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HomeMy WebLinkAbout0545 MAIN STREET (COTUIT) ��� ,�Gui1T/ - � � /. — - - � � � i �-- i I a ...; TOWN OF BARNSTABLE BUILDING PERMIT APPLICATIONy� Map Parcel , Applica i _n Health Division 'Date Issued Conservation Division ',-Application Fee - Planning Dept. Permit Fee: 06 Date Definitive Plan Approved by Planning Board Historic _ OKH Preservation / Hyannis +~` Project Street Address 5� /M JV/U 5 Village C 6T1!j Owner ►M /A}(', D N) FzL. Address 11w,7 Telephone_ ) �i��T_1�� �'. jU 'T� iM - �_G f Permit Request -Daleml lz 51 to-L(Ac 1 ]0� Square feet: 1 st floor: existing Sal) proposed — 2nd floor: existing_!�M proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 0 ,60 Construction Type Lot Size Z(? hia � Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ,,, Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes III No On Old King's Highway: ❑Yes 18(No Basement Type: A Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) S-7r0 Number of Baths: Full: existingnew Half: existing -- new Number of Bedrooms: - existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: A Gas ❑ Oil ❑ Electric ❑Other -� Central Air: ❑Yes 14 No Fireplaces: Existing_ New -- Existing v6AI/coal stove: Qyles �i(klo Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barre] existinp ❑ ngw size_ ^r ? Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Others ` Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ 4 Commercial ❑Yes g No If yes, site plan review # f.n Current Use Vci L �= Proposed Use ye_ APPLICANT INFORMATION (BUILDER OR•HOMEOWNER) Name NcL L&�7me)5 Telephone Number Sob- LIM-'70�17 Address 13 License 0a m d: &Ili Home Improvement Contractor# Worker's Compensation # 4 6- 0 8o i cib -o) U ALL CONSTRUCTION DEBRIS SULTING FROM THIS PROJECT WILL BE TAKEN TO 1 SIGNATURE DATE / 7 4 FOR OFFICIAL USE ONLY 1 APPLICATION# ` DATE ISSUED, i7 { NMAP LPARCEL NO., 4�. ` .ADDRESSot VILLAGE F c t OWNER DATE OF INSPECTION: FRAME 2j NSULATION.1z FIREPLACE ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL s f c GAS::� +��F','ROUGH ii(?-p'�' < G" FINAL M;: F'INAL•rB.UILDIN.G �I�K�:�D.`D (o Oil, Z`•DATE'CLOSED>OUT:Z} _ . ASSOCIATION PLAN NO. -' The Comm rttzweta:lih uf.lKassachusetts _ Rene rtment t�f hzdttstl'ia..!Acchlents lj — (lfflee Uf I'll vestigalio)as 600 Washington Sit eet BOSitJ71,AM 02111 yitorlters' Carnpensado❑ Jusurance ;-i.MMU: EN W&CA Uzi cto& lectt-iciatis Ou nib er.s Are iicgut.I 1'ot-rnatiorn — Pllease_t'riu Le:A ly i���Tl-i1C. L-'t.lsinesslOrt;anizatiorJlnc?ivida~11: l GaS }- '� _�� _����(,�./ (,ftylSlate/Zip:__(QE 1i Phone If . - _5�� _ r� !- 0� , � i Are you an ernployeO<. wrk the. appropriate box; J e ai project'r of uiredi: t I am a aereral cor;trac::or and; I 5'P p '} t l 1•� I am a employer with. t_� il s :;. [�P-�iev,'constt;;ction employers(NH anvor part-tirtle).§ have hued tl e sub cantracfors i 2,❑ I am a sole proprietor or partner- listed an the attached sheet. '7. Rernodeling ship and hsve_-o ennrloy ees Ilese subcontractors have g, ❑ D--molition i r etnplovees an Wave workers' I vrarkinp :ar me in�+ny capacity. ; t= �, F Building addition [No workers' comp. insurance, comp: insurant:r•i _ I 1- c are a cot-poration and its l j Eit-%tr.cal r:pairs or additions S 1 t;, (1 r i r 3.�_) I am a horneovmer doing all work officers have exercised the& I l IQ Plumbing repairs or addamns myself. to workers' s ght of exemption per N GL f � comp. I 2.[j Rao:repairs insurance required.) t c: 152, 91(Q,and:ve We no emyoyees. [No Workers, � 13 r the: _--- t comp. insurance requu-ed,' t i I t ',env npocant that ME box N moil also fill nut the section below showing their worker'comaensadon policy infom inlinn. Hmreo%vners who su?iirii this affidavit indicating they are daing all wok and On hire oubide ccnhadoin muse submits new WWI indi whg sizK ?Con(ractors thai check This box mum suached an additional she MoiNg me name of dw sub-contrwa s and state wb.ert u cr not(hose entities We employees. If the sub-contracisrs have employees,they m st provide.their +vc?rkers'camy policy number. f am an elaiploper that is providi'lig workers,colopi'll,svioll insura nce for Ili))employers. Belo v is M;3 policy G)iid jo'b site hijbi-motion. Insurance.(Vompany Name: W t?_'Ct`, l2rs/<_ (S..UL�4 li°! ____ 11LTia°S__1�1�--_--------�- Pahc;,'N or Self-Ins. LTc, t<: UG9(� O _ 7r - ____._---�-------------•----.y ��1_---11 L. _- Fx;Stratton ..oh Site Adares:-•_ S �tq'1 City/State/Zip:. ' - -h�s� -- _.— �_.,. ---------- - ------ -- ---------___ _ - --- — -- - _------------- AUnh a copy of the F;5' Mmi—e compensation policy deduntion page (showing the policy number aril expiration, dnte). `'a,lurE R)SIcure coverage as required under Section 25A or NIOL.n 152 can lead to the imposition Ofcrlt-ainal prna'!t?es of a fief_.up In S1,500.00 ;tt?r&r nn!-y'_-2r itl:lrrimnlr eiv as well as_iiAl p enaltics In IS Corso or a STOP F'VOR_<_01:DER and a 'bile of up to$250.00 a day ug;ahut (he;,; lator. Be advised that a copy of this statement may be fo warded to the Office of .nvestigatin , ,f t 7e nLa far;I sue :ire coven e.verification. 1 t7%' TTL'!•' jl C_'il,{'' itltlle!'t C -.tai s ralld pa valti' -of Pc 11I)i that the'i"IfOr!laritiola prol'idell(hove is t!'ilt": and Correct— ynI f:lane li: Offcital Ilse om! i'. L}o:.ot rvrllet !l1 ttit.S i7rCl7� F9 jiC C U!Nl1/Cti,'ii t71'C1t•)'OY liiil'll CFf CI iTf. II i C.y. yor ';'owm _. I'erniihrL.:ieaTs.:'f lssui,lg :-':uth0ri(3-(circii. One): �i i. Fiurlyd of Ilt:a)tli 2. Iluiidinri Departnien+ 3. Cit}'l'l wn Clerk 4. 1 IFectric:n! inspector 5, Plumbing Inspector I 1 0Hi{ i ? t tl ,..F ,t It.t l Ci.S.tL _._.._.._.... -- — - ---- --- —-- f ACORD CERTIFICATE OF LIABILITY INSURANCE 01/2 MI/2 0 1Y4 TM alia7/ao14 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(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). PRODUCER CONTACT- -NAME: . Applied Risk Insurance Services, Inc. PHONE FAX 10825 Old Mill Rd ArC,No,Ext: (877)234-4420 (AIC,No): (877)234-4421 Omaha, NB 68154 k E-MAIL ADDRESS: PRODUCER (877)234-4420 CUSTOMER 1011 INSURER(S)AFFORDING COVERAGE NAIC 0 INSURED INSURER A: Continental Indemnity Co. 28258 INSURER 8: Lagadinos Building,& Design, Inc. 13 Thankful'Ln INSURERC: Cotuit, MA 02635-2616 7 * INSURER D: ' INSURERE: ' CTL 1273 831025 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 ADD SUB POLICY EFF POLICYEXP LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER MM/DDfY MMID - GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LIABILITY ❑a DAMAGE TO RENTED S CLAIMS MADE , OCCUR 1 MED EXP(any one n $ GENERAL AGGREGATE $ GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ _ POLICY SCOT- LOC ' - $ AUTOMOBILE LIABILITY - + COMBINED SINGLE LIMIT $ " ANY AUTO - ❑ r ALL OWNED AUTOS - - BODILY INJURY Per arson $ SCHEDULED AUTOS $ HIREDAUTOS "* s - PROPERTY DAMAGE - (Per acoi 1 $ NON-OWNED AUTOS $ UMBRELLA LIAR OCCUR EACH OCCURRENCE- $ EXCESSLIAB CLAIMS MADE ❑ _ AGGREGATE $ - DEDUCTIBLE $ r RETENTION $ WORKERS COMPENSATION - X WC STATU- OTH- - AND EMPLOYERS'LIABILITY YIN f Y-LlY1L$ ANY PROPRIETORIPARTNERIEXECUTIVE N NIA 4 6-8 8 0 9 0 6-0 1-01 01/02/2014 01/02/2015 E.L.EACH ACCIDENT $ 500,000 A OFFICER/MEMBEREXCLUDED? a ' (Mandatory in NH) _ E.L.DISEASE-EA EMPLOYEE $ 500,000 , If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $ 500,006 a . DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach Acdrd 101,Additional Remarks Schedule,If more space Is required) -, s , CERTIFICATE HOLDER CANCELLATION Town of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BECANCELLED 200 Main St. BEFORETHE EXPIRATION DATETHEREOF,NOTICE WILL BE_DELIVERED Hyannis, MA 02601 IN ACCORDANCE WITH THE POLICY PROVISIONS. A AUTHORIZED REPRESENTATIVE . 