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0055 HIGH STREET
�� � � �T 5 �,. r I ', i DARNC.T0P Tnij.11N ALE ER Town of Barnstable 17 T j jJUL Lp Planning& Development Department snarrsres Barnstable Historical Commission www.town.barnstable.ma.us/historicalcommission COMMISSION MEMBERS: i Laurie Young,Chair Nancy Clark,Vice Chair Marilyn Fifield,Clerk George Jessop,AIA Nancy Shoemaker Elizabeth Mumford July 21, 2017 Re: Notice of Intent to Demolish Structure&Relocate 56 High Street, Cotuit,Map 035,Parcel 045% Cotuit Fire District '. c/o Frances S.Parks p PO Box 1475 -Ij Cotuit,MA 02635 Ann Quick,Town Clerk 367 Main Street,Hyannis,MA 02601 Jeffrey Lauzon, Acting Building Commissioner 200 Main Street,Hyannis,MA 02601 Pursuant to the attached decision,please be advised that the Barnstable Historical Commission will hold a public hearing on this matter on August 15, 2017 at 4:00pm, 367 Main Street,Hyannis,2nd Floor, Selectmen's Conference Room. This public hearing.will be advertised,notices sent to abutters and a notice form will be posted on the building or other visible site on the property. Please contact Erin Logan at 508.862.4787 or erin.loizan@town.bamstable.ma.us for processing information. Sincerely, QA Laurie K. Young,Chai LKY/ekl Planning&Development Department Elizabeth Jenkins, Director Erin K.Logan,Administrative Assistant 200 Main Street,Hyannis,MA 02601 367 Main Street,Hyannis,MA 02601 :AIDNZ:11 i- :U-NN •? �1'X-, i�;t�+.yeti;;H��L� i i:14 •��_i•.i� �`, "° ►.� Town of Barnstable Planning & Development Department X42MAW4 NA M Barnstable Historical Commission www.town.barnstable.ma.us/historicalcommission COMMISSION MEMBERS: Laurie Young,Chair Nancy Clark,Vice Chair - Marilyn Fifield,Clerk George Jessop,AIA Nancy Shoemaker Elizabeth Mumford Chapter 112 Historic Properties, Section 112-3 D. DETERMINATION of SIGNIFICANT BUILDING 56 High Street, Cotuit,Map 035,Parcel 045 Pursuant to Intent to Demolish Structure The Barnstable Historical Commission received a Notice of Intent to Demolish application for this address, stamped by the Town Clerk on July 10, 2017. . This property, located at 56 High Street, .Cotuit, „Map 035, Parcel 045 is associated with, the broad- architectural and cultural history of this area. In accordance with Chapters 112-2 and 112-3 (D),Barnstable Historical Commission Chair has determined that this structure is a significant building. Planning&Development Department Elizabeth Jenkins,Director Erin K.Logan,Administrative Assistant 200 Main Street,Hyannis,MA 02601 367 Main Street,Hyannis,MA 02601 i Co Vl CASE COD INSULATION /II Ip Ail 71AAIIF7f ISPRAY NSULATION 7USVIN010 IATT117 OVI11Y7 IN(UTAiIOH C(IlINOf 1-800-696-6611 Town of Barnstable Regulatory Services Building Division _ d 200 Main St Hyannis, MA 02601 r Date: Dear Building Inspector VIA {_ Please accept this Affidavit as documentation that Cape Cod Insulation, .Inc. performed completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance .Institute '(BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. . 1 Property Owner Property Address Village Insulation Installed: .Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings Slopes ( ) ( ) ( ) ( ) ( ) Floors ( ) ( ) ( ) ( ) ( ) Walls ever Gvvr k r�'or,"ed Sincerely 2Hry E ssrl sident Insc, TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 035 BUILDING DEPr Map Parcel o Application # ��I IU P 5 N Health Division MAR O 9 2016 Date Issued ' 31a h )It- U Conservation Division TOWN OF BgRNSTgg� Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project eet Address / Village CA G 9 u'� Owner - I Address Telephone b u _ (06 1iJ PZtc ' Request �� � G(� � � f�vg- , boo- W NP C� � v C1 dvtv w owlw Square feet: 1 st floor: existing prollpsed 2nd floor: existing prop o ed 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 r Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full U.Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes It No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number ✓ `J Address L License # 17 �2 Home Improvement Contractor# Email {� C� �K�1� Worker's Compensation # WO'C60 3 ( 6 r ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PR JECT WILL BE TAKEN TO SIGNATURE UZ DATE 2� i i I ` I _ I ; ' FOR OFFICIAL USE ONLY I � APPLICATION # • DATE ISSUED i • ` MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: > FOUNDATION FRAME t INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL x GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. fi Massachusetts Department.of Public Safety Board of Building Regulations and Standards License: CS-100988 Construction SUhervisor ;fin . HENRY E CASSIDY 8 SHED ROW WEST YARMOUTH M y, Expiration: Commissioner, 11111/20/7 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, .FNC- -HENRY CASSIDY. -- - 18 REARDON CIRCLE SO, YARMOUTH, MA 02664° v Update Address and return card, Mark reason for change, scA zotn osn [] Address Renewal [] E'mployment Lost Card V/te epairr��aooatvec�LC�a�C�/�CcoJoc�c�uoe . `�\ •.office of Consumer Affairs&Business Regulation License or registration valid for individul use only VOME IMPROVEMENT-CONTRACTOR before the expiration date. If found return to: egistration `153567 Type: Office of Consumer Affairs and Business Regulation xpiration; 12l'15/20:1.6 Private Corporation 10 Park Plain-Suite 5170 Boston;MA 02116 CAPE COD INSULATION, INC HENRY CASSIDY ' 18 REARDON CIRCLE g � SO. YARMOUTH, MA 02564 :Undersecretary N valid wi ut sign e - The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 :; . www,mass.gov%dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: /) �� � ' �°✓ City/State/Zip: J� �/�� � 'wb � ' Phone #: �1�5 Are you an employer? Check th appropriate box, Type of project (required): l.. .l am a employer with '3�— 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, 7 Demolition working for me in any capacity, employees and have workers' insurance.# 9: ❑ Bti7lding addition [No workers' comp, insurance comp. 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 l,❑ Plumbing repairs or additions myself, [No workers' comp. right of exemption per MGL c. 152 1 4 and we have no 12,❑ Roof repairs z insurance required,] � ,§ O� h employees, [No workers' 13, Other p ' comp, insurance required,] *Any applicant that checks box 91 must also fill out the section below showing their workers'compensation policy information, t Homeowners who submit this affifti t 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, t ,(� 1 Insurance Company Name: Policy # or Self-ins,ALic, #; Expiration Date: 1969 Job Site Address: 0 t � U� , City/State/Zip: � Attach a copy of the workers' tornoensation 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 insurartd coverage verification, I do hereby certify ad the pal an penalties of perjury that the information provided above i true and correct, Signature: ` Date: _ ; b Phone 4: 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 BDELAWRENCE ACOR[7"' CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) 6130/2015 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 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 rn Ileu of such endorsement(s), PRODUCER CONTACT NAME: 1 Rogers&Gray Insurance Agency, Inc. PHONE FAX, X No): ($77)816.2.156 434 Rte 134 E MAIL South Dennis,MA 02660 ADDRESS; INSURERS AFFORDING COVERAGE NAIC,Y INSURER A:Peerless Insurance Company-see LIBERTY MUTUAL INSURED INSURER B:ATLANTIC CHARTER INSURANCE GROUP. . Cape Cod Insulation,Inc, INSURER C 18 Reardon Circle_ INSURER South Yarmouth,MA 02664 INSURERS INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,.;THE.INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, .EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE D B POLICY NUMBER MMIDD� MMIDD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE MOCCUR CBP8263063 04/0112016 04/0112016, DAMAGE TO RENTE15-PREMISES Ea occurrence $ 100,000 MED EXP(Any oneperson) $ 5,000 