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0820 MAIN STREET (COTUIT)
7w- - 82 0 l tlt+iAJ a U i' II7 9 'c SENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DELIVERY ■ Complete items 1,2,and 3. A. Signat ■ Print your name and address on the reverse X ❑Agent so that we can return the card to you.. ❑Addressee Receiv n Name) • Attach this card to the back of the mailpiece, B: by(Pd t a livery or on the front if space permits. 1,Article Addressed to: D. Is delivefy address di Brentq em 17„�am If YES,enter delivery addre�� lo0 us I 6 M5 3. Service Type ❑NO*Mail Express@ aI l Illlii III III I II II I II I IIII I I I I III I I I I I I ❑Adult Signature ❑Registered MellTM [3 Adult Signature Restricted Delivery ❑Registered Mail Restricted ❑Certified Mail® Delivery b r 9590 9402 1934 6123 0975 55 O Certified Mail Restricted Delivery O_ Return Recelpt for ❑Collect on Delivery Merchandise 2.Article Number(transfer from seNlce latiag p Collect on Delivery Restricted Delivery ❑Signature ConfinriatlonTM 7 0'15' ]7 3 0 0 0 F 4�9 9'0 l 3 6`2 2 �_, Mail Restricted Delivery �❑Restricted Confirmation ei very PS Form 3811,July 2015.PSN 7530-02-000-9053 ` Domestic Return Receipt.ar USPS TRACKING# First-Class Mail Postage&Fees Paid USPS Permit No.G-10 9590 9402 1934 6123 0975 55 United States •Sender:Please print your name,address,and ZIP+4®in this box• Postal Service f-hl WA 1, ►I� � oa coo 1 k?I I% y }t1r;11�1I�111I�i111aii�11'III'i1l�11�„f11I�,I�11f,fgl11 oil►111111 Town of Barnstable Building ' PostThi Card S . �+ u; �i o That it is- �sible Fromthe Street A roved Plans;Must'hp Retain were. i„ �, ed b d s M t ,v .,,. :, , °° Pp :, nJoan iCard SUS ept Q th be K Made .,, t. r 61 Posted'Until Final Inspection Has,Been' . ,,o.,h�,f, ; �, n aai.0 ti ., n,ivi i s, a�i4Ala°, 4'. +..., i. r ia:, ,,u M kl9 r.,�_�,. .v,.ruvva,,:;..'' .,,! .#.:'S.� :, .,..., .,..,;........, _ .� ,�, ., ...,.: ;,«.. �` Where aaCertificate of Occupancy is,Required,;such'.BUB i shall Notfie Occupied:until a:Final�lnspection has been made t w Permit 3 ::- Permit No. B-18-2290 Applicant Name: CAPE COD INSULATION, INC Approvals Date Issued`: 07/18/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 01/18/2019 Foundation: Location: 820 MAIN STREET(COTUIT),COTUIT Map/Lot: 035-070 Zoning District: RF Sheathing: Owner on Record: DEVLIN,STEPHEN J&LORRI A Contractor Name ,CAPE COD INSULATION, INC Framing: 1 gam. ,. m` �.�� •. .N .'. •. Address: 820 MAIN STREET Contractor License :153567 2 COTUIT, MA 02635 yEst Project Cost: $5,800.00 Chimney: � Description: Weatherization Kermit Fee: $85.00 Insulation: Project Review Req: * Fee Paid;" $85.00 _ ) Date , 7/18/2018 Final: Plumbing/Gas Rough Plumbing: 1?7 Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six months aftefiissuance. �wt Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and st ructures shall be in compliance with the local zoning by laws and codes. Final Gas:. This permit shall be displayed in a location clearly visible from access street or`road and shall be maintained open for public inspection for the entire duration of the l . work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Build ga Ols areprovidedonthi �permit.n fca Service: Minimum of Five Call Inspections Required for All Construction Work: - p ; 5 1.Foundation or Footing n ># Rough: 2.Sheathing Inspection ILZy 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection_ S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy ^,r/(� Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. v Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel BUILD Application # a Health Division Date Issued Conservation Division Vt 1 7? Application Fee Planning Dept. TOVVti O;- Permit Fee •V Date Definitive Plan Approved by Planning Board �� Historic - OKH _ Preservation/Hyannis Project Street Address YZl) Me91ZI S�' Village , �&n.,)/ V- Owner ,f® / V&-✓ f re Address Telephone Permit Request Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 8�d, Construction Type;za A4 T%D. --4 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 EMo On Old King's Highway: ❑Yes.-'No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas . ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use __. APPLICANT INFORMATION - (BUILDER OR HOMEOWNER) Name O,J P? .sil�/a Telephone Number .f' 7 2 Address / Z�19�®,gp License # /U6 .9 ®?�z Home Improvement Contractor# Email 14,4f / (F �,� i Worker's Compensation # 4� 1- /9 v3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # ,w DATE ISSUED s MAP/ PARCEL NO. i ADDRESS VILLAGE .