1183118 ACORD 25(2009/09) ©1988-2009 A ORD CORPORATION. All rights reserved . Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvement C6ntractor Registration = -= Registration: 104804 ys �� rr Type: Private Corporation fy{t Expiration: 7/15/2016 Tr# 255509 ( zl LAGADINOS BUILDING & DESIGN, tIN'C 4u Nicholas Lagadinos ( � 13 Thankful Lane : Cotuit, MA 02635 Update Address and return card.Mark reason for change. Address F-] Renewal Employment Lost Card SCA 1 •;• 20M-05/11 �!e�omrnzoaacaeaCCl o� araac/��eCt�. License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: OME IMPROVEMENT CONTRACTOR egistration: .104804 Type: - Office of Consumer Affairs and Business Regulation ;expiration: =:7/15L_2016- Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 LAGADINOS BUILDING&aDESIGN,;.:fNC =� _ - Nicholas Lagadinos 13 Thankful Lane Cotuit, MA 02635 Undersecretary Not vali wi o t ignature 9 U assac'nuset s -Depart.-rient of Pl.blic :SafF-,tv dam. Board of Suiidinr Regulations ,and Standards License. CS-CP12653 COT UI i M_A 0205 ;rl r itster3 1 07116/2015 • ■ARMABLE, - _ Ar Town of Barnstable Regulatory Services _ Thomas F.Geiler, Director Building Revision Thomas Ferry,CB® Building Commissioner 200 Main Street. Hyaivus,MA 02601 _ www.town.barnstable.ma.us x Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must �� !£ Complete and Sign This Section' 16 If Using A Builder as Owner of the subject property hereby authonze- ,s , Lq ItJV1 ftl 14� to act on*my behalf,. ;,;: ;,in;all matters:relative to work authorized by this building permit application for:- (Address.of jobs d r Miniature of ) ner Date . Print Name ; .,If.Property,Own er.rs applying.forIpermit;please complete the Homeowners License Exemption Form on the: 4`' ' reverse side. :\Users\decollik\AppData\Local\Microsoft\Windows\Temporary,tntemet Files\Conten[.Outlook\8R76BDVA\EXPRESS.doc n Revised 061313 ,,,C 3 w AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)' 0 Check Compliance 1.1 SCOPE WindSpeed(3-sec.gust).................................................................. .................................................110 mph xx WindExposure Category.................................................................. .............................................................B xx 1.2 APPLICABILITY Number of Stories ..............................................................(Fig 2)............................2 stories <_2 stories xx RoofPitch ..........................................................................(Fig 2) ........................................... 10 <12:12 xx MeanRoof Height ..............................................................(Fig 2)................................................22 ft <83' xx Building Width,W...............................................................(Fig 3)................................................20 ft <S0' xx Building Length, L ..............................................................(Fig 3).................................................25 ft <80' xx Building Aspect Ratio(L/W) ...............................................(Fig 4)................................................. 1.25 <3:1 xx Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................5,8,. <6t8„ roc 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ xx 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. n/a Concrete Masonry.................................................................... .................... 2.2 ANCHORAGE TO FOUNDATION1'3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing—general ..........................................(Table 4)............................................... in. n/a Bolt Spacing from end/joint of plate ............................(Fig 5)..................................... in.<_6"—12" n/a Bolt Embedment—concrete.........................................(Fig 5)................................................._in.>7" n/a Bolt Embedment—mason (Fig 5 ............................................ in.2:15" n/a Plate Washer...............................................................(Fig 5)...............................................2:3°x 3"x,W n/a 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55).................................... n/a Maximum Floor Opening Dimension...................................(Fig 6)...........................9_ft 512'or L/2 or W/2 n/a Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)NONE ....... n/a Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)....................................................I ft <d n/a Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8)...................................................o ft <d n/a FloorBracing at Endwalls...................................................(Fig 9).................................................................... xx Floor,Sheathing Type ........................................................(per 780 CMR Chapter 55):K tnD•g........................: XX Floor Sheathing Thickness .................................................(per 780 CMR Chapter 55).......................3/4., in. xx Floor Sheathing Fastening..................................................(Table 2)..s d nails at 6" in edge/12 in field xx 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)..........................7,8,, ft <10, xx Non-Loadbearing walls.................................................(Fig 10 and Table 5)..........................7.8 ft <_20' M Wall Stud Spacing ........................................................(Fig 10 and Table 5)...................16 in.<24"o.c. XX Wall Story Offsets ........................................................(Figs 7&8)............................................P ft <d 4.2 EXTERIOR WALLS3 Wood Studs Loadbearing walls....................................:...................(Table 5)..............................2x 4 -7 ft 4 in. XX Non-Loadbearing walls...............:................................(Table 5)..............................2x4 -7 ft 4 in. XX Gable End Wall Bracing' FullHeight Endwall Studs............................................(Fig 10).................................................................. XX WSP Attic Floor Length................................................(Fig 11)............................................. ft>_W/3 Gypsum Ceiling Length(if WSP not used)...................(Fig 11)............................................_ft>_0.9W 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. .. (Fig 11).............................. .............................. XX Double Top Plate Splice Length ........................................................(Fig 13 and Table 6)............ 4 ft Splice Connection(no.of 16d common nails)..............(Table 6).........................................................a XX AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 Loadbearing Wall Connections Lateral(no. of endnailed 16d common nails)..............(Table 7)........................................................2 XX Non-Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)...............(Table 8)........................................................3 XX Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans .(Table 9)..................................3 ft 0 in.<_11' Sill Plate Spans ........................................................(Table 9)..................................9_ft o in.s 11' Full Height Studs no.of studs Table 9 ........................................................2 XX Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9)..................................3 ft 3 in.<12' Sill Plate Spans...........................................................(Table 9)..................................3 ft in.<_12" Full Height Studs(no.of studs)....................................(Table 9)............I......................... ..2 ................ Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening2 ..............................................................................6'8 <g,8» SheathingType..............................................(note 4)......................................................1/2"cox Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................3 in. Field Nail Spacing..........................................(Table 10)................................................. 12 in. Shear Connection(no. of 16d common nails)(Table 10)........................................................ 3 Percent Full-Height Sheathing.......................(Table 10)...................................................�6 0/0 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).?................... MaximumNominal Height of Tallest Opening2..................................:......................................6'$ <6.8" SheathingType..............................................(note 4)......................................................vr"cox X Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................6 in. Field Nail Spacing..........................................(Table 11)................................................. 12 in. Shear Connection(no.of 16d common nails)(Table 11)....................... ..............................3 Percent Full-Height Sheathing.......................(Table 11)....................................................27 % XX 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)°................... Wall Cladding Ratedfor Wind Speed?.............................................................. ................................................................ 6.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ................................................... (Figure 19)..............1••ft<_smaller of 2'or L/3 XX Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U=170 plf XX Lateral.............................................(Table 12).............................................L=176 plf Shear...............................................(Table 12)............................................S=77 plf ra Ridge Strap Connections, if collar ties not used per page 21.....(Table 13)..............................T=97 plf Gable Rake Outlooker......................................... (Figure 20).............. 1 ft<_smaller of 2'or L/2 XX Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14)............................................U=417 lb. Lateral(no.of 16d common nails)...(Table 14).......................................L=176 lb. XX Roof Sheathing Type.!T.�R. ..........................................(per 780 CMR Chapters 58 and 59).................. Roof Sheathing Thickness........................................... .............................................. in.>_7/16"WSP Roof Sheathing Fastening...........................................(Table 2)..........................................................8d XX Notes: 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure.5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness. pressure treated#2-grade. AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 4. a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing 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. iii. 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 be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center per the Figure, Vertical and Horizontal Nailing for Panel Attachment `d AWC Guide to Wood Construction in High Wind Areas: 11 D mph Wind Zone Massachusetts Checklist for Compliance(7so CMR 5301.2.1.1)1 '-WHEN THi3 EDGE FEM ON FftA ING USM NAILS AT 6'or- --- --------- 11 11 JI 11 I! 1 � 1-I JI 11 11 1 11 11 11 11 1! 11 11 11 1 11 11 11 1 , M 1-I 7 11 IL r 11 IL - 1 ,C it 11 H 1 I L `4 11 I F•� 1 C IL V m h 1I d IL �1 Ir 1 IL 11 11 IF � fl Ir 1 n IL II 11 ii 11 ! 1 Jt Ir rL 1 I! JI If 2 1 I I I I I !F W 1 �1 1 r rl _ JI1 I I I�_....__ I NAIL SPACM + PANEL_ kr See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (7so CMR 5301.2.1.1)' Uj 1 r r 1 T1 r + ' FRAMING MEMBERS i i EDGE ITrERMFDMlT£ 1 IN. r 1 r 1 1 Et- STAGGERED 3"MMd. AWOL PATTERN PANEL PAN L EDGE Z! DOUBLE NAIL EDGE SPAMG DETAL Detail Vertical and Horizontal Nailing for Panel Attachment vi. REScheck Software Version 4.5.0 Compliance Certificate Project MacDowell Home Energy Code: 2012 IECC Location: Cotuit, Massachusetts Construction Type: Single-family Project Type: New Construction Orientation: Bldg. faces 90 deg. from North Conditioned Floor Area: 500 ft2 Glazing Area 13% Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 545 Main St. Nick Lagadinos Nick Lagadinos Cotuit, MA 02635 Lagadinos Building and Design Inc. Lagadinos Building and Design Inc. 13 Thankful Lane 13 Thankful Lane Cotuit, MA 02635 Cotuit, MA 02635 508-428-4097 508-428-4097 lagcon@capecod.net lagcon@capec net Compliance: Fails using UA tracle-off Compliance: 10.1%Worse Than Code N Maximum UA: 79 Your UA: 87 The%Better or Worse Than Code Index reflects how c e to compliance the house is based on cc rade-off rules. It DOES NOT provide an estimate of energy use or cost re ive to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Glazing Assembly or R-Value R-Value or Door UA Perimeter U-Factor Ceiling 1: Flat Ceiling or Scissor Truss 500 38.0 0.0 0.030 15 Wall 1:Wood Frame, 16" D.C. 550 15.0 0.0 0.077 37 Orientation: Unspecified Window 1:Wood Frame:Double P e with Low-E 70 0.250 18 Orientation: Unspecified Floor 1:All-Wood Joist/Trus ver Unconditioned Space 500 30.0 0.0 0.033 17 Project Title: MacDowell Home Report date: 08/05/14 Data filename: F:\\MacDowell Dormer.rck Page 1 of 1 2012 IECC Energy Efficiency Certificate Insulation Rating R-Value Wall 15.00 Floor 30.