PERSONAL&AOV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES RER: GENERAL AGGREGATE $ 2,000,000 X POLICY PR JECT LOC -PRODUCTS•COMP/OP AGG $ 2,000,000 OTHER: $ . AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ee accident ANY AUTO BODILY INJURY(Pe(person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident $ AUTOS AUTOS ) NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident $ UMBRELLA UA6 OCCUR EACH OCCURRENCE $ EXCESS LIAS CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH• AND EMPLOYERS'LIABILITY YIN STATUTE ER _ B ANY PROPRIETOR/PARTNER/EXECUTIVE NIA WCE00431901- 06/30/2015 06/30/2016 E.L.EACH ACCIDENT $ 1,000,000 OFFICERWEMBER EXCLUDE( (Mandatory In NH) 'E.L.DISEASE-EA EMPLOYEE $ 11000,000 I6yy,,,describe under OESCRIPTIONOF OPERATIONS betow E.L.DISEASE•POLIO LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD i6l,Additional Remarks Schedule,may be.attached If more space Is required) Workers Compensation Includes Officers or Proprietors, Additional Insured status is provided under the General Liability,and Auto.Liability when required by written contract or agreement with the Certificate Holder, CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Cape Cod Insulation, Inc THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 18 Reardon Circle ` ACCORDANCE WITH THE POLICY PROVISIONS, South Yarmouth,MA 02664 AUTHORIZED REPRESENTATIVE 14 01968.2014 ACORD CORPORATION, All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD t ; � t Town of Barnstable Regulatory Services x�-ISURMp� Richard V.Sculi,:Director 1A RS 1�0 Tom Ferry,Btidding Comnnssiouer 200'Main'keet,II*inis;MA 0260t synw.town.barnstable ma:us Office: 508-862-4038 Fax: 508-7 90-6230 Propezty Ovaiea Must Complete-and Sign INS Section. if 1CJs .ABWIde a_c'O'Mier of the:subject pn%pcn hcrebyaueltorize C C1�C_(�dJ rr'SifC� t�D� --zo am on o-v-- m all,mattms relative to work authorized by this building pei-.mit application.for: (Address,of job) "'Pool fences and.alar=,, ire tlie responSibi Ly of tLe applicant. Pools are not to be filed car utilised:before fOnce is n talled and.all 1i l ws.pections are Performed and accepted. Signature of Owner Signature of;Applicant Print Flame Print Name Date • Q;FORT:4$:0\i':dF.itkE21�tJ5S1UNPWLS • � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 0?j Parcel 0a :Application # d`7 0 Health Division ?'Date Issued l a 71 10 Conservation Division ,Application Fee Planning Dept. Date Definitive Plan Approved by Planning Board ! Illj Historic - OKH - Preservation/ Hyannis SEP 7 RECO J Project Street Address By �v�1 Village Owner Address Telephone `a eb- � l Permit Request OeMDu4tt" EX✓i I/VL- b +' 6�&A-e_e O ' Square feet: 1st floor: existingproposed 2nd floor: existing proposed Total new Q� Zoning District /��' Flood Plain Groundwater Overlay Project Valuation 60,Ob-V Construction TypeeyWL1ETV'DvfffK--- Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family;:. Two Family ❑ Multi-Family(# units) c) Age of Existing Structure /3L Historic House: ales ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout al6ther A fk �j 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 it ❑ Electric ❑ Other Central Air: ❑Yes &—I o Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: 2eisting ❑ 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 INo If yes, site plan review# Current Use ✓�Ir'1CL� 6Tm�� Proposed Use �� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number S Zap 2S b o Address 2o4 � aMy(/i t1/ i License # �(� �5�k Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 2 �d r 1 FOR OFFICIAL USE ONLY 4 APPLICATION# DATE ISSUED _rwD l-TE 's ADDRESS_:C VILLAGE OWNER { DATE OF INSPECTION: �FOUNDATIONh�� , o� ���Z��lo Rrla�fli ' FRAME ^riY�EQt�o�iaR �l� rZoa��/ saa ,-:INSULATION-A 729fU F FIREPLACE t ELECTRICAL: ROUGH FINAL y PLUMBING: ROUGH FINAL I GAS" 92Lti IAOUGH k �J, G71 FINAL ft FINAUBUIUD.ING; _fDATE - f ASSOCIATION PLAN NO. s I THE .. . Town of Barnstable Regulatory Services Thomas F. Geiler-,Director Building:Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office; 508-862-4038 Fax; 508-790-6230 Property Owner Must Complete and Sign.This Section If Using A Builder as Owner of the subject property hereby authorize L 41 ,4,-114— to act on my behalf, i.n all matters relative to work authorized by this building permit application for. 5s 1 v► " S► . GaT 4/1A- (Address of Job) ignature of Owner " ' Date �� Yl p. m eA S Pent Narne If Property Owner is"applying for perrrut please complete i�e Homeowners License Exemption Form.on the reverse side. Q:FORMS:O WNERPERMIS3I0N Town of Barnstable . of Ti+r r ". 0 Regulatory Services STA.8 Thomas F. Geiler,Director RN Building Division Prfo µA't Tom Perry, Building Commissioner 200 Mairi.Streei,_Hyannis, MA_02601 vrwSv.town.barnstable,ma.us Office: 508-862-403 8 Fax: 508-790-6230 . I30h1:EOFYNER LICENSE EXEMPTION Please Print. DATE: JOB LOCATION: n umber s trcct village "HOMEOWNER": name home phone# work phone# cUp- ENT MAILING ADDRESS: city/town state ap 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 supeiviSOr_ DEFIT'ITION OF BOMMOWNER 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 constrgcts more than one home in a two-year period shall not be considered a bomeowncr. 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 corrrpliancc with the State'Building Code and other applicable codes, bylaws,rules and regulations. The undersigned "homeowner" certifies that.he/shc understapds the Town of Barnstable Building Dcpart=t minimum inspection procedures and requirements and that he/sbe will comply with said procedures and rcqui.rements. F Signatiirc of Homcowncr r 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 statrs that: "Any homrowna performing work for which a building permit is required shall be cxcrnpt from the provisions Of this SCCtinn.(Scction I D9.1.1 -Licensing of construction Supervisors);provided that if the homcovmrr engages a persons)far hire to do such work,that such Homcowncr shall act as supeyisor." 4-ny homcovenan who use this exemption arc unaware that they arc assuming the responsibilities of a supervisor(sec Appendix Q, Ru)cs&Rcgvlaoons for Licensing Constructian Supervisors,Section 2:15) This lack of awareness-often results in scriaus problemrs,particular}y when the homeowner hires un)icrnacd persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed 5vpervisor. The horireowner acting is Svpervisor is ultimately responsible. To cnsurc that the homeowner is fully aware of hisAcr rtsponnbilitirs, many communitics'mquire, as part of the permit application., that the homeowner certify that hdshc understands the respansbilitics of a Supervisor. On the last page of this issue is a form currently used by scvcr-al towns. You may cart t amend and adopt such a fom✓ccrtification for use in your community. Q:forrrts;homccx crTlpt I Client#:20245 MCGRPOS DATE(MM/DD/YYYY) ACOR, 0. , CERTIFICATE OF LIABILITY INSURANCE 09/01/2010 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW.THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER NAME: Donna White Rogers&Gray Ins.