� OWNER DATE OF INSPECTION: 'u FOUNDATION h FRAME INSULATION FIREPLACE V ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING F' I � Ip DATE CLOSED OUT ASSOCIATION PLAN NO. f Permit Authorization mass save Form SVVUW UVMMhene*6!~Cncy Site ID: 3400643 Customer: Lord Devlin C Wu , ` �.J ,owner of the.property located at: (Owner's Name,printed) 820 Main Street Cotuit, MA 02635 (Property Street Address) (Ctty) hereby authorize the Mass Save Home Energy Services Program assigned Participating Contractor listed below to act on my behalf and obtain a building permit to perform insulation and/or weatherization work on my property. Owner's Signature: Date: v 0000ee0000eesre+�oaaitea00000eaeeeeoeaeoaaaasaasaeoaasaa+�aoaaaoseeaooao FOR.OFFICE USE ONLY We have assigned the following Mass Save Home Energy Services Participating Contractor to the above referenced project: I � Participating Contractor Date Name: RISE Engineering Phone: 401-784-3700 Email: For Office Use Only Rev.102015 r pow The ComMortWOA Ofuassaollusetts ' De�art�neni of XndustrralAooldeitts r Congress sereetr Sulle 100 Bost on, 112'A 021142 0 rr www�mass��ov/dda 11rot�kers+ Compensation Ynsuranoe AftldaYitl;,Bu lid erslCont:raotors/ZIectriclans�Pl,umbers, TO BB PILUD WITH THE . 1'�RM*I'I!�'I� , AppllunjhC a�11'C�ORI'I?Y, Name (gus!Hass/OrganlzeHon/individuaa)! COd YnSUlaC1Ot1 address! 18 Reardon Circle Clty/State/zlpc South Yarmcuth,MA 02$$4 Phone #; 508r776.1214 an yov A4 imployerf CEiO tht Ipproprimtt bort _ 1,01 tins employer with 48 employtcs(Nli tnd/orpdrt•lirne),� 'I"ype of proJeot (requlrad) t,❑I a pole proprf ator or partnership and haye no employees working forme In 7� ❑ New oonstruodon 6ny 00pep11y,Noworkvil oomp, lnsurdrtioe rolvlrpd,l 8, ❑ �temodel.ing S❑I em a homeowner doing nil work tnysalr,-(No workers'oomp, Insuranoe requlrtd,)1 9, ❑ Demolition un a homeowner end will bt h*1 eontravton to oonduot all work on m ro e eniu�r wtt 011 oonaaotors ether heve workers'oomptnseklon lnsurenoe or dre sole t veil! 14 ❑ Buildlp$ addition propritlorswlUt no an+ployess, I I,[] (ootrlaal repairs or addltl pnsrel oontreotor and I haye hired the sub,00ntre4ton listed on the atteohed sheet, 12'❑Plumbing ropalrs or addltl Nioi0 4ontrwton htye employt4l and heye worktrsl poznp,insuenot,t 13'C]Roof repairs 6,❑We ue t aarpoMon end Ica Mom haye exeroisad their right orrxempdon per MOB o, ��,, end we htye no employees, (No worktn'oomp, insurnnoe required,) I t=y Olher ',Neathet•lzatior +Any►ppl 4tnl V�bl b�eaka x I must also AI out e seot on be ow show ng their workere� oompensetion polloy Informetlon, 1 Homeownsn why submfi`�101dmyll Indlaating theeyy In doing dJl work mnd then hiro ovtelde oontraotora must submi tContraotnrs Vut oheok this Eox mw.t attaohad en eddidontl shoe!showing Use Herne of the sub.4ontreat4rs and state w employees, Irthe roylde!heir worktrs' Ifo numbe sub�conts�oton h4ye , to tee thry moat oom , r, t m Haw aPfideyit lndlpsttng suph . , 1 am a� employer t�a1 is providing w'Orkers+ oo Nether or no►►hose tntitles have irtformaRo>G mpenrallon ln,ruranoe for�,y ar»pleyee,r, g¢tow is the poltey and Job sire lnsuraboaCompanyNamel Atlantic Charter " Poiloy�or self lns, �lo, �I WCE004 31902 xplration Date 0$130/201ad . Job Slte Address; o S� ��, ✓ � .,._._, Attach a copyofthe'workersr oompcnsatloa policy declaration page (sEaowl�I /bState/Zlpl "'a z Y.S Fallura to seoura ooVerage as requlrad under MOL o, e policy member and expiration da, ti arjdlor.oneyear Imprisonment, as wall as olyll penalties InM cis a criminal ylo►atlon punishable by a tlne u to $I 600,0 day egalnst the violator, A copy of this stat.em�nt may be forwardedtf the O oa O yO�SR and a fine of up p to S2 m oovorage Yorl oatlon, stigatlons of the DLA for Insuran� 1 do 1►ereby op nd4r t! e p ns and p¢n�tjes o fper�ury thO the Irformatlon pravlded a r 1,kJ y,1,,",�,�M1MY4NW4WW'W�Wµ�,y�y w,M Bove fs true and eorreq� 01'Mal use only, Do not write In tlrf,t need, to be Completed by olty or town o " JYI of aG Clay or Town Issuln>;Author! ( r ) PermftlLicense � I,Board ofealth 2 Bulidltg bepartment 6, Other 3, Cltyt�'own 0 1 er4t 4, �Ieotrloa! Inspaeto>f Si plumbing Cns,peetor Contact Person! y� __-. ")iAM. 1 CAPECOD-27 AMAHLE DATE(MMIDD/YYYY) CERTIFICATE OF LIABILITY INSURANCE F06/05/2018 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(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder In lieu of such endorsements. PRODUCER C ACT 434 Rte 1�34ray Insurance Agency,Inc. A/C,No,EXt; ac,No:(877)816-2166 South Dennis,MA 02660 5-pmpAgliss:mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC# INSURER A:West American Insurance Company 44393 INSURED INSURERB:Safety Indemnity Insurance