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Glass&Door Rating LI-Factor SHGC Window 0.25 Door CoolingHeating& Heating System: Cooling System: Wat eater: Name Da e: 7^ L Comments REScheck Software Version 4.5.0 TOWN.Of FAR STABLE Compliance Certificate A' 0 18 AM : 01 Project MacDowell Home i iv7is 1' Energy Code: 2012 IECC Location: Cotuit, Massachusetts Construction Type: Single-family Project Type: New Construction Conditioned Floor Area: 500 ft2 Glazing Area 13% Climate Zone: 5 (6137 HDD) Permit Date: Permit Number: Construction Site: Owner/Agent: Designer/Contractor: 545 Main St. Nick Lagadinos Nick Lagadinos Cotuit, MA 02635 Lagadinos Building and Design Inc. Lagadinos Building and Design Inc. 13 Thankful Lane 13 Thankful Lane Cotuit, MA 02635 Cotuit, MA 02635 508-428-4097 508-428-4097 lagcon@capecod.net lagcon@capecod.net ,Compliance: Passes using ILIA trade-off Compliance: 3.8%Better Than Code Maximum UA: 79 Your UA: 76 The%Better or Worse Than Code Index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. Envelope Assemblies Gross Area Cavity Cont. Glazing Assembly or R-Value R-Value or Door UA Perimeter U-Factor Ceiling 1: Flat Ceiling or Scissor Truss 500 38.0 0.0 0.030 15 Wall 1:Wood Frame, 16" o.c. 550 21.0 0.0 0.057 27 Window 1:Wood Frame:Double Pane with Low-E 70 0.300 21 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 500 38.0 0.0 0.026 13 Com 'once Statement: h proposed building design described here is consistent with the building plans, specifications,and other c ul ions submitted it the perm' application.The proposed building has been designed to meet the 2012 IECC requirements in ESch ck Version .0 d to comp ith he mandatory r qulrements listed in the RE�SSc�heck Inspection Checklis r Nick � ` Z1� Nt'l�l9l/VJ ' / Nam Tit a Signature Date Project Title: MacDowell Home Report date: 08/18/14 Data filename: F:\\MacDowell Dormer.rck Page 1 of 1- TOWN OF BARNSTABLE 2012 IECC Energy MD. AUG 18 A , O Efficiency Certificate Insulation Rating R-Value . � � . Wall 21.00 DIIS Floor 38.00 Ceiling / Roof 38.00 Ductwork (unconditioned spaces): Glass&Door Rating U-Factor SHGC Window 0.30 Door CoolingHeating& Heating System: Cooling System: Water Heater: Name: Date: Comments 1/2"CDX Roof Sheathing on new dormer roof 2x12 Ridge 2x8 Ceiling Joists 15#Felt Paper m - - - Architect style shingles to match existing v o m Or o =M10°� 0'- C J O LO C J Full Adhesion EDPM Rubber roof is pitch is below 3 CU_ CO (0 V Simpson Hurrican Strap over Ridge Rafter to Rafter t.r o 6 ca New Dormer Rafters 2x10� m 0 T cc Simpson H-2 Rafter Tie C C V cc —_ (0 O (D m L White Cedar shingles to match existing J �, 1/2"CDX Plywood Existing Rafters Padded ~ 2x6 New Wall Studs to 9"for Insulation R-21 Fiberglass Insulation 1/2" Drywall - +J Existing Gable Framing to Remain co 0, o Existing windows a Existing floor framing to remain - N p ' 30 Q U N Cross Section A-A o A ZH U C MI)ORTANT-UPGRADE REQUIRED 1. STATE ING CODE RE�U:RES-THE L'P :r OF • " - SFATE DETEC:. FOR THE ENTIRE ONE OR MORE SLEEPI, REAS? DED OR CREATED. U ) C NOTE: A`SFFIRA'TE = ,Afi EOUIRED FOR THE c � INSTAUAiION OF '..,XE DETECTOR THE ELECTRICAL - - _ — "• . PERMIT 1O-S_SATISFY THS F.E(YJI ENT. r .. s r7v w� C) a �o x om 0) O i3 oo cc s,7 LO A - -..r t y R5'�+ tra '+.y_, k?� �, •�1 5 Lie- fi s _ - J .!!�_�_':+s.Z'*.'�'�.'..eMv:" „'i--'..'aS.�.:_:x'�..�,.'�. 'E""'"`-""'"."'t'.ar;.t;•:.".:a.�.—.. x.� ,..._...�$,.—.......,-,.w;t......,.. N�s<".:�'.'" .�...G�. .�:....e... . �I � � �' ��.�...�.�>�_ � � - 1 4 � +,ter•-ate� a � _ r K r~ r o Cd nE DE Tr C T ,RS R `di�'� D 1 -) 4 Iw. f R!�id.:�E BOIL^ r_Pi, DnTE 1 --- FIRE DEPARTMENT lift - • , N . BOTH SIGNATURES ARE R 0 r ,FCR RERMTi rNG Existing Front Elevation �� s . � w s� g 4 �����' wv t�-T� �.,+y+,����'a'°*�"�� fit`xE��` ,"`""-. i"L� ,�.wnu.,},� � r .�px..'�.Rx+ -�Sfj .r .fin- �, # dgp) 4 T �`-h. � .�: �.� � '� see,:=,s: � t+`m�:�� ' �.�- y �`�_ �_ i�� � �,� �� �i- � a o �. I'fi t�p�=�pjj`�� �- i .. 9a �142� 4 � �,� } A *� �, '" .,�� i A T ��k • — — • 3 O) CD 11 M O y o�Ucc N_J Nro; C V f0 - ?- -O a0 E iO N }4 f6 . ; r f - I o Q - � N N Existing Left and Rear Elevation x ti tJ o'z' H 01 13 E V-O Sm N a)N O c6 r0 N N J N O_.— y - REF. -.BATH .. .. - .7 v rn m m rn CU cu f. a k KITCHEN K" x cu cc) y „ 3 " CD Lf) s c O a LIVING O lr DINING UP cz a 3 ,4 F x a - FRONT STEP i y gt Y N Existing First Floor e - - 5 A C> 25'-0' " E �, o M c) X O-'J - c0 O X c0 m ..j(3) O'p L.—O U ATTIC m o m m N U 24 4"z1'10" N_J O— — C 7 N O OD E c0 O N 01 M N BEDROOM 10'-11"x 14'-8" 4-+ 0 0 CD N N BEDROOM i~ 10'-7"x 14'-8" 3 0 UP Q c ATTIC Existing Second Floor Two"Bedrooms �A a UN a H 6 25'-0" 9'-10 1/2' —6'-7 1/2" 8'-6" . c o r`w E m 00 N C U ... �. - 4" N V'O pl N 6'- 7 o C r, U _ � mmo J N 02Nz In fl''7 M12 Q w N C�1 a m rn o EF r- L U'f0 m'�M'=.2 V N BATH - _ - o UN_J 00 'KITCHEN M w 3 1'-3 5/8" o o • - 7\ p . LIVING N O O - z'-7^x i r-1. N .7 (V d O L9 th 19 O Remove Wall a d lJP - Open Stair wit �•—'-' . - Railing an � 3 Balusters - O cz 5'-6" 1 T-15 —6'-6" 25'-0"— o N O � Proposed First Floor a Eliminate Bedroom Open Bedroom Wall to Stairs A z 9 - Stepped In Dormer 25'-0" 2 0" 2'-0" o 4'-71/4" ' 2'-4" 8'-11" 5'-13/4"— � m N C U y N O T T — — _ _ _ — _ _ _ _ _ — — _ — — _rf , C M p U UN 16 c0 _ JN O _ C 'I �—O CD/0 . 110 OBATH - _ 6'-T•x 5'-0" m F� rn m cg0c 1@m. O _�U�`°J IM LO I t I I I L • " a BEDROOM o BEDROOM N aa xt76 — _ III � � N OO '- ' .. I a r~ I i o �o Q r ATTIC , I - I _ I L.. _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ - O 25'-0" Proposed Second Floor Dormer and Bathroom c z • � b in z H 1/2"CDX Roof Sheathing on new dormer roof ,\ 9 2x12 Ridge 2x8 Ceiling Joists Coll \ . 15#Felt Paper m o \.` Architect style shingles to match existing c a m O r �'� , ` ,\ mmo aLi o Full Adhesion EDPM Rubber roof is pitch is below 3 m-o X o, mw¢w \ Simpson Hurrican Strap over Ridge D �n a o V Rafter to Rafter 2 M.�o g m New Dormer Rafters 10 m M o`i T m o�UN—� Simpson H-2 Rafter Tie ca m o a) White Cedar shingles to match existing _ w 1/2"CDX Plywood Existing Rafters Padded 2x4 Wall Studs to match existing to 9"for Insulation R-15 Fiberglass Insulation 1/2" Drywall Existing Gable Framing to Remain io LLL o Existing windows a Existing floor framing to remain a� - N it O - A d 3 0 A U co o N Cross Section A-A o „ Z. o y F > PAGE Q z 9 �.*.4�, ��` ^'.& 'U � r• 5�1Cr' ��� a '3s ... {� � ^'r�+ F 1-4c,- �° .'�,s,:- k ��fl "� m .. �,.wrti�-�, �k „ia, •'� r�,. }-., J o`X 0-1 cc 75 t r i�' � .,ys Y �. rz- z ,y �,�., t��;f? �"'•�._ �. x.t� � car c _ d _ 'L'•C. 5>.M Y4' n � „#. _+i YR w* - •b.�`.y, 't _ L=O O C Co v cc m O N 3 �'� ���I.L.g•`W',r _2�. +��' "�'4'Ir�,'Sk�,�N.T'f�'��T ��%:.�'"`�*.�- py �F� U '� � � -. . Y . aAltz, > a J ZIP. 01 i w m d .. �� 1 Proposed Opening to Eliminate Bedroom Az ��"�" �,;«'..`t+R -z$. E� �asY 3 — Y4„Yz,,.w.r+v``�.�'.��"�3�rAs* y •fix-'��3i�. �S.sl.w...�..t— �s:3t�*�,fea,'j� �' � � ��.. �'4 � _� �x�" r yam' � � �z•� a • , ` 11 • VA Awe t1 ��� �_-3'#'TS�r' µ AN t N cu m CD x cz co 15. { Q 4T _ C ui _ G � m� d m Proposed Right Elevation qz t x w Y � � ,�,,J .t" F k"',Y''- t`�`t;d'{, "�F. 'e � k� �•. � $'!�*'Ti�P' �.�,t�ac rrg gg5g E d RIM yppyf a ' s s s � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION nVINN OF B.- Map Parcel Application /'1 `l I I I- 8• ins Health Division !?!Ea . ' }`' ' Date Issued Conservation Division Application Fe Planning Dept. Permit Fee W1ST Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address S hwy S Village_ Co Tv Owner 09 I V Address Ss ( Telephone U33 l'Permit Request wl� CC U� Ir it'd Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No' On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing — new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Saw VIA Name [ Telephone Numbe�o Address om 1�3 License # (sq s�� OnA Home Improvement Contractor# w f 4 Email 3 ( C� Worker's Compensation # VIN 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE r FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED 4 MAP/PARCEL NO. ;f s ADDRESS VILLAGE OWNER t pE DATE OF INSPECTION: !, FOUNDATION 7r FRAME i� INSULATION r FIREPLACE ELECTRICAL: ROUGH FINAL '!' PLUMBING: ROUGH FINAL y GAS: ROUGH FINAL f FINAL BUILDING q q DATE CLOSED OUT t , {{ ASSOCIATION PLAN NO. it sS .J 17m Commonnwaith of-Massachusefts Deparftnmi of fidu.shial Accidents - Ojo ice OfInvestigafians 600 Wayh-higtow Street Boston,,MA 02111 wmv nass.goWdir>~ Workers' Compensafionln_saranceAlfiidavit:Builders!Contractors/FJectricianstRumbers Applicant Information Please,Print,LeeibFy Name(ksines Organi-zaliwdudividualy_ R fc"l Address: � Gitylstatrjzip: wC Phone 4-7 S 3 —LS Ic --—Are an employer?Checli�-tli!kapp opriate baz-.