-So. Dennis PHONE A/C No Ext: (508 760-4609 FAX No): 434 Route 134 ADDRESS: whitedo@rogersgray.com P.O. Box 1601 PRODUSTOMCER ID#: South Dennis, MA 02660-1601 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A:Travelers Prop.Casualty Co.of McGrath Post&Beam Corp INSURER B:ACE Property&Casualty Ins.Co dba Pine Harbor Wood Products INSURER C 259 Queen Anne Rd INSURER D Harwich, MA 02645 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LT R TYPE OF INSURANCE N RL U D POLICY NUMBER MM/DDNYYY FF MM/DDNYYY XP LIMITS T A GENERAL LIABILITY 16602016N498TIA10 31/31/2010 01/31/2011 EACH OCCURRENCE $1 0-0-0 000 DAMAGE TO RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Ea occurrence $100,000 CLAIMS-MADE Fil OCCUR MED EXP(Any one person) $5,000 PERSONAL a ADV INJURY $1,000,000 _ GENERAL AGGREGATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2,000,000 X POLICY PRO LOC $ A AUTOMOBILE LIABILITY BA4487B68610SEL 01/31/2010 01/31/2011 COMBINED SINGLE LIMIT $ (Ea accident) 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE _ $______________ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DEDUCTIBLE RETENTION $ B WORKERS COMPENSATION C46328607 07/08/2010 07/08/2011 X To ST.4TU- OTH- AND EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $1 OO,000 OFFICER/MEMBER EXCLUDED? N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $1 U0,000 If yes,describe under E.L.DISEASE-POLICY LIMIT $500 000 DESCRIPTION OF OPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION 10 Days for Non-Payment SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE,WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis, MA 02601 i ©198 -2009 ACORD CORPORATION.All rights reserved. ACORD 25(2009/09) 1 of 2 The ACORD name and logo are registered marks of ACORD DMW I #S56479/M55091 i Boar. o ul ing eguXaons an xs One Ashburton Place R06m`1301':.`: Boston, Matsachij�btts 021.08 Constructioniso : cerise Massachusetts- Department of Public Safety' _ Board of Building Regrulations:ihd Standards r Construction Supervisor License License: CS.. 73865- . JAMES•R MCGRATH - , d Restrictedto: 1G 204 CRANAEW RD BREWSTER, MA 02631 �� JAMES R MCGRATH i 204 CRANVIEW RD BREWSTER, MA 02631 OPSCA7_ G 50M-07Po7•PC8490 c_ Expiration: 3/14/2012 ('onunissiuner Tr#: 19385 OEM .. `� • Board of Building Regul mans and Standards -One Ashburton Place Room 1301 . Boston.-Massachusetts 02108 Home Improvement Contractor Registration Registration: 132935 Type: Private Corporation Expiration: 10/3112010 Tr- .275309 McGRATH POST & BEAM CO. JAMES McGRATH 259 QUEEN ANNE RD. HARWICH, MA 02645 Update Address and return card.Mark reason for change. Address ; Renewal � Employment Lost Card OPS-CA1 G 50M-05106-PC8490 . Board of Building Rcgutations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before,the expiration date. If found return to: Board of Building Regulations and Standards Registration: 132935 One Ashburton Place Rm 1301 Expi�atipns. .1013112010 Tr# 275309 Boston,Ma.02108 hype': Private Corporation MCGRATH POST4-ig""A JAMES McGRAti 259 QUEEN ANNE-R01-._' HARWICH,MA 02645 Administrator N. t valid without signature The Commonwealth of Massachusetts Department of Industrial Accidents. Office of Investigations" ' 600 Washington Street Boston, MA 02111 www.mas&gov/dia Workers'.Compensation Insurance Affidavit: Builders/Contractors/Electrician�/Plunnbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Harb WzJ j' t1cTS Address: Jr�I Lcm Anne- R-wd City/State/Zip: Hama f Ch i,kA—A 020 45 Phone #: 'S 4 3 0 2 8 00 Are you an employer? Check,the-appropriate box: .. Type of project(required): 1.lr1 I.am a e to er with z 4: L am a general contractor and I mP Y � 6. El New construction, employees (full and/or part-time).* have hired the sub-contractors 2.ElI am a sole proprietor or partner- listed on the attached sheet t 8• ❑ Remodeling ship and have no employees These sub-contractors have 8. [] Demolition working for me in any capacity. workers' comp. insurance. 9, ❑ Building addition [No workers'comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 1-0.0.Electrical repairs or additions 3.❑ I am a homeowner doing work F right of exemption per MGL 11.❑ Rlumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof.repairs insurance required.] t employees. [No workers' 13.[] Other ;camp. insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information: - t Homeowners who submit this affidavit indicating they an doing all work and then hire outside contractors must submit a new affidavit indicating such =Contractors that check this box must attached an additionel�sheet showing the name of the sub=contractors and their workers'comp policy'information I am an employer that is providing workers compensation insurance for my employees. Below is the pollcy..and job site information. Insurance Cornpny Name: C: Ste- Policy#or Self-ins.Lic. #: �_1"'�(�328�O7 Expiration Date: Q Job Site Address: City/State/Zip: Attach.a copy of the workers' compensation policy declaration page(showing the-policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as.well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I.do hereby. a under t i enalt, erjury that the information provided above is true and correct. signature: Date: Phone#: Of cial 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 Z.Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: September 24, 2010 Re: 55 High Street, Cotuit There is no electric currently in the barn to be razed and replaced. Thank you, Bruce Alberico Lic. # � - September 24, 2010 Re: 55 High Street, Cotuit There is no gas or water currently in the barn to be razed and replaced. Thank you, Steve Burlingame Lic. I S AWC Ciude to hYvv(I Cnnstrctctiv in Ah* h 7Yind f1r-eas: I10'n1Pk 1•YindZvnc Massachusetts Checklist fo>;- Conap.lianCe (780-c:1)`fR -5301:2.1.1j' Check Compliance 1.1 SCOPE Wind Speed (3-sec, gust)............................ :..:............... ..................... ......... 110 mph ✓ Wind Exposure Category................ .:........B Wind Exposure Category................Engineering Required For Entire Project ......... .............:...............C 1.2 APPLICABILITY / Number of Stories (a roof which exceeds 8 in 12 slope shall be considered a story) stories 5.2 stories' ✓ RoofPilch .................................................................. .........(Fig 2) . 12:12 ✓ Mean Roof Height ..............................................................(Fig 2).... . .....: . ... ?eft 5 33' Building Width, W .................................................................(Fig 3),............................................... Zbft 5 80, Building Length, L ................. (Fig 3)... ft s 80' Building Aspect Ratio (L/W) .. .. (Fig 4)..., .. 5 3:1 Nominal Height of Tallest OpeningZ .............. ......... ...... .(Fig 4):... ... ... ...... 1.3 FRAMING CONNECTIONS !°0 � General compliance with framing connections ................(Table 2). ......:.. 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete........................................... . .......::`:.:...... ....... ,:. . Concrete Mason 2.2 ANCHORAGE TO FOUNDATION"' � 5/8'Anchor Bolts lmbedded or 518"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general .... ........... :. .... ..:,(Table 4).... ...........,. ...... in. Bolt Spacing from endroini of plate ..............................(Fig 5)........ . .,:. .........�in. 5 6"-12' Bolt Embedment-concrete..........................................(Fig 5)...... ..:.:..,........................:..... .....�in. >_ 7„ Bolt Embedment-masonry. '.(Fig 5).......... in. > 15"' Plate Washer....................:.:. ... ..:............... .'...........(Fig S).......,. ........................ ............ 3"x 3"x ,W' 3.1 FLOORS / Floor framing member spans checked ..:.............. (per 780 CMR Chapter 55).......................... ✓ Maximum Floor Opening Dimension....................................(Fig 6).........,..................................: ft 5 12' 7/ 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 5 d Maximum Cantilevered Floor Joists Supporting Loadbearing INalb or Shearwall................(Fig 8) <..,..:....,,..................................:..�ft _ d, Floor.Bracing at Endwalls... ......... (Fig 9) ........ ........... Floor Sheathing Type ..................... (Per 780 CMR.Chapter 55) . .......;. ✓V Floor Sheathing Thickness ............................................. , %(per 780 CM Chapter 55)..:..... :.. :.. ..... in. Floor Sheathing Fastening.........:...:.........:..........................(Table 2)..�d nails al in edge/_ infield 1 WALLS Wall Height Loadbearing walls..........:......... ...................................(Fig 10 and Table 5)........................... ft 5 10, ✓ Nfln-Loadbear+ag wpm_ _... .......