Company 33618 Cape Cod Insulation,Inc. INSURER C:Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSURER D:Atlantic Charter Insurance Com an 44326 South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR NSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP POLICY NUMBERDfYYYYI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE a OCCUR BKW(19)53328281 04/01/2018 04/01/2019 DA MAGE TSESO RENTED 100,000 occurrence) $ MED EXP(Any one arson 5,000 PERSONAL&ADV INJURY 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERALAGGREGATE 21000,000 X POLICY❑jpeT LOO PRODUCTS-COMP/OPAGG 2,000,000 X see holder descrip of operations OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 11000,000 ANY AUTO 6232707 04/01/2018 04/01/2019 BODILY INJURY Per arson OWNED SCHEDULED AUTOS ONLY X AUUTOSSwNEp BODILY INJURY Per accident $ X AUTOS ONLY X AUTOS ONLY PRe�accitlent AMAGE $ C UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB CLAIMS-MADE EXCI0006635003 04/01/2018 04/01/2019 AGGREGATE $ 2,000,000 DED I I RETENTION$ D WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY WCE00431903 06/30/2018 06/30/2019TATUTE ANY PROPRIETOR/PARTNER/EXECUTIVE YIN 1,000 000 OFFICER/MEMBER EXCLUDED9 NIA E.L.EACH ACCIDENT (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 11000,000 If es,describe under DES RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (ACORD 101,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. Excess Liability is follow form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED-REPRESENTATIVE -E`P RIESEN TATI V E ACORD 25(2016/03) ©1988-2015 ACORD CORPORATION. All rights reserved. +> w V . i ® Commonwealth of Massachusetts Division of Professional Licensure -Board of Building Regulations and Standards Cons�kvtr�liarvisor CS-100988 �J d Ires: 11/11/2019 'Z. A'x HENRY E CASSIDy.01 ' 8 SHED ROW WEST YARMO�Tfi MA`�0 6T3 � • 't'Cl{�-t_t01�J _ Commissioner CL Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Ma , brrusetts 02116 Home Improveme.-Voefltractor Registration Ca �.' r� ll Type: Corporation pe Cod Insulation, Inc „ � (.: Registration; 153587 Expiration: 12/14/2018 18 Reardon Circle t l/ 0� So. Yarmouth, MA 02664 T: ;CAJ 0 2OM•06r11 Update Address and return card. Mark reason for change, s!C.axc±.... VftO �pome�ncavctue2GG/6o�Q/VLt[Odtar�tulellJ• r•,•� Office of Consumer Affairs&Business Regulation 11-- HOME IMPROVEMENT CONTRACTOR Type: Corporation Registration valid for Individual use only i $S91SL @t14D before the expiration date, If fours urn to: ria;t:` Offlce of Conaumer Affairs and sl $s Regulation :—' t;1�LG667 12/1 4/ g 10 Park Plaza• e 5170...... ; Boston,MA. 11 Cape Cod In sulatf6l Henry Cassidy `_ s ; 18 Reardon So,Yarmouth, Undersecretary t al hout sf atu Postal CERTIFIED o RECEIPT N •. Only f1J 'm For delivery information,visit ouir�site at www.usps.com". 0 OFFICIAL USE iEr Certified Mail FeeEr N(S ! Extra Services&Fees(check box,add fee as appropriate) �p,}'• .9 - ' ❑Return Receipt(hardcopy) $- ry,� p C ❑Return Receipt(electronic) $ (�`Postmark tJ ti 1:3 ❑Certified Mail Restricted Delivery $ re - Q ❑Adult Signature Required $ ❑Adult Signature Restricted Delivery$ m Postage ,p� I� Total Postage and Fees $ ��r_j Sent To r e ore V, 3freet V I VI 0 ...a. A%it nd --PAY$-ox---N-o ��------------ -- -- No., I.1 y Siry State,ZIP+A� . ............... PS Form 3800,April 2015r r rr,.r TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map V 3` 0 Parcel ' Application *:90 Health Division Date Issued tP t Conservation Division 'Q� 'Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address U & AI W Village Owner � Address �YY1_Pi Telephone 6 6C6 G Permit Request 3 100� CG r ��L P bL 'h.-Eh__ t I - ".��fi 1�►C ✓�'1�'bti �-�C�gC ., ��1/L�in-El-'�' (Jx_��T I�.IC �!!®� ��� 2000 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation I a Construction Type= Lot Size o 6 �(fLe�f Grandfathered: ❑Yes ❑ No If yes, attach supporting docume'Ptation. Dwelling Type: Single Family. Two Family ❑ Multi-Family # units) Age of Existing Structure 0 &ro Historic House: ❑Yes o On Old King's Highway: -0 Yes, ❑ No ' Basem�t Type: ❑ Full Ell Crawl ❑Walkout ❑Other -- Basement Finished Area (sq.ft.) / /A Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing Dew Total Room Count (not inc ding baths): existing new First Floor Room Count Heat Type and�FFuu Gas ❑ Oil ❑ Electric ❑ Other Central Air: �'1' s ❑ N F' / es o fireplaces. Existing New � Existing wood/coal stove: ❑Yes �O Detached garage: ❑ existing ❑ new size—Pool: ❑existing ❑ new size _ Barn: ❑existing 0 new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeal!�N ❑ est 'zation ❑ Appeal # Recorded ❑Commercial Y o If yes, site plan review# Current Use 11 fiu(l u I Proposed Use S APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name W-UV ya,4 ti Telephone Number ya �� 6~ 00 Address On 4,1 License # ,CT1� �1 lS Home Improvement Contractor# �- Worker's Compensation #, 0 11010 IZO ALL CONSTRUCTION DEBRIS �,�RESULTING FROM THIS PROJECT WILL BE TAKEN TO ��C n SIGNATURE DATE 3 1 Z FOR OFFICIAL USE ONLY APPLICATION# rw DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER A DATE OF INSPECTION: FOUNDATION FRAME INSULATION(�124jl'L FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 4 DATE CLOSED OUT 4' ASSOCIATION PLAN NO:' 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 c Please Print Legibly Name(Business/Organization/Individual): Address: U,6 City/State/Zip: C ow)T o2— A&7 Phone#: Are an employer?Check the appropriate bog: 4. I am a general contractor and I Type of project(required). 1. era am a employer with_ �/ ❑ g 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. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' $ 9. ❑Building addition [No workers'comp.insurance comp.insurance. airs or additions repairs required.] 5. ❑ We are a corporation and its 10.❑ P officers have exercised their 11. Plumbin re or additions 3.❑ I am a homeowner doing all work ❑ g P� myself. [No workers'comp. right of exemption per MGL 12.❑Roofrepairs insurance required.]t c. 152, §1(4),and we have no 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. :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 thepolicy and job site information. Insurance Company Name: S v Policy#or Self-ins.Lic.#: W O I Cie,C} i Expiration Date: Job Site Address: rh/4,J . CUM T- City/State/Zip: W)US 6-1 Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL a 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under le pains and penalties i!#uiy that the information provided above is true and correct Si ature: Date: 31D Z. Phone#: Official use only. Do not write in this area,to be completed by city or town gfj`icia[ City or Town: Permit/lacease# 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#: I 2CENTRALCA ACOM, INSURANCE BINDER DATE 105/17/12 THIS BINDER IS A TEMPORARY INSURANCE CONTRACT, SUBJECT TO THE CONDITIONS SHOWN ON THE,REVERSE SIDE OF THIS FORM. PRODUCER IPHONE SOH-77S-162O COMPANY BINDER A/C No Ext No. 5087781218 Associated Employers insurance Comp WCC50091990120 Dowling&O'Neil DATE EFFECTIVE TIME DATE TIME Insurance Agency X AM X ,zDi AM 973 lyannough Rd., PO Box 1990. 05/14/12 12:01 PM 05/14/13 woow Hyannis, MA 02601 L I THIS BINDER IS ISSUED TO EXTEND COVERAGE IN THE ABOVE NAMED COMPANY CODE: SUB CODE: PER EXPIRING POLICY#: AGENCY CUSTOMER to: 38438 DESCRIPTION OF OPERATIONS/VEHICLES/PROPERTY(Including Location) INSURED Central Cape Construction,Inc. Loc#1:820 Main Street,Cotuit,MA 820 Main Street 02635 Cotuit,MA 02635 COVERAGES LIMITS TYPE OF INSURANCE COVERAGEIFORMS DEDUCTIBLE COINS% AMOUNT PROPERTY CAUSES OF LOSS BASIC BROAD❑SPEC GENERAL LIABILITY EACH OCCURRENCE $. COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES $ CLAIMS MADE OCCUR MED EXP(Any one person) $ PERSONAL$ADV INJURY $ GENERAL AGGREGATE $ RETRO DATE FOR CLAIMS MADE: PRODUCTS-COMP/OP AGG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per acddent) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS MEDICAL PAYMENTS $ NON-OWNED AUTOS PERSONAL INJURY PROT $ UNINSURED MOTORIST $ $ AUTO PHYSICAL DAMAGE DEDUCTIBLE ALL VEHICLES SCHEDULED VEHICLES ACTUAL CASH VALUE COLLISION: STATED AMOUNT $ - OTHER THAN COL: OTHER GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE S OTHER THAN UMBRELLA FORM RETRO DATE FOR(MAIMS MADE: SELF-INSURED RETENTION S X I WC STATUTORY LIMITS WORKER'S COMPENSATION E.L.EACH ACCIDENT $500,000 AN EMPLOYER'S LIABILITY E.L.DISEASE-EA EMPLOYEE $500,000 See Spec.Conditions/Other Coverages E.L.DISEASE-POLICY LIMIT S 500,000 SPECIAL . Central Cape Construction,Inc.. - FEES $ CONDITIONS/ OTHER TAXES $ COVERAGES ``See attached Spec Conditions/Other Covs e P page.) ESTIMATED TOTAL PREMIUM $1 NAME&ADDRESS MORTGAGEE ADDITIONAL INSURED LOSS PAYEE LOAN# AUTHORIZED R§PRESENTATIVE ACORD 75(2001101)1 of 3 #34126 NOTE:IMPORTANT STATE INFORMATION ON REVERSE SIDE KJM 0 ACORD CORPORATION 1993 BARPMANA 9. Town of Barnstable Regulatory Services Thomas F.Geller,Director Building Division Thomas Perry,CBO 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 L S CA) ud�'l�l Ihi ,as Owner of the subject property hereby authorize N L-1 d h% to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) G--J t� Signature of ner Date S Tf� 4 0-1 l7y ij ' Print