-_- -- ---- --Type of o'ect r . I am a contractor and I 1. I am a employer with 4 _ ❑ � 6_ ❑New constxucfiou employees(fog and/or part-trine}* have Direst the succors listed on t 2,El I am a sore proprietor orpartuor- the attached sheet` +- ❑Rem,adeliug shy and have noemployeesThese sob-contractors;have g_ ❑Detnralitiotl . working for me in any capacity. comp- and have vrorkers'iruvraIIce_I 9. ❑Building addition [No worlfers'camp_insurancep_ 5..❑ 'We area corporation and its 10_❑Electrical repairs or additions regc&ed 3.❑ I am a hamemarner doing all work of5rzrs have exercised their i l_.❑Plumbing repairs or additions MGL myself[No workers'OMT- right of 1(4), ndwe have 12_.❑Roof repairs insurance regnired_]F c_152,§1(4},anrl.we ha��e no employees_[No hem' 13_0 Other comp-insurance required-1 "may applicant that checks boa-91 most also fill out the secfioa below showing ibex efodkers'compevsIdOU Polley ME m„zc02 T Hnmeoawners who subnnt this affidavit Mdxst n g they asp doing all nncr sad then hug outside contractoes snr lcontnctors that check ties boa must smicbed an addidiooal sheet owwh6-the name of the sots- o-a and state whether or not those embties Have employees. lrthe mTa-<oatmctars have employees,they must provide their warkers'comp.policy nimmber. I am an employer that is pmtidirrg workers'conWnmLtinn irmirance for my,empIrryeas. BeIoty is thepoTicy an.d}ob site infotmatiqn. Insurance CompanyName: Policy tg or Self-ins-I1c.*-. v �J I� � (� Expiration Date: —:1 9 Job Sites Address: MS �twt�✓ � City/State/Zip: Affach a copy of the workers'compensation policy declaration page(showing the policy number and eiq*atiou date). Failure to secure coverage as required under Section 25A of M_GL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 andlor one year imlttisoriment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to S250.00 a day against the violator_ Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for inmxance coverage verification. Ida hereby c thertthe inform td-ian prariiW above is Inw and correct Phone# � © dal use only. Da not write in this area,to be completed by city or town officiaL City or Town:. PermitUcense# Issuing Authority(circle one): 1.Board of Health 2.ButTding Department 3.Citytromr Clerk 4.Electrical Inspector 5.Plum€bing.Inspeitor 6.Other Contact Persan: Phone#- 6 r 'Information and Instrucfions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an ernployee 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 Iocal 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 aixy applicant who has not produced acceptable evidence of compliance with the insurance.coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no emr loyees other than the members or partners, nt'are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required_ Be.advised that this affidavit maybe submitted to the Department of Indu,:trial Accidents for confirmation of insurance Coverage. AIso be sure to sign and date the affidavit. 'I1re affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be are that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant_ Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information (if necessary) and under"Job Site Address-the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture- (i.e.a dog license or permit to burn 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 Industual Aocide� Office ofkve�stigatio.us 600 Washtngtan Street Boston,MA 02111 del.i4 617-727-4900 W 406 or 1-977 MASSAFB Revised 4-24-07 Fax# 617-727-7749 www.mas&govldia Rightfax C2-2 2/10/2013 4::25:36 AM PAGE 2/002. Fax Server r _ — DAiE 1MMIQDJYYYYI- — CERTIFICATE-OF UAB'IUTY.INSURANCE - tf w CATE IS tWUE-D�AS A,Fn+eTT nr iEiSF.:i£2=-tA T_3.EaLi�ai»F2-trF _ '3-.'�'T i'?'t» 1��9. i;:IC TF."7.;%J[: THIS �_rERlr i}.ATG.Cff FCC y�f�iT 6C�Jii€5fiT7 8 faD 6tSJ"dYRlC3 V Ee 41R u.�r,.n Ri szs;: c F, �. �__ -.;fiasTis�w_�:-,yas POLICES�.OW. ISCERTyF#,n::=crr• REPRESENTATT-F C._ ^�R:At_": - OR IA G lli�� _—_ hili]�tl _ WS:r1iJ13RClJi-3l1C fl0.fL'�9 rim f..tl�t.LfC CT]IIVI.�� -1 I-T,.A�I0N JS:TiAfVED 1.�l�iY " 'otenivait®c ram, - -- - - '-_`x,�``.e:�v.�'�satconfartigh�sto - rKODUCIER Now- . - MURRAY A MCDON-41D INS. - fHONE FAX S aviACARTH'JR BLV.D = t!uC nto.Extk fAA4 No}; ' EdAAIL ilium- —14k M32`, naDrtEss 75NHN ;,.. n� dl ?AGE - AIAtC 9NSIJRERy5y3sFFf. ..-: %AIY STEYEN DBA ST T—W - F5`0- CONTSTRUMON I NSURER, PI P o_Box 443 FALMOLVrH,IviA 025410493; �;• r- -. PFRTAN:•.i[t€�u.sc>=_— �_. ,_,.,- ....-_,..._. -- — ..___. . _�-._. ._.__ -__ _ �S:-:6Y�116RY LIR dEN &� = �h L�t'3C'i.41 t"�R.�FS;Li �3:tii� � � � � � —..—•. ACC 3 WE!,E MaAlms e. { wron�aea= � E p ; g' ARY 4UTLY AtdtS1E0 P3d€ErS <- ,- c Fer,h sail ia,R"^""'ERIYDRA7PaE' r. - y 13 wr aCESitirtr DELI�r I E ` �.A NJYPR�E2t�remnonrcc ucM rl�,' .Is+�..� _ y y r —.. ..,3- _ '©�. - (tla�detory6..:R.'};` - CES:]f2�3�r..r DESCRIP7141f Gr iire :gig —- ErF WORB-=c .+nn-. -- 3_ _:D_els_:2.0 YM OT ACIF'E�gKADY;STEYFh_ _ CERTIEICATE:HOLDER.'_ cmicet TOI'A EEM' i90h1�`� T`? re 3 �A SEME SAN DMCH;.MA 025a, RD2'i. 5t? ). r :=-- ..=rt?mP_ri Qon�racu::icrar 'rlYEfESGrfSI.'+.JK[ 1�36-YUDUAldIF[i1LZ3KCVKftt[UiR Hitf� tstes Steven Kady Phone: 508-563-2515 Ma. Li censed Construction Supervisor#0 59847 Toll free: 800-567-9787 P.O. Box 493 Falmouth. Ma 02541 , Cell: 508-566-5087 . Fax: 508-563-2516 Email: skzx12r(a�aol.com www SteveKadyMason .com June 18, 2014 PROPOSAL Earlene MacDowell LL Site:545 Main St., Cotuit, M.A. 508-428-2633 774-338-9175 ' inkyern5gol.60m WORK TO BE PERFORMED: ® Construct ground staging Construct roof staging Remove gable end chimney,down to roof flashing Replace gable end chimney,from flashing up o Using Concord Blend brick,to match existing brick(as closely as possible) o With detailed crown Labor, material,disposal: *$4,300A0 *50% to schedule, balance due upon corn fp etion Ott In r n O o o p C" 3 W (D n S c In _ rD5 a N \ „ �►� n c �' rn Y iv c -s F 7 - �\ -(rN�/� -irk. N� (0 � ,,.'.{ ._ p= N �.'y ,� two '� • � i ,wrii¢.� i rN—• a .Z7 i. frC „�• , rl.• r °� I -Iq Cb VI fit\\' - .7 A) O r O CL Ci W ?. L2 (n m M C O.o t Q.(D I,, ri.y � � J TQo � I � 5 t -- — 1 I �ze ...-- y �i __ �Pomrir�w�iicv�o���Gaa�acuiaeG73 . ' Office of Consumer Affair$/&Business Regulation OME IMPROVEMENT CONTRACTOR egistration126014 Type.... Expiration r 4/8/2016 Individual STEVEN KADY i n I STEVEN KADY 4 , 10 ROCKLEDGE DR �. N. FALMOU'TH, MA 02556 Undersecretary g . Massachusetts _ Department of Public S Board of BuildingSafety . Regulations and Standards. Construction Supen-isor Specialty . License: CSSL-059847 W STEVEN L KADY PO BOX 493 FALMOU ~p TH MA 025"4 Commissioner Expiration . ,e 10/03/2014 Town of Barnstable *Permit# Q6076c)36 Expires-6 months from issue date Regulatory Services Fee ,5�15 DC� g Y tom. $ Thomas F. Geiler, Director 1639. ♦0 cam" Building Division Tom Perry, CBO,Building Commissioner 6 PERMIT I 200 Main Street Hyannis,MA 02601 www.town.bamstable.ma.us APR 17 2007 Office: 508-862-4038 TOWN OF BARNSTABLE, EXPRESS PERMIT APPLICATION - RESIDENTIAL. ONLY Not Valid without Red X-Press Imprint Map/Parcel Number 021/006 Property Address 545 Main St. Co4 y',+ ®Residential Value of Work $2,000.00 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Earlene McDowell r 82 Coolidge St Cotuit,MA 02635 Contractor's Name Lagadinos Building and Design Inc. Telephone Number 