(Fig 10 and Table 5)............................f ft 520' ✓ i Wall Stud_ Spacing .......:.................... (Fig 10 and Table 5)............... < o:c. ! Wall StoryOffsets —�...................... .....::.......................(Figs 7 & 8)................................ ft sd $ 2 EXTERIOR WALLS' 1 Wood Studs 1 Loadbearing v✓alls................: , .. ....... . ....................(Table ). . ... ..:..:.,. .. ... ......2x ft 0 in Non-Loadbearing walls...............:.................................(Table 5)...............................2x ft in. ✓. Gable End Wall Bracing / Full Height.Endwa)l Studs...................................... (Fig 10)................. ✓ WSP-Attic Floor Length,..:.......:..... ...............................(Fig 11)....................I...,. 4'' ft zW/3 'Gypsum CeilingLen th if WSP not used ....................(Fig 11 ft >_ 0.9W and.2 x 4 Continuous Lateral Brace.@ 6 ft. o.c. .. (Fig 11)........................... .............. ................ or 1 x 3 ceiling furring strips @ 16"'spacing min. with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays Double Top Plate Splice Length .............................:.......:..................(Fig 13 and Table 6)............•......................... ft Solice Connection (no, of 16d common nails)..............(Table 6)::..................................................;.... AKIC cruir/e /0 1-floor! Con.rtr[.IC60u ifr Higfl 110 jrcp/r. H illd ZOiie ' Massachusetts Checklist f6ir Compliance (790 Cn-IF2.5361.2.1,1)' Loadbearing Wall Connections Lateral(no. of 16d common nails)................................(Tables 7).....................................................,7`?'1 ✓ Non-Loadbearing Wall Connections Lateral(no. of 16d common nails)............................:...(Table 8)....................................................... ?-- Load Bearing(Nall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans .........................................................(Table 9)...................................�5_ft__e_in. s 11' ✓ Sill Plate Sans p ..................................•.....................(Table 9).................................. ft in. 511' Full Height Studs (no. of studs)........................ Table 9( ) .................................................. ...... Non-Load Bearing Wall Openings (record largest opening but check.all openings for comp Ii nce to Table 9) Header Spans.............................................................(Table 9)...........................:...... ft 0 in. < 12' Sill Plate Spans.... .................................................•.....(Table 9)..............I.............I..... ft 0 in, 512" Full Height Studs (no. of Studs)....................................(Table 9)....................................................... 3 .✓ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Building Dimension, W < t3 Q� Nominal Height of Tallest Opening2 .......................................•.. .............................�- 6 T Sheathing Type...........................................:..(note 4)...................:................................. VT is Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ to in. Field Nail Spacing............................:.............(Table 10).................................................1,?— in. Shear Connection (no. of 16d common nails)(Table 10)......................................................... —� Percent Full-Height Sheathing:........:.........:...(Table 10)..................................................... .TL% -7 5%Additional Sheathing for Wall with Opening > 6'8"(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening2........................................................................&:!�-6'B Sheathing Type............................ .................(note 4)..............................I........I...... ,....... t�1h .... Table 11 or note 4 if less ......................:. in. ,Edge Nail Spacing.................................... ( ) �__ . Field Nail SpacingTable 11 n. Shear Connection (no. of 16d common nails)(Table 11).........................................•............. Percent Full-Height Sheathing ..... Table 11 ..... 5% Additional Sheathing for Wall with'Opening > 6'B'(Design Concepts).................:.. Wall Cladding Rated for Wind Speed?.......:.................................. ..............•.....•.. 5.1 ROOFS• Roof framing member spans checked7.......:................(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang ................................;..................(Figure 19) .............�IA/ s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary.Connectors Uplift................................................(Table 12)............................................U=Mplf Lateral.............................................(Table 12)..............,..............................L=. plf Shear..........:.................:..................(Table 12)................................... ........ S= plf • _� II Ridge Strap Connections, if collar ties not used per page 21... (Table 13).............•1.1.............. T= pif Gable Rake Outlooker..........................................(Figure 20) .............. O ft s 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 5a anj 59) ............ Roof Sheathing Thickness.....................................:..... '............................................. n. >7/16"WSP ./ —Rt9bf�fiEH4l�irltj �35teii�fli�..........................I......I.......... aNe-2)..................... ................................. .. = es: 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 1 i c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b xception:Opening heights of up to 8 ft. shall be permitted when 5% is added to the percent full-height sheathing :quires ents shown in Tables 10 and i i. he bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade.. i If 1VC Guide lu lVe)o l.C()ilstrric'ht)lr lll'Ili, It 1/1'/7 d uS. .XIO lu.p hl'r'lJd Zoo A/JQSsaC'I111SCtts OlecI'tilis't for Compliance, (7150 C1IR s-01.2 :,.'1)' 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio, determine Percenl Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16" and be installed as follows: i, Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. ill.• On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. ,On two story construction, upper panels shall he attached to the top member of the upper double top plate and to bandjoist at bottom of panel. Upper attachment of.lowerpanel shalhbe made to band joist and lower attachment made to lowest-plate.at first floor framing. - v. HorizonlM nail spacing at double top plates, band joists, and girders shall be'asdouble row of 8d staggered at 3 inches on cenler per figures belbo y:.Vertical and Horizontal Nailing for Panel Attachment 5. Glazing protection: a) new house or horizontal addition—:required if project is i mile or closer to shore (generally, south of Rte. 28 or north of Rte, 6) b) vertical addition—not required unless there is extensive renovation to the first floor c) replacement windows —needs energy conservation compliance only(chap.93) 6. Wood Frame Construction Manual (WFCM) for 110 MPH; Exposure B may be obtained from the American Wood Council (AWC) website. • 1, j a . •-WREN THIS EDGE RESTS ON FRAMING USE&J NAgS AT I L9 W U 11 ff II � o I II fl I'i•z .1 I I CW9 d .11 J ' D FRAl�1MGMEMBERS _y f EDGEd�TF1�llEDiATE 1 ,L -VT I 1 -tea - ''tT STAGGERED NX•SPACM `1 NAIL PATTERN .' PANEL PANEL_ _ v 4 PAh2ELEDGE DOUBLE NAIL EDGE SPACZICDErAL i See Dalail on Nexl Page Detail Vel-lical and Horizontal Nailing Vertical and Horizontal Nailing for Panel Attachmeni for Panel Attachment i i Form No.TT-100C November 2008 Page 1 of 3 I I A PORTAL FRAME WITH HOLD DOWNS FOR ENGINEERED APPLICATIONS Engineered Design Use While the APA portal-frame design, as shown in Figure 1, was envisioned primarily for use as bracing in conventional light-frame