Name If Property Owner is applying for permit;please complete the Homeowners License Exemption Form on the reverse side. ` t * C:\Usm\decolfik\AppData\Lor-ai\kficrosoft\Windows\Tcmpoiary Intemet Files\Content.Oudook\DDV87AAZ\EXPRESS.doc Revised 072110 1 91te -CommowalealA 0 Office of Consumer,Affairs and Business Regulation 10 Park Plaza- Suite 5170 a Boston, Massacl setts 02116 Home Improvement for Registration Registration: 131941 ' ----- Type: Private Corporation a s == Expiration: W2&2012 Ta# 2M11 CENTRAL CAPE CONSTRUCTIO STEPHEN DEVLIN �" 820 MAIN ST. . COTUIT, MA02635 3E ` Update Address Address and return card.Mark reason for change. __- Address ❑ Reaewal Employment ® Lost Card )PS-CA1 S 501d-04M"101216 Office�f oAl "flil iBttgi t License or registration valid for individul use only . HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: . Registration: ,,131841 Type: Office of Consumer Affairs and Business Regulation Expiration: 62012 Private Corporation 10 Park Plaza-Suite 5170 Boston;MA 02116 WLCAPE NCO.INC. , STEPHEN DEVUI O t_. J $20 MAIN 5T -' ' - COTUIT,MA 02(i35`'c i:K=i✓Y fl' - �� .,. Undersecretary of v id without signature Massachusetts-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor License:CS-047993 M i 1:S /lea, STEPHl1N J no Wm W. CotWt MA o u35 Expiration Commissioner 02t KIM4 - r it_.. Y GC," ,I - w N _ - 1 PREPARED 'FOR Ili r�l,� • FFF�----- 71 T Central Construction Company, Irn � i 1 { e Devlin r Sav I i . redmt ._.".j 261 Blackthorn Orin•Marstans A411s,MA 02698.508-420-1340 - 1 t --_--�-�.r, / SCALE 0 r DATE 7( (•' %b 1 DWG NO. DESIGN CHECK C' DRAWN ^', JOB NO. SHEET OF TITLE 0 . --U 'I cJ-cl, Ld �0_11 _._ IBC t V.T(e, r V I PREPARED FOR > I i ce.c s 4e I i I i i- :iGf -61�, r : 1 , — ----- ;- ; Central Construction Company, Inc.* ,._..4:5--- n c s Steve Devlin•President _ —! -- — "The Excitement is Building" 820 Main Street•Cotuit,MA•508-420-1340 - PROJECT TITLE C:3,1 P�tJo-' !TLC. �Uii.:.rc:1t,5 • \ CIS t. .. ,��s - ��.b• ft.ifr.� L j� f -- --- �J -- : U C3f �7�.1.,.__I ,i.�, i'�� '.! j• 1• f •lS L, �A � PP.EPARED FOR r I Central Construction Company,Inc. . r 5'leve,Devlin•Prexidcnl j "The F.rciannenl is Building" 820 Main Street•Cottut MA•508-420-1340 e-mad rrnlralrensrnctwnan�gmad.com Website_wvvw.c:entr,:icapecunst;uction.com I SCALE IS = 1 t 0 I i -•-_._._._ ____._— DATE DWG N0. DESIGN �— DRAWN -- I U.. i i i I 57, OJ kv to O(M .u"I 16' (lien. PREPARE FOR {" AA C, r Z.`f C GG r_c �1 t/ 1.r.C Y,, ga aa j,C Ceniml Construthon Company,A c. - _-"---,_ .._ ._ ._ .` .._.. . .. .... Sieve Devlin•President .__. ..• ...__.__ ._ �-- � .. .„ t S d—L -re_r.t.,,� �h3 "The Exc/tenren!ls Building" �, • - 820 Maln Street•Cotuit,MA•508-420-1940 I� e-mull:centraln�)ristructlonco@Omall.com Webalte:www.centr cn aleaoenstructlon.00m ..f VL- /-NBC^� �o OfL ��R_�_t-Z__._.�Uiyh t"::Q SCALE 0 DATE _ 1 3!f `zT DWG NO. DEStGN_. Tc �. CHECK DRAWN JOA•NO SHEET Qr PROJECT TITLE t -- I - `14 6(1.) T; ly - 4 I � � -�� :�l i ll,!�I ���ku, j�•I! _ 11 117 � 1 tl I f 1 If if 1 ( t� .,_ Ott hIJ j I i C f ,ll 1 j Irt Z Curt ' t— , I J PREPARED FOR . �I} - I Central Con tion Company, Inc jf�-------------------'—_.. .�� _ 3 � Steve Devlin•Pretvdrnt I. 261 Blackthorn Drive•Moistens A611s,MA 02648.508420-1340 • I � r. SCALE =J J L.rmJ r. DATE l DESIGN D CHECK DRAWN a._ ...,. . JOB NO. SHEET. OF PROJECT TITLE q-- I I\ ~" y CIFt,0),�,'( i L) _ I ri I i w•� PREPARED FOR. r nxc m —I III I .. _. ._.. ._. _ _ -,°,�sr•�., �` I;, .mac. I Central Construction Company, Inc. Steve Devlin•President 261 Blacklhom Drive•Marston Mills,MA 02648.508-420.1340 .. 1)2 o,r { o l f.-ten IC r)_,,J i•'7, ,,;,ti I� _ - .. _. SCALE i/ r F�_"ZiL':cUS�JiI nl.r,'T�,, Il�r� _ 1 I DATE - DWG NO. DESIGN . D i•:..:_: CHECK r,6 6 DRAWN JOB NO., r SHEET OF. 1. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION_,. Map 1 3 d' .d Parcel 6 �(��d rj .Application # �oq 11 1" Health Division Date Issued Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board qv Historic - OKH _ Preservation/Hyannis ; Project Street Address Z?.o Vh&ru . 