508428-4097 Home Improvement Contractor License#(if applicable) 104804 Construction Supervisor's License#(if applicable) 012653 ®Workman's Compensation Insurance Check one: I am a sole Proprietor am the Homeowner have Worker's Compensation insurance Insurance Company Name AIG Workman's Comp. Policy# 7483541 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ® Re-roof(stripping old shingles)All construction debris will be taken toCasella Waste Sandwich Re-roof(not stripping. Going over existing layers of roof) Re-side El Replacement Windows.U-Value (maximum.44) *Where required:Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. * * *Note Property own st sign Property Owner Letter of Permission. o e I provement License is required SIGNATURE: �A�\\ The Commonwealth of Massachusetts { Department of Industrial Accidents Office of Investigations 600 Washington Street ( Boston, MA 02111 www.mass.gov/dia _ Workers' Compensation Lnsurance Affidavit: Builders/Contractors/Electricians/Plumbers i Applicant Information - Please Print Legibly Name (Business/Organization/Individual): U'1 L - C I Address: 12, 1} �IC1V I L 1 � I City/State/Zip: CM l i 1'VIh} d?_%3S' Phone #: Are you an employer?Check the appropriate box: Type of project(required) 1:( I am a erriproyer with_1 0 4= ElI am a general contractor and.I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I'am a sole proprietor or partner- listed on the attached sheet. t 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity, workers' comp. insurance. 9. ❑ Building addition I [No workers'.comp. insurance 5. ❑. We are a corporation and its i 10.❑.Electrical repairs or additions required.] officers have exercised their. I 3.1:1 1 am a homeowner doing all work right of exemption per MGL 11.❑Plumbing repairs or additions f myself. [No workers' comp. C. 152,'§1(4);and we have no; l2 Roof repairs insurance required.] t employees: [No workers'. comp insurancerequired J 13 Other i 'Any.applicant that.checks box t#1 mustalso fill out the section below showing their workers compensation policy mfomtation. r t Homeowners who submit this affidavtfandtgppg they are doing all;work aad then hire.outside contractors must submu a new affidavit mdtcating.such. z Contractors that check this boic must attached an addttrorutl sheetshow.mg the name of the sub-eonttactors and then workers '-comp policy information r�s I am an employer that is provtduig workers'compensation insurance for my.empl,60 Below is the policy and job site tnformalicir u , ... r Insurance Company Name: FPVVM Ct:1V1 _T-A C r Yla`'j (gel �G Policy#or Setf-ins Lic. #.' ` Pyli lM ' 4 ,3,� Expiration Date:_1 2 �� j Job Site Address: / u� �' :s ) j City/State/Zip: �� Attach a copy of.the workers'compensation policy declaration page.(showing the policy number and expiration date): Failure to sec ure'coverage as required under ISection 25A of MGL c.. 152.can lead to the imposition of criminal penalties of a line up to,S 1.500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine i of up to S250.00'a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of I Investigations of the DIA for insurance coverage verification. l do hereb - tify ti der h pains and �nalties of perjury that the information provided above is true and correct. I Si(*riature: Date: ✓��'��'� G . . I Phone#: U 9 ZSS 1 Official use only. Do not write in this area, to be completed by city or to)vn official. jCity on Town: Permit/License# { Issuing.Authority(circle one): t 1. Board of Health 2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other jContact Person: Phone#: ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYYY) PRODUCER 04/17/2007 (506)428-6921 FAX (508)420-5406 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Leonard Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 7 Wianno Avenue HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR P 0 Box 494 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Osterville, MA 026SS INSURERS AFFORDING COVERAGE NAIC# INSURED Lagadi nos Bui 1 di ng & Design, Inc. INSURER A: National Grange Mutual Ins Co. 14788 13 Thankful Lane INSURER B: AIG XSB009 Cotult, MA 02635 INSURERC: INSURER D: 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 MAY BE ISSUED MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TTiERMS,EXC USIO SICH THISATE AN AND OFOSUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADVI. TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION GENERAL LIABILITY LIMITS MSB87460 01 01 2007 01/01/2008 EACH OCCURRENCE $ / / 1,000;000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ CLAIMS MADE M OCCUR S00,OOO A MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GENT AGGREGATE LIMIT APPLIES PER: POLICY PRO- PRODUCTS-COMP/OP AGG $ 2,000,000 JECT LOC AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT (Ea accident) $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY(Per person) $ HIRED AUTOS NON-OWNED INJURY WNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR D CLAIMS MADE AGGREGATE $ DEDUCTIBLE RETENTION $ WORKERS COMPENSATION AND WC8934483 01/02/2007 01/02/2008 we sraru- OTH- EMPLOYERS'LIABILITY B ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ SOO,OOO OFFICER/MEMBER EXCLUDED? If yes,describe under E.L.DISEASE-EA EMPLOYE4$ 500.000 SPECIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS wilder on Cape Cod. CERTIFICATEOLDER CANCELLAT ON SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of Barnstable BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 54S Main Street OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Cotult, MA 0263 S AUTHORIZED REPRESENTATIVE AUTHORIZED More /LEOSM1 Q -1y-A°,`� ACORD 26(2001/08) FAX: (S08)428-7709 ©ACORD CORPORATION 1988 ✓6e •Pomvrwrcurecz����xaaac�uise� . Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Reglstrat'ion: ''104804 Board of Building Regulations and Standards Expiration 7/T512008 One Ashburton Place Rm 1301 ype; Boston,Ma.02108 :°,=Private Corporation LAGADINOS BUILDINGS&'DESI.GN,�,INC Nicholas Lagadinoi .. - 13 Thankful Lane --Cotuit, MA 02635 _—` Deputy Administrator Not vali i ou stgna ure .~ ✓�ie 'L�omv�nanu�ea�.o�✓vCad�ac`iubelt.6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 012653 Expires: 07/16/2007 Tr.no: 316.0,. Restricted: 00 NICHOLAS A LAGADINOS _. 13 THANKFUL LANE COTUIT,:MA''02635 Commissioner; Y. .. .....-. .... .... .. ... .u. ; ... a .... r...... . ; .r °F Town of Barnstable EL Regulatory Services rThomas F.Geiler,Director $A 16g¢ pie �Eo Building Division 1 Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must _ 4 I� Complete and Sign This Section f If Using.A Builder �A YQeltie G 1)o iuL , as Owner of the subject property hereby,authorize to act on my behalf, ! in all matters relative to work authorized by this building permit application for: ( � (Address of Job) Signature of Owner Date. Do we ` Print Name f ; I I I i l i { Q:FORMS:OWNERPERMISSION 1 I to�. 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'ftF t' '4•*4 M r :4a �.. y'.� �..w�bsE.d' �r � rR `A { ' M 'Fr^`�'#.�`� W A :�;.`k ",yP .. `h v.: - '+x�ts4 r`r'S, '"�'. .m�} „'° acre-.-�,, s r # ��z,�;f r^ _.`'�� - # * :.