construction, it can also be used in engineered applications. The portal frame is not actually a narrow shear wall because it transfers shear by means of a semi-rigid, moment-resisting frame. The extended header is integral in the function of the portal frame, thus, the effective frame width is more than just the wall segment, but includes the header length that extends beyond the wall segment. For this shear transfer mechanism, the wall aspect ratio requirements of the code do not technically apply to the wall segment of the APA portal frame. Monotonic and cyclic testing has been conducted on the APA portal-frame design (APA, 2002 and 2003). Recommended design values for engineered use of the portal frames are provided in Table 1. Design values are derived from the cyclic test data using a rational procedure that considers both strength and stiffness. The design value derivation procedure ensures that the code (IBC) drift limit and an adequate safety factor are maintained. For seismic design, APA recommends using the Design Coefficients and Factors for light-frame walls with shear panels—wood structural panels. Since design values are based on testing conducted with the portal frame attached to a rigid test frame using embedded strap-type,hold downs, design values should be limited to portal frames constructed on similar rigid base foundations, such as a concrete foundation, stem wall or slab, and which use a similar embedded strap-type hold down. References APA, 2003, Cyclic Evaluation of APA Sturd-l-Frame®for Engineered Design, APA Report T2002-46, APA—The Engineered Wood Association, Tacoma, WA APA, 2003, Cyclic Evaluation ofAPA.Sturd-l-Frame®with 10-ft Height and Lumber Header, APA Report T2003-11, APA—The Engineered Wood Association, Tacoma, WA APA, 2003, Cyclic Evaluation of APA Sturd-l-Frame®as Wall Bracing, APA Report T2002-70, APA—The Engineered Wood Association, Tacoma, WA REPR NG THE USTRY 7011 South 19th Street•Tacoma,Washington h ng on ENGINEERED 8466-53333*Phone:( 3)565-6600•Fax:(253)565.7265 ©2008 APA—The Engineered Wood Association I Form No.TT 100C November 2008 Page 2 of 3 Table 1. Recommended allowable design values for APA portal frame used on a rigid base foundation for wind or seismic loadinga,b,c,d ASD Allowable Design Values Minimum Maximum Ultimate Load per Frame Segment Load Width Height (pounds) Shear Deflection Factor (inches) (feet) (pounds) (inch) 16 8 2,780 1,000 0.32 2.8 10 2,180 600 0.40 3.6 24 8 4,720 1,700 0.32 2.8 10 3,630. 1,000 0.34 3.6 a Design values are based on use of Douglas-fir or southern pine framing. For other species of framing,use the specific gravity adjustment factor=[1-(0.5-SG)],where SG=specific gravity of the actual framing. This adjustment shall not be greater than 1. tblFor construction as shown in Figure 1. (`)Values are for a single portal frame. For multiple portal frames,allowable design values can be multiplied by number of frames(e.g.,two=2x,three=3x,etc.). (d)Interpolation of design values for heights between 8 and 10 feet is permitted. Technical Services Division Disclaimer The information contained herein is based on APA—The Engineered Wood Association's continuing programs of laboratory testing,product research,and comprehensive field experience. Neither APA,nor its members make any warranty,expressed or implied,or assume any legal liability or responsibility for the use,application of,and/or reference to opinions,findings,conclusions,or recommendations included in this publication. consult your local jurisdiction or design professional to assure compliance with code,construction,and performance requirements. Because APA has no control over quality of workmanship or the conditions under which engineered wood products are used,it cannot accept responsibility of product performance or designs as actually constructed. ©2008 APA—The Engineered Wood Association Form No.TT-100C Page 3 of 3 November 2008 Figure 1. Construction details for APA portal-frame design with hold downs I EXTENT OF HEADER __._ ..... >._... _......_ I � SHEATHING FILLER. SINGLE PORTAL FRAME(ONE BRACED WALL PANEL) A IF NEEDED I I � • d9a , MIN 3 X 11 25' NET HEADER i R ;—���• f.., 6 TO 18 I �• TYPICAL PORTAL 16D 1000 LB FASTEN TOP PLATE TO HEADER WITH TWO 1000 LB I ~ ROWS OF 16D SINKER NAILS AT 3"O.C.TYP. ; s'i FRAME , i SINKERS HEADER STRAP(REF. I :.j 2 ROWS @ STRAP I CONSTRUCTION (REF.NO. 1000 LB STRAP OPPOSITE SHEATHING E 9' 3"O.C. NO.LSTA24) ( LSTA24) i FASTEN SHEATHING TO HEADER WITH 8D COMMON OR FOR A PANEL` GALVANIZED BOX NAILS IN 3"GRID PATTERN AS SHOWN AND SPLICE(IF \\(f I• I I I NEEDED),PANEL `c•I• _ MIN.2X4 MAX, �••` ;! 3"O.C.IN ALL FRAMING(STUDS,BLOCKING,AND SILLS)TYP. EDGES SHALL =3: i_: FRAMING HEIGHT . , OCCUR OVER AND I; TYP. 10• (• 'J FOR BRACING:MIN.WIDTH=16"FOR ONE STORY (..[ MIN.WIDTH=24"'FOR USE IN THE FIRST OF TWO I i BE NAILED 70 I ` STORIES.FOR ENGINEERED USE SEE TABLE 1. € COMMON BLOCK ING AND OCCUR ; 4200 LB} i WITHIN MIDDLE 24 i i I MIN,(2)2X4 I OF WALL HEIGHT i TIE MIN.(2)2X4' I ONE ROW OF 3Ti DOWN l I 3/8"MIN.THICKNESS WOOD I E I O.C.NAILING IS ' �. DEVICE STRUCTURAL PANEL SHEATHING , 3 REQUIRED IN EACH (REF.NO. PANEL EDGE ' STHD14) I y MIN.4200 LB STRAP TYPE TIE—DOWN DEVICE(EMBEDDED INTO CONCRETE AND NAILED INTO FRAMING).INSTALLED ;1 MIN.1000 LB 1 f PER MANUFACTURER.(REF.NO.STHD14.) , TIE DOWN I ( "MIN.2"X2"X3116"PLATE WASHER I $; DEVICE(REF. t NO.STHD8) I I ONE 5/8 DIA ANCHOR BOLT WITH 7"MIN.EMBEDMENT ( I - - I I ,FOUNDATION I 1 �•.. _ __ _.. _ 1 _ .. ( �_' _ __. PER CODE ! � — A SECTION A•A FRONT ELEVATION - SIDE ELEVATION ©2008 APA—The Engineered Wood Association SEP 0. KNE HARBOR 9-23-10 KeyBegm 3 15Of 1 xeys�n�4sosa kmBemnbzM4508a MaedskDetax-x 1171 Member Data Description: Member Type:Beam Application:Roof RIDGE BEAM Top Lateral Bracing:Continuous Slope: 0.00/12 Bottom Lateral Bracing:None Standard Load: Moisture Condition:Dry Building Code:SBC Dead Load: 285 PLF Deflection Criteria: L/240 live,L/180 total Snow Load: 665 PLF . Deck Connection:Nailed Member Weighs: 13.0 PLF Filename:KYB1 12 0 0 O 12 a a Bearings and Reactions Location Type Input Longth Min Required Gravity Reaction Gravity Uplift 1 0' 0.000" Wall 3.500" 1.500" 5567# — 2 11' 6.750" wan 3.50(r 1.500" 6567# — MaAmum Load Case Reactions Used WrW�ir6 twirt kerb fordo lords)w t ffft mwrlbeta Dead Snow 1 1723# 3845# 2 1723# 3845# Design spans 11'8.750' Product:13/4 x 9.1/2 x 2.0E Cp.Lam LVL 3 ply Component Meml)er Design has Passed benign Chaclm*' Design assumes continuous lateral bracing along the top chard Design assumes no lateral bracing along the bottom chord Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 16093.W 25568.'# 62% &78' Total load D+S Shear 48054 10898.# 44% 0.01, Total bad D+$ Max.Reaction 55674 15619A 35% 0' Total load P+S TL Deflection 0.5162" 0.7708" Loa 5.76' Total load b+$ LL Deflection 0.3565' 0.5781" L/389 5.78, Total load S Control:TL Deleotbn DOLs: Live=1000A Snam--115% Roo 125% W1nd=160% Design assumes a raperdive member use increase In bending stress: 4% W nufactueeesinslallatlon guide MUST be rcrreu#Ad formuft'-*mnnection details end eRematives All paduct names ate hadanta ke d UWrtroupntlw oww2 r:. tom ,s Cppydpht RIMOM,by Kapatk Ettmtrtw LM ALL PoGHrS RMERVED. Trwe '7aeanaia defies asabet etyyµte taarnambor,flog ptaf,bmm or yrder,shown m Uaa drawing nteMBBomDIa eoogn uiorb farlgaoz.[nodlrg tnnmrbn>1 aMSpam I��on tNs a!w¢.Trw muai be pvlauod a oadatl m toteedatal as lad for i4tla Bog nuavmon tlretolo&n aaoorm to en mrnuWa¢ralea mrro. TOWN OF BARNSTABLE Da _C •- --— M1+IARK CIJ.NCY Post zi f&Ga hells -2010_O .._ 6 A F.1� Goa<drarl�ao_ svpr✓�sor rns&Ga[ages PII HARBOR ' " WOOD PRODUCTS _ 1•600+'IG8-SEED C7433) . wrer+.pinehndxxiorD _ •... o jAj Sri i.NgLt ; 79 rn 9 Qu Ae Rd..Harwi KIAA 0265 501.777-4075 `` � mrlmey�inehm0oernm. Complete Ilse of Quality Outdoor Wood Products'n �c "lNirS i 71 1 , �. -P(cC3Y�S_`r> C-,.