7 Village C0:1]L4 T Owner - Address 6'1 ,' Telephone r 7: ;.,66`6o Permit Request VK4110;I A016 ITteiry �✓ i edli IA Gam, I P ll�r►�/S ��r���� . .. , Square feet: 1 st floor: existing proposed 2nd floor: existing '72 o proposed_Total new Zoning District F Flood Plain Groundwater Overlay Project Valuation X61 600 Construction Type UJXp F-TCA .e Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ®' Two Family ❑ Multi-Family (# its) Age of Existing Structure Lf Historic House: ❑Yes C'YNo On Old King's Highway: ❑ Y Yes No Basement Type: ❑ Full YCrawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new 0 Number of Bedrooms: 2- existing f new Total Room Count (not including baths): existing 6 new 2 First Floor Room.Count 6 Heat Type and F J Gas ❑ Oil ❑ Electric ❑ Other Central Air: Yes ❑ No Fireplaces: Existing J—New 0 Existing wood/coal stov ❑Yes ❑ No Detached garage: ❑ existing ❑ size—Pool: ❑ existing ❑ new size _ Barn: ❑ 6i:'sting �ew,�size_ 40 Attached garage: ❑ existing new size _Shed: ❑ existing ❑ new size _ Other: N- -n 2M)L24 Zoning Board of Appeals A orization ❑ Appeal # Recorded ❑ o Commercial ❑Yes No If yes, site plan review# all Current Use /bYyTTLQ I R*9m� Proposed Use 64n it,., - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 7--( 19 V . Telephone Number \'Or -T) 6 �cx� Address n,o U.I License# O l Ul:r Vvvj�5 S 0 Zt; Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO (e�Se(/� Cv�$ h�i,j SIGNATURE DATE 6 0 5 FOR OFFICIAL USE ONLY I 4 APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER 'r i DATE OF INSPECTION: F � 4 t FOUNDATION FRAME 4 INSULATION 1 r FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL E GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. E The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations, * 600 Washington Street Boston, MA 02111 4 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): 00-7�!le pfA) C VL-)p Address: Vn t o t es C OM r City/Scat Zip: c i T Phone.#: Sd r r? 6 6C6'U AVlo�arn n employer? Check the appropriate box: Type of project(required): 1. a employer with 4. ❑ I am a general contractor and I - 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.0 I am a sole prpprietor or'partner-' listed on the-attached sheet. T. ❑ Remodeling ship and have no employees These sub-contractors have 8.'❑ Demolition workingfor me in an capacity. employees and have workers' Y P tY• $ 9. ❑,Building addition [No workers'-comp.insurance comp. insurance. required] 10.0 Elect 5. ❑ We are a corporation and its Electrical repairs or additions -°.3.❑ I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no 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 a�davit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the subcontractors have employees,they must provide their workers'comp.policy number. Iam an employer that is providing workers'compensation insurance for my employees Below is the policy andjob site information. - ll Insurance Company Name: C hf fl L,CS (Za►/[� INS — Policy#or Self-ins. Lic.#: 1 O n'1 W C 6 xpiration Date: Job Site Address: Z (G II 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 crimirial penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day.against the violator. Be advised that a copy of this statement may be forwarded to the'Office of Investigations of the DIA for insurance coverage verification_ I do hereby certify under pains andrpe of perjury that the information provided above is true and correct Signature: / Date: Phone#: Official use only. Uo not write in this area,to be completed by city or town official .City or Town: Pertnit/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#: . Information and Instructions 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 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 tiustee of an individual,partnership,association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." 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 com-pda ir- a the insur-ice 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 con&actor(s)name(s),addresses)andphone numbers) along with their certificates)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Deparment of Industrial Accidents. Should you bave 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-insuranre 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 Please be sure to fill in the permitfticense number which will be used as a reference number. In 2ddru�n,an ppf.:c-nt 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 lie.a dog license of permit to bum leaves etc.)said person is NOT required to complete this affidavit The Office of Investigations would lice 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 C6mmonwea1th of Massachusetts Deputment of lndustri&Accidents Office of Investigations, 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727=7749 .evised 11-22-06 ' www.mass.gov/dia 02/03/2009 15:43 15086561499 PAGE 01/01 DATE(MMIDOIYWY) ACORP. CERTIFICATE OF LIABILITY INSURANCE 1 2s 200� PAODUoE11 (508)656-1400 FAX: (508) 656-1499 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Charles River Ins. Srokexage, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 5 Whittier Street ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, 4th Floor Framin loam MA 01703, .p INSURERS AFFORDING COVERAGE NAIC# INsuREa INSURER A A.10 32220 Central Conetruction Co, Inc. wsuReR B;Travelers Ins. Co. 820 Main Street INSURER0: INSU R D: Cotuit MA 02635 INSURERE: AGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTIMTHVANDING 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, INSR ACD'L 'is CLAIMS.