1.12.5 00. : -2 Subplyainterior/exterior trim and: framing materials. where needed. Iraterior%exterior.'arim p e materials will .match• existing' materials. :.3.. Take ol:d windows and any::debris from this jo.b to town: landfill..*:. . 4 Make arrangement fpr delivery of new .windows 5. Supply town of ,-Barnstable bu. l.ding permit_ at cost, ( $25 0.0: ) ,.::payable in advan6. ce: x This proposal:.doea.:not include any painting or staining ** If this proposal is satisfactory, . please sign the YELLOW copy, and -return witYi a p ym n..t schedule. We Propose hibreby to furnish material`and labor—complete in accordance with the above specifications,for the sum of: One Thousand One Hundred Fiftyand 00/100 Dollars dollars($ 1, 150.00 )• Payment to be made as follows: Labor: 50% down payment to start at time of start. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$562.50 Labor: 50% Upon completion at time of completion. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .$562.50 R advance. .$ 25.00 All material is guaranteed to be as specified.All work to be completed in a professional ? manner according to standard practices.Any alteration or deviation from above specifications Authorized involving extra costs will be executed only upon written orders,and will become an extra Signature l charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance.Our Note:This proposal may be workers are fully covered by Worker's.Compensation insurance, withdrawn by us if not accepted within 30 days. Acceptance Of Proposal—The above prices,specifications and con- ditions are satisfactory and are hereby accepted.You are authorized_ to do the work as specified.Payment will be made as outlined above. Sig re /6 Si ature ` Date of Accep hce: PRODUCT 13128M t USE WITH 771 ENVELOPE NESS To Reorder.1-800-225-6380 or www.nebs.com PRINTED IN U.S.A. h8 0 o:a7 N The Commonwealth of Massachusetts Department of Industrial Accidents 0Jfl e of InveMgadons 600 Washington Street Boston,MA 02111 www.massgov/dda Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print -,et'ibly Name (Business/OrgaWzatioMndividual):. UVI Address: M� City/State/Zip: 1 .Q�,n�s CrPhone#: ,7 F employer?Check the appropriate box: employer with . 4. ❑ I am a general contractor and IType of project(required): yees(full and/or part-time).* have hired the sub-contractors6 ❑New construction sole proprietor or partner- listed on the attached sheet. t 7. ❑Remodeling nd have no employees These sub-contractors have 8. ❑Demolition g for me in any capacity. workers'eoprp.insurance. orkers' comp. insurance 5. ❑ We are a co 9. ❑ Building addition required.] corporation and its Officers have exercised their 10•❑Electrical repairs or additions 3.Elof I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions , myself[No workers'comp. / a 1 S2,¢1(4),and we have no t. insurance r uired. t 12.0 Roof repairs eq ] employees. [No workers' COW insurance required.] 13•0 Other My spplkwt that checks box#I must also fill t out ate section below showings .ti U010" w m who submit this affidavit indi their�orlm'em pensatlon pow'infomaatiom 3 B 91ry am doing all work and then him outade ntrad indicating such BOA +s that check this box must attadied an additional sheet showing the name of the aubt�on ootmd sors must submit a new affidavit and sick workers' 1 ep am an employer that is providing workers'compensation insurance for my employees Below is thepoliiey and job site lnformatlom. , Insurance Company Name: & - �— P'ovr-geif-�.Lie. #: �12O Z® Z.p Expiration Date:__ 57i 2 7_00-7- Job Site Address: „� G� :U��S City/State/Zip._L uQ . . U4 Attach a copy of the worker compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 15.2 can lead to the imposition of criminal penalties of a rMe 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 >f up.to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of nvestigations of the DIA for insurance coverage verification, do hereby ceni under the pains a enalties of perjury that the information provided above is true and correct i attire: - Dater l D hone#: O9icial 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 Ifealth 2. Building Department 3. City/Twim Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: I Information ana instructions . Massachusetts General Laws chapter 152 requires all employers to provide workers compensation for their employees. Pursumt to this statute, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership, association,corporation or other legal entity,or any two or more of the foregoing engaged'in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the -owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to,do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer•" MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the Issuance or -renewal of a license or permit to operate'a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence-of compliance with the insurance coverage required." n Additionally,MGL chapter 152, §2SC('>)states Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority.". Applicants Please fill out the workers'compensation affidavit completely;by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),addresses)and phone number(s)along with their certifieate(s)of insurance. Limited Liability Companies(LLCM or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or L12 does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be rota ned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of die affidavit for you to fill out in the.event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple pens-0license applications in any given year,need only submit one affidavit' icating ent policy information(if necessary)and under"Job Site Address"the applicant should write"all locati in (city or town)."A copy of the affidavit that has been officially stamped or marked by the cityor town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial.Accidents Office of Investigations 600 Washington.Street Boston;,:MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE 'evised 5-26-05 Fax # 617-727-7749 www.mass.gov/dia i f TOWN OF BARNSTABLE Permit No. i - - Building Inspector i "A"n.,c Cash --------------------- -- �o OCCUPANCY PERMIT Bond ---- —_------- "No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to 'cepnen Z a `��' Address Wiring Inspector t--, i i ' i �- Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. ...................................................... 19...... .......................................................................».........................._....._._._ Building Inspector % i. 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