�1s`-�'HE �r�(c- ;�fk'��--E•Y"' C71-C _ G 71 to B CALEi r/ i rV\ FPPROYE�6Yi, DMWI(my _ - oP^wN IbCl56SF 6)I' S) f ti.- r 1PAGE 01/02 PI-NIE, IIARBO WOOD PRODUCTS 326 Yarmouth Rd. I Hyannis,MA 02601. 1508.771.5007 1 Fax 508.771.7b7b I hyannis@pineharbor.com 259 Queen Anne Rd. I Harwich,MA 02645 1 508.430.2800 1 Fax 508.430.1115 1 inioopineharbor.com 1.800.368.SHED I Customer Service 1.866.SHEDKIT I www.oineharbor.com F" SHEET Date: /0 If o i # of pages including this cover page; Time: 11 A- i To ��►w1i N(s' Attn.: W` �D'J�/1'F' � �T r &o4- From: Additional Messages: i • . ..x...w.xw....w.w.wrnwn.•.-r -- .,..-. .--- —_nnn.nmxx..xvrp.,n.mw_ -- --_..-__.n.. --.-- ---__—.r�or ...� �—•- 1. �_—. _ .._ -.�..__ .ate.--_-. ( _� .�.�....w�.-..�._ ••----_ J1, Engineering Dept.(3rd floor) Map= - - Parcel Z r Permit# I (� House# 5 S FPS Date Issued Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) .Fee ` Conservation Office(4th�floor)(8:36-9:30/1:00-2;00) Planning Dept:(1st floor/School Admin. Bldg.) oFINE►q Definitive,,Plan Approved by Plannink Board ` 19 �..,.. ...�.�� , BARNSTARLE. 6-1 , TOWN OF BARNSTABLE Building Permit Application' ' Project Street Address Village -M fi Owner 1 wl 0 Address Telephone Permit Request 1g�MJ 4 015 PVi First Floor square feet Second.Floor square feet Construction Type ; Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No. 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name�Q jq�bkj r,/CG�.S� Telephone Number Address I T)911 6{U.1 License# Home Improvement Contractor# 36 Worker's Compensation# (!C /�J� yS'o� I d a y' NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY ' PERMIT NO. . 2 ( V DATE ISSUED: MAP/PARCEL NO. ADDRESS '' ' ' VILLAGE OWNER — _ t DATE OF INSPECTION: FOUNDATION f ' FRAME INSULATION ".. FIREPLACE ELECTRICAL: ROUGH FINAL. PLUMBING: ROUGH FINAL GAS: ROUGH 'FINAL r FINAL BUILDING " " 16ig - - DATE,CLOSED OUT r s ASSOCIATION PLAN NO. y TNEA T , or OW, ALE- Town of Barnstable ,. Barnstable Historical Commission > - ��� 2: sattivsTnsLE, 200 Main Street,Hyannis,Massachusetts 02601 MASS. g' (508) 862-4786 Fax(508) 862-4725 ' 039. www.town.bamstable.ma.us w D VIS1; Thomas and Laurie Hadley ' o 55 High Street Cotuit,MA 02635 Linda Hutchenrider,Town Clerk `° cl 367 Main Street v Thomas Perry,Building Commissioner 200 Main Street Hyannis,MA 02601 Re: DECISION of the Barnstable Historical Commission,pursuant to the Code of the Town of Barnstable ss 112-1 through ss 112-7 Location:.BARN located at 55 High Street,Cotuit,map parcel 035-028 Applicant/owner: Thomas and Laurie Hadle'y" A duly noticed public hearing was held upon the application for demolition of the barn at the above referenced location,July 6,'2010. Based upon the evidence submitted at the meeting and a site visit,the Barnstable,Historical Commission`voted to find that the barn referenced above is not an architecturally or historically' significant building and that it is in a seriously deteriorated condition and would be safer , demolished. 1. The owners propose constructing a barn of a similar style in the same location with the addition of two overhead doors. Present and voting to permit demolition were: Jessica Rapp Grassetti, George Jessop,Marilyn Fifield,Leonard Gobeil, and Nancy Shoemaker Absent: Nancy Clark,Barbara Flinn Sincerely July 2'010 Je sica Rapp Grassetti,Vice Cyairman Assessor's offioe (1st floor): J� /� M"M lop. � 3- D�O ✓� THEY Assessor's map and lot number ................ .........................`. INSTALLED IN COMPLI�.�t�E Q..°` Board of Health (3rd floor): WITH TITLE 5 �Sewage Permit number ..... ...... Engineering Department Ord floor): �C a ."IAON IENTAL CODwE� AN BAHII9TGDLL, TOWN RIEQULATIO "� �00 M639• House number • APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only; TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ......).3. n 1%t..z...)---a........�5�.!�.u..�.�....... L�,�..N.),..../�1..ilL�`s�....... TYPE OF CONSTRUCTION ....Ca.n.Y.Vn�:, .y....�..l .Z. �I. .!�I.,z ......5. . '........... ... .. 19 'TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........ ...'j�......1 ..�.. ....�..1.........�, ...................................................................................... � n ProposedUse .....�..)...4 .R.A. ..6...................:................................................................................................................. r ' ZoningDistrict ............ .. .......................................................Fire District ....... .�E?.. ..K1..)................................................ Name of Owner ..J...��v. . 1,tr. �",. 1-C.�........Address .. .✓...1.... �..C7.�..> ..J..�....... ��35 ....... Name of Builder �`�� .....Address� 5 w ` ........... ..'...,...9................................... .. 1 � t�N Name of Architect ).41 '6.1�'.....DI.�1.../...�X5......!�.5PR�.Address �. -Q...U.N.7..V )1y..... Number of Rooms .............I....... ...`.l.....Foundation ..T...�.l:.,..�.l�..J� ! ............... . . ........... Exterior ... ......5 .. ..Roofing .G.Oa.. ..b�,,�...�...1,..C- .......5 Floors .......................................................Interior ....................:I...:a,. 0...��. > ..q..�.........�..2..!J..�..5.�... .................... Heating ................. ............................................Plumbing .............. ............................................ -- ll Fireplace ................. ..N.�..........................................Approximate Cost ,...... .a...Q. .J................................. . Definitive Plan Approved by Planning Board --------------------------------19-------- . Area ..��.... y ......... Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH a 23 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name w �-�, x .±�,-J.. . Construction Supervisor's License I. .................................. PP7 HADLEY, THOMAS W. 1,7 No ...3.1.575.. Permit for .....Build Storage Shed . .. ....... ............................... Accessory Dwelling .......................................................................... Location ..........5.5....High...Street .................... . .. . .. .. .. .... .. .... Cotuit ......................................................................... Owner ... Thomas W. Hadley ............................................................... 7 Type `o Construction Frame .......................................... .............................................................. ................ Plot ...... Lot ............................ tt Permit ....January 29 .. .....19 88 y................ .. Date of-Inspection .................................-:19 -Date Completed ........... ........;19 AM M x W Assessor's offioe (1st floor): Y a� of THE To Assessor's map and lot number .... ......... ...................... Board of Health (3rd floor): Sewage Permit number ............ C. ... .. = 99Hd5fllDtL i Engineering Department (3rd floor): oo M639• !� Housenumber ........................................................................ APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only f ' - i TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...... .. .... .......� ..N?..!.� )..A�.�n....... TYPE OF CONSTRUCTION �'✓ <?....�.:•� ...................... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: l � ; ^ r, y Location ........ .....I ..�..�. .:�,��...�...........4r 0.. ...4�.../...f..................................................................:................... ......... ProposedUse ..... ......................................................................................................:...............:..:........... j Zoning District ............. ..........................................................Fire District ....... .'Q... ...!?.t../................................................. Name of Owner .. c�?M. �. !'� "�. .. .K- .':......Address .. .©.�.1.... :�. .......�. C7 OZb3 ' .... . 1.