- POLICY E POLICY EXPIRATION OF INSURANCE Pp1.ICY NUMBER DA E MID MMID GENERAL LIABILITY S 2,000,000 X COMMERCIAL GENERALLIAB0.11Y 680-8644}N841► 11/14/2008 11/14/2009 p4eA ��TOs 0 $ 300,000 B CLANS MADE p OCCUR one roan # 5,000 ` g 1,000,000 A �,T $ 2,000,000 CWL AGGREGATE LIMIT APPLIES PER; S 2,000 000 PRO- L AUTOMODU UABRITY OWBINE0 SINGLE LIMIT S (En mxJtleMj ANY AUTO ALL OWNED AUTOS BODILY INJURY S SCHEDULEDAUTOS (Per Pam n) _ HIRED AUTOS BODILY INJURY S Per a-wwl l ` NON-OWNED AUTOS ( , 4 PROPERTYDAmAGE S GARAGE UAB141TY &. NLY-EA ACCIDENT $ AM ADD OTHER THAN EA ACC AUTO ONLY S EXCESW MBRELLA LIABIUTY OCCUR ❑CLAIMS MADE 6 S DEDUCTIBLE 9 TATu� co - A WORKER390NPENSAT10MAND EMPLOYERS UAB LJ Y ACCIDENT $ xd 0,A 00 ANY PROPRIETORIPARTHEWbXISCUTIVE - OFFtCERIMEMBEREXCLUDED? - WC 641-35-87 5/14/2008 5/14/2009 E. .FA LOY11 S 3.00,000 Ifyns,dma,-bewrier LICY 500,000 oTeeR . DESCRIPTION OF OPERATION$rWCATIONSAMHICLESExCLUMMS ADDED BY KNOORSEMEN'"WOIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLKNS BE CANCELLED MOM THE EXPIRATION DATB THEREOF, THE ISSUING IMBURER WLL ENDEAVOR TO MAIL DAYS WRTTFEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO 00 90 SHALL IMPOSE NO OBLIGATION OR UABILITY OF ANY IUND UPON THE INSUROL ITS AOENTS OR PAMSENTATRIEs- AIITHORSM REPRESENTATIVE ACORD 25(2001108) 0 ACORD CORPORATION 1981 INS026 pogma Pogo I of ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ON'E- AND TWO-FAMILY DETACHED RESIDENTIAL'CONSTRUCTION (780 CMR 61.00) Applicant Name: ` eyLim' Site Address: �Zd n pn! O Z V�[[ 3 s— Town: r�i/I 1 I /Yl/}SS Applicant Phone: y Applicant Signature: Date of Application: NEW CONSTRUCTION: choose ONE of the following two,o tions 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND TWO-FAMILY BUILDINGS MAXIMUM MINIMUM Ceiling or Slab ❑ option 1: Fenestration exposed Wall Floor Basement Perimeter U-factor floors R R-Value Value R-Value wall R-Value AFUE HSPF SEER R-Value and Depth National Appliance Energy .35 R-38 R-19 R=19 R-10 R-10, Conservation Act(NAECA)of 4 ft. 1987 as amended,minimums or eater as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. Option 2: RES check Version 4.1.2 or later variant software analysis must be completed 780 CMR 6107.3.2 REScheck—Web which can be accessed at http://www.energ cy odes•goy/rncheck/ ADDXTIONS.OR ALTERATIONS.TO EXISTING$UILDINGS.-OV.ER*5 YEARS OLD* *Buildings under 5 years old must use option#1 or#2 in New Construction section above. Complete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals _Formula: (100 x b= a) G i o SF 100 x - r7l — 1, 61 U = y -Tr % of glazing (b) Glazing area equals 1 $ SF b a If glazing is<-40%.use the chart below. If glazing is > 40 % roceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXTMUM MINIMUM Ceiling and , Slab Perimeter ❑ Fenestration - •VJaLI Floor Basement gall Exposed floors R-Value U-factor R-Value R-Value R-value R.-Value and Depth .39 . R-3 7 a R-13 . R-19 R-10 R-10, 4 feet a R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area(i.e.not compressed over exterior walls, and including any access openings). ' SUNROOM—An addition or alteration to an existing building/dwelling unit where the total ❑ glazing area of said addition exceeds 40% of the combined gross wall and ceiling area of the addition. Note: Owner to fill out Consumer Information Form found in Appendix 120.P) IYlassactl>iSetTS LneC.lWS1 101- Loadbearing Wall Connections Lateral (no. of 16d common nails)................................(Tables 7)............................. �........................ Non-Loadbearng Wall Connections Lateral (no. of 16d common nails)................................(Table 8)......................................................... Load Bearing Wall Openings (record.largest opening but check all openings for compliance to Table 9) / Header Spans ............. ................:.........................(Table 9)..................................Aft ID in.s 11' V Sill Plate Spans .................................I.......I...............(Table 9)..................................:%b fit_in.5 11' Full Height Studs (no. ofstuds)....................................(Table 9)........................................................ 