�� ._ sr r`� `: ��,. uv-s � t..:�+wg "' _ `,t„ ,--,b�,�z, ,ten '�—'r"'—' `'" j "'i 'u `y- '== a § — `= i=>ARC, � "1 Oa ENDUSI-RLALACCIDE -5_ 600 WASHINGTON_STR=. a,nes �� ,, BOSTON, MASSACHUSEM 02111 WOR=RS' COM LNS.ATION nURA.NCE AFFIDAVIT Alecn=Jpc:n]irtee) with a principal place of business/residencc at: wee es�i -I ry-cc O? y (GryrSt:tJLp) , do hc:cbv ccrtir",✓, under the pains and penalties of perjury, that: [] 12m. zri employe:providing the following workers' compensation coverage for my emplovccs working or, job. (�SYti'VucLrzrnr� t5�1 MY\ Ills vwcA+0 Co Insurance Company Police Numbc: [] I a�:. a sole proprietor and have no one wor'Q'rg for me. f] I ar., a soft prcoreto ge�c: curt:Qaor or hom=wnc (three one; and have hired the ccnt.oc:crs listed be:_ who ha.c urc iollov„ng worxc:s :, =_:ion irs=1cc polic= Name of Contractor Inn:.rdnec Company/Poliey, Number Name of Contractor Insurance Company/Policy Number Nam: ea Contras or Insunncc Company/Policy Numbu Q I a�;: a homcortn c-performing all the work ryscl.: — --- _. 1\OTr..• Plcasc be aware t ::wirilc borcov+rc::woo e employ pe:se:s to d4 c:intenancc,tonstn:rior o:rcr:i:wt::L o� : dwc"Ir.z c'rot raorc; :n three unit: the bo=eoµze::lso ruiccs c:bathe grounds appu^en:nt trc:e;o :.c no:Eerc:: eersic::cc tc be a zplovers under tic�orocn' Cora,ens:voc A=(GL C 152,sec 1(5)), applie:tion by a bomcowne:for a lic ': evidence the Ieg21 st::.:s of a:erapiove:under t c 'orkeri Corpeasatioa Act. l ua :.- -• : eocv of this state:;cn:wii be ferw: c_ to&t DeY .....r.;orindusr:i:l Accidents'Office e'.r.su n:,c.- for CzVe::_ vcr IC:..,n znd t..z: .0 _ to sccurc crave. s rcc u::ccr 5cc :cn 25 s,c'MGL 152 cam•lc:'to ..c i:, cs;co I ofcc-u-- ccr.:isc 'A co:of up to S1500.00 c:uo to orc v=:;.rccYu pcn:i -_, in :fcr:^of: Or-'— cif j i 12 :, r:cc LiccaorlPc:rani„or DEPARTMENT OF PUBLIC SAFETY — e CONSTRUCTION SUPERVISOR LICENSE Nu@ber: Expires: Restricted To: 00 DAVID L NEWTON P0 BOX V 'FALMOUTH, CIA 02541 M ll� Restricted To: 00 I�ollarp to j;oreatrta a sesrr MAAaIRchatrovfv:Sflr" 00 - None t2belet!et 04C. «it r feavoeat IA - Masonry only 0 0,12! 1G - 1 &�2 f; &; oily owes 6YII \•t :r. l 1:: �J Sri _ 71 S: Y Sy i s a {t. HOMEh`I`MPROVEMENTt CONTRACTORS REGISTRATION, 0 � Board of Bulddin�g Regulations and Standards One :Ashburton' .P.;lace Room 1301 '; - i 4 ��t y _.. k 1 oston 'Massachusetts-- 0210�8,f HOME IMPROVEMENT CONTRACTORSqgtk ,* � r t Registration107888 ` Expzration 08/10/R6 Type PRIVATE CORPORATION 3 iMPROVEMENT CONTRACTOR ,; � � R:�4 � r :;� ^; �� _ < , �, I �. • �� R grstration_ 1O7S88 r ;: C H . Newton Builders , .Inc �, PRIVATE CORPORATION David t_ . Newton Ezpvation 08/10/96 549 Mazn Rd r � R. :West falmoutht MA, W-,F f02574r at u Iti ,x ,, s ` r' r C H`NewlonJBullde'rs Inc...r ..:,a "' q ` v. .t„ x. .�1:.t e� ..:;. r `i.- k.-:� �` ✓ r f �,.� �_., s s; t dx:;1.:r" 't '�' t �'ec,: � r `� _h�g 3' �.�z -c lji h,�'y�..s�¢�, a, Y' �y� �{�4 ) S� `d-��'r>v� r ? 7 s• - A _ 7.1 �/� e _� .��a{�l U.�l A Ne{�ton�'"�.,.. li {�, _Y C � 5e -t.. C (.ir!�J✓J`I.�O i / r -— t„rn: < �� • 4�'^ �/f'.f >� ..�Y'3 4 i �>y �: 9... ` tt - ry �-'k fl�59 .:,Main �Rd� x -�.P - r 3 f t i a a t l ADMINISjR1�TOR f 3s� w t t I • I Change m license or registration apphcarion. < Complete the.form below..(Print or Type) Send to the mailing address on the r` � f '� reverse side Mark reason for change z � � � � ��� 1} t:II '� :V ' .�Address ` ❑Renewal �`'- ❑Employment F'".�Lost Card ❑Other d Last First: Mid`G ry t ] � v t , 4 mP Y a Y) vC0 an fan , License or; tranbna valid for individual y x)9 ,. x use onl,..b ore_ xpuatlon date'.If found B ret rri t e As urton.Place Rm 1301 tl t 0 108 Mailing Address s 1 <, ! City ST -- ZIP e�{ {...r r .: ,�., <h, -"V, n. .. ss�d g t - -'.s - ,.� `:., it r:;. ,t « -s.`.5 •'-. - �a��= a °`.zt+w., r-.f m :gym 1'r x 5 t:'" '{,�f 'C,'s >..:• $'<i',4 .�a�'c. �b`i " � .�i- '$,_'. t s: - -sy� 1. k °` ; . . FV�Y-CA'TE. 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' J.{1 4 Fi t �; 3 - P J 4 + - }� k k, ++.ham"-. ?.a y he V� ;'� .In `Q '6c.,.',i r ,l. �"� ,"i rya y/�.. a q r t YJ* y�i`{.a �"`24 ": '«' 1 ,'.:� .'��� , ,a,t p i:�i a Y... `'` 6 " t t 7 .,{ , :Y , ��r'!6EATIfItAIf ;1°I& eBi.4iR4ld�PSg1�6bJlA31C3a3mAfitl9a9ffif r� £. � �i �&BeHC "ra2 y9�.�YliBmJ•F786�e4tbalsd73Ya_t3A.B3-5 : 4Yt�daadt7&i6§ty s , - . ` h 3 S#aIl;O A#Y' D:F T#£ ABbVE'DESCRIDFQ 'FIIICifs 0: %A x 4,IEf6 4, iUf iS Z. PIRVION DATE TWI-OF, Ty£ i$3DI1$'�D WHO VAL ;ilDUM'TO 1(AsG 20 � I !.' a GAYS:VUTTH� KOMI TO T#E-CUTIFICITI, 4ID�R #�A��t3 �O T#E WT,W ,, � A lF3AI TD'1,11I $t9S'h 107M' $KAie _I H$F #C ea ISATION DR LIABRUY 06� �� #,#Y CC) UPS# TXE tBJ*PAfY,. ITS WITS 6R 2EPAUMATIVES- t r1l#T 'JRITE' RffAr`�� -.. �_ r._ T o'er_-'' e p t i, - - k y .,,..,«s+Y+, is c -n 0 Ir-TIStfl131(' Sucz.: h 21uiis N11A 02601 Offioc: 5N-794-6227 a .. Par 508 775 3344 BWA&M9.00mmissioner Foroffice use only Permit no. Date AFFMAVIT ROME IMPROVF?dMCOATIRACPORLAW SUPPLBMENTTO PERMITAPK ICA-MM MGL c 142A requires that the"croonstruaioq aiiaations,renotatioq ICpar,modernimtioq eoav oq improvement. Temmml, demolition,or conmuc Lion of an addition to any 1=-c)dsting°waer ooc�pi� building containing at least one but not more than four dacIling units or to struetuses which a x adjacent to such residence or building be done by rrgistered contractors,,%zth certain excxptions,along with other Type of Work Est.Cost e Q 0 6 Address of Work: SAS S�-�l. CA �u 9swner Name: ��r►��1'�c Y�t��"DU�n�-Q� Date of Permit Application: a - , I hereby certify that: Rcgisuation is not required for the following rrzson(s): Work cxcludcd by 12w Job under S1.000 Building not owncr-oocupicd Omer pulling 40-M permit Votice is hereby gi.cn that: 1O\11'1QEEP.S PULLING 73-:EIR O wN PF-F,',-jT OP DEALT-:G v:11-H UI•'REGISTERED Co,,\ RACTORS FOR APPLICABLE HONEP✓pF.O�i'•�`i �:'OF1; DO 11-OT FA%E ACCESS TO Ter_ AT3R�,T10'`'FROGRh1,;OP GU�FA�7�'fLD L�DER l.;Gi c. 1<2�S SIG'\ED UNDER PENALTIES OF ERJI1 Y c 2^ 1\' or 2 F-m� \C) D2tc Conu-,co,r,rc Rcgisuation OR Date Owncr's name Assessor's Office(1st floor) Map / -1✓ot� /�6a Permit# '�. ,k EConservation Office Oth floor Date Issued ` Board of Health Ord floor) Engineering Dept. Ord floor) House# r Planning Dept. (Ist floor/School Admin.Bldg.): 'r Definitive Plan Approved by Planning_Board 19 (Applications processed 00-9:30 a.m. & 1:00-2:00 p.m.) TOWN OF BARNSTABLE " r Building Permit Application Proiect-Street Address SAS Yl�a��n S�r-c�' Village' illa e ire District Owner f Psf1e�� 1'Y1&C00 Uv-Q_\ 6 Address e3.� cw�lf 'ram co+u Telephone MA, Permit Request} '. rer6c4- SoASj ve �, �3 Cu,C-k re.�o in .0-YS &-t m� C\I\rL,y�N Zoning District Flood Plain Water Protection Lot Size Grandfathered Zoning Board of Appeals Authorization Recorded Current Use Proposed Use Construction Type ' Eaistine Information Dwelling Type: in le Famil Two famil Multi-family Age of structure lent C.l(ajesfS Basement type Historic House Finished Old Kings Highway Unfinished Number of Baths No. of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn gne Sheds Other Builder Information Name H �ACW_7oln_k�13AAef5 -TN e- Telephone number Address Spa West ( QR � 4 "WtA License# OZA G i'I 2 WeS r (`c�►v�ew rnaas �tS"1 Home Improvement Contractor# IG� Worker's Compensation # 0000 18�k4 5 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL-CONSTRUCTION DE JRJ!rTING FROM THIS PROJECT WILL BE TAKEN TO Project Cost 1 `� E/ Fee 1? T SIGNA DATE a-13-5 y BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T FOR OFFICE USE ONT.Y ADDRESS �^� .� i� 2li� ��ClG VILLAGE ±t OWNER !LC - DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL + FINAL BUILDING: �o DATE CLOSED OUT: ASSOCIATE PLAN NO. � � k I j ` { I 91?