�)............... Nameof Builder .. .. ....,...................... ....Address� .......................................................c.�..�.... 1oZ Name of Architect ).41.6.d....�M.P....LK).5......!� P N./J'7.Add'ress 4.-�l...U.W.1..V ��.�1-+�•....�L�.1�C�yu�' �u� Number of Rooms ............. ....... x.. .' .'.1J..`7.......Foundation ....I m..C.• Sr1 0 �� ) � .................................................. Exterior ...G.)�,1- .�..�.�,1.�.��......CJ.}.��--•.'.....Roofing .r�.Lvp ._j-2. .......�, Floorsa.�... ... ..................................................Interior ................ .........1�...�.. .? J..!�. -. .............. f Heating ...N..�. . ..�..........................`......_..........Plumbing ........._.... .. .. �..._ .......................................... .F. l .Fireplace .................N. .. .. .........................................Approximate Cost Q ,.! '< Definitive Plan Approved by Planning Board -------------------------------19-------- • Area Cl/ v , - Diagram of'-Lot and Building with Dimensions Fee s:.C1.�!,...............:.. j � Y SUBJECT TO APPROVAL OF BOARD OF HEALTH O y L) r 1 n 3 Ll �aou 5 C VA 23 r3 OR OCCUPANCY PERMITS REOOIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules .and Regulations of the Town,of Barnstable regarding the above construction. 2 Nam ... 1 ......... . ... QkS ts9 L Construction Supervisors License .................................... S L S TRUST A=035-028 No A! .7. ... Permit for ...Build Storage Shed ........................ . ........ Accessory Dwelling................ .............................................. Location ......55 High Street ......................................................... Cotuit ..................................................................... ......... Owner .....S...L....S........T.r.u.s.t.............................. Type of Construction X.KAqq........................... ............................................................................... Plot ............................ Lot ........................ ....... January '29 ,..19 88 Permit Gran+ed ...................................... Date of Inspection ................................ 19 Date Completed ................... ..................19 P�OFTHE t � Town of Barnstable *Permit# Expires 6 months-from issue date d • Regulatory Services Fee eaxxsTABLE, v� $ Thomas F. Geiler,Director ,r'_ S b—2— TEo MAC Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X-PRESS Office: 508-862-4038 Fax.- 508-790-6230 NOV 5 200 . EXPRESS PERAUT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X Pressimprint TOWN OF BARNSTABLE Map/parcel Number n S Property Address Residential Value of Work Owner's Name&Address Contractor's Name !.e.c.. �` Telephone Number Home Improvement Contractor License#(if applicable) // .6 - Construction Supervisor's License#(if applicable) ;.i xWorkman's Compensation Insurance Check one: ` ❑ I am a sole proprietor _ - ❑ I am the Homeowner i I have Worker's Compensation Insurance w ; .insurance Company Name ( ` Workman Comp.Policy Permit Request(check box) e-roof(stripping old shingles) All construction debris will be taken to yr--, o� ❑Re-roof(not stripping. Going over existing layers of roofl ❑ Re-side ❑ Replacement Windows. U-Value (,maxii um.44) ❑ Other(specify) 'Where required: Issuance of this permit does not ompliance with other town department regulations,i.e.Historic,Conservation,etc. Signature s J Q:Forms:expmtrg Revised121901 The Common wealth of 4fassac h uscHIV ~ _._ t;_ Department ojlntlustrial.4ccidcnts � rY ` 011ice81111 Ugatlons 600 11'a.0ing ton Street Boston. Mass. 02111 W. Workers' Compensation Insurance Affidavit •nlacant information• Pl ease PRINT nainco '' laini �✓�� locition• `7/ —y7t6ei-5,-r� "/17 Ci N. �U � - �,�} phone# 1 am a homeowner•performing all work myself. I am a sole proprietor and have no one working in any capacity .:. _._„_.._.. '{Mvlr.'r.}+Isfl�7^/�M+'+J7R�'r.::..%Yff!T .,. w •�we.�rn+gT'.�. ���•.irr.!....�^_.. .. _..- I am an employer providing workers' compensation for my employees working on this job. T�,comnanv name: aS-Cif address: - - city: phone#: insurance cn.06 ° `U lie # J 1 am a sole proprietor, general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comnim• nitne- address• city: 11hone#• insurance co fniicv# a•^ r•--cv:._-?.t-cT••r.1w�.s',:•,• --:r,r,+p-.. -_...p.�. .��...._..--•_ ...i.r:ilr'w+...1' - - _ .1• 4. _ .��.i.J:OrY:-... .L��-:S comPnn% n• ine: address: rity- phone#- insurance co poiicy# Attach additional sheet if necessarJ:` railure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a lineup to S1.500.00 andiur one%cars'imprisonment a.well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. !do herehr ijr rurr the and ies of perjury that the information provided above is true and correct. AASignature Date 3 Print name 2)1 pt 0 Q/1 Phone# T T• '• oflicial use only do not write in this area to be compacted by city or town official city or town: permit/license# rIBuilding Department Licensing Board check if immediate response is required 0sclectmen's Office : E311calth Department contact person: phone#: Miller Ires.sed 1f15 NA - Information and Instructions Massachusetts Gencral Laws chapter 152 section 25 requires all emplovers to provide workers' compensation for their employees. As quoted from the "law" an einploree is defined as every person in the service of :mother under any contract of hire, express or implied. oral or written. An emplot-car is defined as an individual, partnership, association. corporation or other legal entity. or anv two or more the foregoing enga�_ed in a joint enterprise, and including the le-al representatives of a deceased emplover. 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 dwc1lin- house of another who employs persons to do maintenance , construction or repair work on such dwelling, hous or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chajner 152 section 25 also states that every state or local licensing agency shall withhold the issuance or rencival of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant Nvho has not produced acceptable evidence of compliance with the insurance coverage required. Additionaliv. 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 ha- been presented to the contracting authority. ix r Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Pleas: be sure to fill in the permit/license number which will be used as a reference number. Tile affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. Tile Office of Inyesti!zatioils would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. r.,au.,...ram.••. ....-. •.-_ -•�..•,.o..... .....,++r...rx..-.-....��.e.......wwwa.•v�...+r..-er...�w.... F�rn.�n.+n.•r-r+. v�r.•_'e-v.r•�w,...o....� The Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 NN'ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone 4: (617) 727-4900 ext. 406, 409 or 375 n' °p SHE ti y` . The Town of Barnstable • WWWABM 9 M'39. Department of Health Safety and Environmental Services i6 ♦� Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: U Est. Cost 5Z G Address of Work: �l Owner's Name z5 Date of Permit Application: F_� I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: DatW Contractor Name Registration No. OR Date Owner's Name Parcel ��o� O�j Fngineering Dept. (3rd floor) Map ermit# . House# SC Date Issued I Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) Feeo�S Conservation Office (4th floor)(8:30- 9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) �INE Definitive Plan Approved by Planning Board 19 BARNSTABLE. TOWN OF BARNSTABLE Building Permit Application a Project Street Address , 2 Village ceo Owner Address Telephone Permit Request 2 First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ 1 �j Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) }� Age of Existing Structure i 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 No. 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 Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None j ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Telephone Number Address '7 j Tya!Y �'/�2 License# � r Home Improvement Contractor# Worker's Compensation# ( ,'J 3/,-2� NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT) SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A4rOC SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) �. FOR OFFICIAL USE ONLY PERMIT NO. 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 f ASSOCIATION PLAN NO. r N The Town of Barnstable + + * BARMABIA • 10� Department of Health Safety and Environmental Services iOrEonu'�1% Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only 'Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition,,or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,among with other requirements. Type of Work: Est.Cost^ �Tc2O Address of Work: Owner's Name b Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Dat Contractor Name Registration No. OR Date Owner's Name Tht, Commonwealth of Afassacltasctts Department njltulustrialAccidents Office 81111yestiy-9110M 600 Washington Street ``.-•`' Boston, A1ass. 02111 Workers' Compensation Insurance Affidavit L1liplicant i^nformation: Please PRINT legibly=,=M' name: t?6-os-(� F✓yc,-ci� locition• —7 / T M"2CA so- /1'Z city CO Phone# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity .. _!aC• S A!�•,�1 yrr.!s'sn�,T]+.'�"4stiM•""yf78'?aT...'..Yt4!T. •M.w"`.3!oT�:A�,pf.°� .!!!a+'^1T'!'a'^'1 <M_`_,t•-w!�!_v•• er - i r.- is:...,liw:s..�. v:.��._...— MeI am an emplover��--prroviding workers'' compensation for my employees working on this job. conJpany name: address: city: / Phone#• insurance co. �1 /7-(JG� Policy#kcr- "2, �63 of y I am a sole proprietor. general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name- address: cih: Rhone#• insurance co policy# ... ...,... .. �.... ., .. .•:.rl::::•:!:...'.ask-^......�. ._�•.rt...y.�:'-•.�:" �T•T's.T�-.�,1;L:,Tfj�9 V,^..:k•.._......-�.:4a:•�,_ ..-._...•_,.•. _.�..-_-_...... ..._.__..�.._.._..-_. .�I�i:.1/.wi'�.a�....a.1...w�I�.r'i_i:.aW..rw.rJ►7-� - - ,' 1 .-•i� t��`a:. .Lu.a�..+5 compare• name: address city: phone# insurance co nolicy# :Attach additional sheet if necessar—_ __ y s •,r' _ i .,lr.t.a e:x rlpf ::... •:c -! fr.'Lataa�7P'' •,h,eu:..r�� a..rpwe'Sf•; yw Failure to secure coverage as required under Section 25A of 111GL 152 can lead to the imposition of criminal penalties of a tine up to S1.500.00 and/or one N-cars'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a cope of Misstatement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do herehr ccrti der tl pain enalties of perjury that the information provided above is true and correct. Si=nature Date / -5k Print name 7P,44-0 FVICII . Phone# .:'rolTicial use o ly do not write in this area to be completed by city or town official city or town: permit/license# rjB,uilding Department ❑Licensing Hoard ❑check if immediate response is required ❑Selectmen's Office : ❑Ilcalth Department contact person: phone#; rjOthcr .,-,_,_ _.,:�-. ._.-.,_.,.....p.�---- .--.--.--�-•--�+. . _ _��.__ _ .�.-..mow.� ..._- (fe%-Sed P1A) t, Information and Instructions Massachusetts General Laws chap ter 152 section 25 requires all employers to provide workers compensation for their employees. As quoted from the "law". an employee is defined as every person in the service of :mother under any contract of hire, express or implied, oral or written. An en►hlurer is defined as an individual, partnership, association, corporation or other legal entity. or anv two or more of the foregoing engaged in a joint enterprise, and including the le-al representatives of a deceased emplover, or the receiver or trustee of an individual , partnership, association or other legal entity, employing employees. However the owner of a dwelling house haying not more than three apartments and �vho 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 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance -,with the insurance coverage required Additionally, 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 in the workers compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits 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 sliould be returned to the city or town that the application for the permit or license is being requested. not the Department of Industrial Accidents. Should you have any questions regarding the "law" or if you are required to obtain a workers' compensation police, please call the Department at the number listed below. City or,towns Please be sure that tite affidavit is complete and printed legibly. Tile Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. *-1.•t7r?Oi:i/T"•_^r•v1�.1•IwiwF-.•. . Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 NVashington Street Boston, Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 G r t.777 �9. a r ^r . srs. rt' i { ) 4. f-; C t I,n k V(V+�I IT•v f> t \ '« t V �. l 1 w +41.a. .'✓i w1/���.�Ir� :.f� t .1: Y �a4: 1�"t' �, rT.{ :Yg ,r. t'svL 1�4��i , +i�,' {b.S .. �`�`�'. im! 1 ky ,4y,yay��•`, tCi y r f7,�(a �.���'� ,;.���/ F ����� � er'F !T� ix'+e�tl�• t .�' R t0C '�- � �` 4 �'�� ,,�,x.'' �3[(;�� y+ µ ,:;`�` ,�j,�.l gF^•,�.,7"�"�f�` Ta ;�•yr-- ¢ '� Gbjr•�x,�° � ,• f .fl •'�r - .yif\ .J 'U s)'L( u). -.ti a,... r?„ a,z�✓=, aw�,.5 �, .•`,', s.j b. tt 1 n .<1(� (('a5( ! ; al;�1r�C�'� '�, 'S1f' wLs• l/ � /. k yrAd;_ �i £ �. ,��^�: i!Q" �Y `^ X>�;. �©R.45��x .�� 4P� P].a�„ yt f t3:s1'r t��(3fQ�a +Csc r' Massac h�a + � YT .;:,. }.a•tw :1�;�;. _'� x ♦ - AN 1 « �, .'_;r ,<. � 'r+,i„x^ �>: _. � s�T '+� � ,;. �'•�'k v � .{. s c �,� #'i,�l-x+,:��.+�/..r' .:,. y,�rir :e:. f J Ma� l,," .rN%R. �. ,� 14• +3,�: t• " `t'4'vr � �'T"cl <.c' �d fi�� .�$f� a r � :.p •"�`+l�s t � ar''i!;•: ri. 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LAND - SETBACKS: _ FRONT — '30FT HEREBY CERTIFY THAT THE STRUCTURES ry _ SIDE 15FT _ SHOWN ON THIS PLAN IS LOCATED ON THE PREPARED EXCLUSIVELY FOR THEE'PURPOSE' OF OBTAINING A BUILDING PERMIT, NOT FOR ANY''OTHER USE REAR - 15FT GROUND AS SHOWN HEREON. VA� 0 FM o' IN _ DAN►EL �� COTUIT, MA x _ i o�LA 5 HIGH STREET off 508-362-4541 (23�t ___ \ 09 �= _ fax 508-362-9880 ------------ �— downcape.com DATE REGM,,1 1V S� EYOR PREPARED FOR nL,SUR\1E M/IW THOMAS HADLEY dOWn cape e# h7eeriag, ANC. 13 civil engineers Scale:l"_ 30' d DATE: SEPTEMBER 23, 2010 /art d surveyors REFERENCE ASSESSOR'S MAP 35 PARCEL 28 9.39 Main Street ( Rte 6A) DCE #04-190 0 15 30 45 60 75 FEET "DEED BOOK 20432 PG 266 YARMOU THPOR T MA 02675 IMPORTANT ANY CONSTRUCTION THAT INCREASES LIVING SPACE BEYOND 1200 SQ. FT. PER LEVEL MAY REQUIRE THE INSTALLATION OF ADDITIONAL SMOKE DETECTORS. NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE {NSTALLATION OF.SMOKE DETECTORS-THE ELECTRICAL HERMIT DOES NOT SATISFY THIS REQUIREMENT. � 1-1 - Ll SCALE: I< I (�4 APPROVED BY: DRAWN BY<� DATE: I / / f REVISED ` - DRAWING NUMBER s y CAS am' H Pot_ A•: ...�,......_.._.,,..,.....,,..-*.-..p.....+.-.�vn.erg.v.,�.�..+,....,tv..,.,nxi..<....,.... .-...�...,,.r m.,�m....._ �. e<...�._..a...+...,- .��_., �..�. s_ SCALE: 1/111 ql APPROVED BY: DRAWN BY DATE: (o /GU / C) REVISED f H W-P DRAWING NgM_#ItR 1 r ,r TFT- ur-��I [I] • yC — 5;5-.{-t fUK S7-, C Zvi:A 'rr SCALE: !/y APPROVED BY: DRAWN BY C/ DATE: (d/8 �� REVISED v vq DRAWING NUMBER (��c L �',/ T1 O HQ, ✓_ ate. HIM k C\Al s x S S P t 1 L--7t-t '5,7- CC)-rL SCALE: try APPROVED BY: DRAWN BY DATE: (o $ { REVISED P ` \ VVT� r DRAWING NUMBER S _- 12 IZ- � 0. C7 Q 2. -,'- Co 1 - 0 , C f i P SCALE: l/ II— / f APPROVED BY: DRAWN BY / DATE: CDREVISED di f - - DRAWING NUMBER r I . 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DATE: SEPTEMBER 23, 2010 civil engineers Scale: 1"= 30' REV: OCTOBER 29, 2010 (CPP FNDN) land surveyors REFERENCE ASSESSOR'S MAP 35 PARCEL.28 939 Main Street ( Rte 6A) DCE #04-190 0 15 30 45 60 75 FEET SEED BOOK 20432 PG 266 YARMouTHPORT MA 02675