_/os Town of Barnstable *Permit# '�6t,,,53 Expires 6 months from issue date Regulatory Services Fee *3470 Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building CommissionerX-PRESS 11 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us S E P P (fir, Office: 508-862-4038 Fax R8-790-6230 TOWN 08FRR�NSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL O1�L'Y' Not Valid without Red X-Press Imprint Map/parcel Number Property Address (: fY5 A � Residential Value of Work 3t"a Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �bown.(, Contractor's Name� b"O:ei AL6 Telephone Numbe:�s) 80Z-Z yf Home Improvement Contractor License#(if applicable) /6/G 4?6017 Construction Supervisor's License#(if applicable) r` EW, orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ Ilam the Homeowner have Worker's Compensation Insurance Insurance Company Name 9102 Workman's Comp.Policy# (�� Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) EI-IRe-side Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. SIGNATURE: e49 ` Q:Forms:expmtrg Revise071405 oFtHE Town of Barnstable Regulatory Services • anxtvs'rns[.e. 9 MASS. $ Thomas F.Geiler,Director �A .i6;q �0 lFc 39 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 I, &MAAL- , as Owner of the subject property hereby authorize ! to act on my behalf, in all matters relative to work authorized by this building permit application for:(Address of Job) Signature of Owner Date &ham Print Name QTORMS:OWNERPERMISSION The Commonwealth of Massachusetts Department of1`ndustrial 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 Le •bl Name (Business/Organization/Individuan: Address: R4« _ . d SLR E*7 l W?Cit Phoney #: _ . Are you an employer? Check the-appropriate box:. Type of project(required):- am a employer with 4° 4. ❑ I.am a general contractor.and I 16. ❑New construction (employees (Inand/or part-time).* z have hired the sub-contractors 2. ] I am a sole proprietor or partner- listed on the attached sheet 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition..., working forme in any capacity. workers' comp.insurance. 9. ❑ Building addition (No workers' comp. insurance 5. ❑ We are a corporation and its 10.❑ Electrical repairs or.additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing 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 - comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information - ;:., `• t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such tContractors that check this box must attached an additional sheet showing the name of the sub-eont<aotors and their workers'comp:policy information. I am an employer that is providing workers'compensation insurance for my employees.•Below is the policy and job site information. Insurance-Company Name: Policy#or Self-ins.Lic.#: Expiration Dater Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Fafiure to,secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of dimulalpenalties 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 .p to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to.the Office of . Investigations of the DIA for insurance coverage verification. I do hereby certi unde the pains and p alties of perjury that the information provided above true and correct: Signature: Date:' Phone#: Official use only. Do not write in this area,to be completed by city,or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityrrown Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions. aP Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute, an employee is defined as"...every person in the service of another under any contract of hifre, express or implied,oral or written." An employer is defined a$ _an ind Oua1,.:Pa luershiP association, Farporationor other legal entity,or any two or more of the foregoing engaged in a Joint enterprise, and indhiaing the legal representatives of a deceased employer,or the' receiver or trustee of an individual,pa rtnership association or other legal entity,employing employees. Howev-er:the owner of a dwelling house having not more than three apartinents and who resides theiein; or.the occupant of the . dwelling house of another who employs persons to do maintenance, construction or repair woiknn such dwelling house nant thereto shall not because of such employment be deemed to be an employer." or on the grounds or building appurte . -, 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 toinmonwealth for any applicant who has not produced acceptable e0dence-of compliance with the insurance coverage required. " ter 7 states"Neither the commonwealth nor any of its political subdivisions shall Additionally,MGL chap §25C( ).. 152, 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 kinr situatio if Please fill out the workers' compensation affidavit completely,by checg the�on e with their s atapplyC to e(s of n and,necessary,supply sub-contractors)name(s),address(es) and phone numb O g � Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the insur ance. Limited t3' members or partners; are not required to carry workers' compensation insurance. If an LLC or LLP does have a olic is required. Be advised that this affidavit may be submitted to the Department of Industrial employees, p y 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 wor)sers' compensationpolicy,please call the Department at the number listed below.. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials . Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant ense number which will be used as a reference number. In addition,an applicant Please be sure to fill in the permit/hc that must submit multiple permitAicense applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under Job Site Address"llie applicant should write"all locations in (city or town)."A copy of the.affidavit that has been officially stamped or marked by the city or town may be provided to the on file for.future permits.or-liaenses..Anew affidavit must be filled out.each applicant as proof that a valid affidavit is year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would 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 Industdal.Accidents _ Office of jnVestigations .600-Washington•Street . Boston,MA 02.111.. Tel. #617-727-4900 ext 406 or•1-877-MASSAFE Fax#617-7274749 Revised 5-26-05 v�woy.mass.gov/dia -A I i3oar¢of:Suililing, eguiati�ns an t cas:darUs Hp1AE jjp OVEMENT CONTRACTOR • ft� 'ustz 38607 12007 CAPE CARPElJ. F lOAVID 46 PICKEREL FORESTDOLE,MA 02644 Administrator . f � r The Town of Barnstable Department of Health, Safety and Environmental Services i ., „�•E, : Building Division KAM , ,0�' 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph M.Crossen Fax: 508-790-6230 Building Commissioner Home Occupation Registration Date: t 3 -q I Name: I � Phone `7'��� ii � A village: -4� LL—t Address: 'GGJ MOM l�l t D2635 Type of Business: Rei / '_1� I '� P/Lot• /On(, INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • Tltere are no external alterations to the dwelling-which are not customary in residential building,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities• shall be met on the same lot containing the Customary Home • Any need for parking generated by such use Occupation,and not within the required fiout yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one ptcic up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to weed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation- 0 If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree.with the above restrictions for my home occupation'am registering: Applicanr. .. _ Date: —3-