3 Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9)' HeaderSpans.........................`..................................(Table 9).................................. ft36 in.512' SillPlate Spans............................................................(Table 9).................................. ft in._ 12' Full Height Studs (no. of studs)....................................(Table 9).........:..............:............................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Building Dimension, W Nominal Height of Tallest OpeningZ ............................................................................ <6'8" SheathingType............................. ................(note 4)....:.................................I............... 7 Edge Nail Spacing ... Table 10 or note 4 if less ................... .... Field Nail Spacing ............:....... Table 10 ................................................. in. Shear Connection (no. of 16d common nails)(Table 10)....................................................... Percent Full-Height Sheathing...................:...(Table 10)...... ........................................... U% -6� 5%Additional Sheathing for Wall with Opening> 6'8"(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening2................... <6'8' SheathingType..............................................(note 4).....................................................— —116 Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ 6 in. Field Nail Spacing.......................................:..(Table 11).........:........................................_L 7—in / Shear Connection (no. of 16d common nails)(Table 11)......... ............ 11 0 c Percent Full-Height Sheathing.......................(Table 11).......:..................I.................:.......jam% 5%Additional Sheathing for Wall with Opening > 6'8'(Design Concepts)........&- ,Nall Cladding Raced for Wind Speed?....:................... ... ZOOFS• / Roof framing member spans checked7........................(For Rafters use AWC Span Tool, see BBRS Website) Roof Overhang .....................................................(Figure 19) ..............La ft s smaller of 2' or V3 - Truss or Rafter Connections at Loadbearing Walls . Proprietary Connectors Uplift................................................(Table 12)......:..........................I..........U=20 pif Lateral...........................:.................(Table 12).............................................L= I')C plf Shear...............................................(Table 12)..............................................S= r)9 plf —� Ridge'Sirap Connections, if collar ties not used per page 21... (Table 13).......... ../As............T= plf Gabie Rake Outlooker......................................... (Figure 20) ........ ...QI_'jrft s smaller of 2' or U2 ' Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors r Uplift......................:.........................(Table 14)............................................ Lateral (no. of 16d common nails)...(Table 14)....•......................... .........L= .)6,lb. Roof Sheathing Type................:...................................(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thlckness........................................... ........................................... in. >_7116" WSP Roof Sheathing Fastening..................:.........................(Table 2).....................:.......... ... ���e c;��Id • is checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of )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 uired 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 and Figure 18b eption: Opening heights of up to 8 ft. shall be permitted when 511/. is added to We percent full-height sheathing ,irernents shown in Tables 10 and 11. bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-grade. v Chck ` � Coon,6anc" ' SCOPE _ ------. 11O mph Wnd3pee�(�xecgusA----'-'_____._..._______. ............................................................� 0ndEzposureCa�gory-'------------ ----'--' ' ' ` C ' ��ndExposure Ca�go�'----'Eog�aahngRequ�udFor Endr Pr�ad -------------' AppUcAB|L[Y . . . dd d. �n 1 ' h 2s�des ' NumberbfS1ohes (aronf*h�haxneedsD}ni2s�poshaUb000n considered a �1 ""' � (F�2) --___�__ Roo�P��� ___`_____�___.___.______ K�Q '- /WeanRoofHe�ht ---'__,__________.��__� ,,______� __� Bu8d�gVY�thVY --'---'�------'r'�---����g ��---^---'^--- ' (F�� ---------' BuU�ngLeng�. L -----_______________ ,/._____ � (F� 4)............................... ____� . BuUdingAs�edRoho (LAA) --^------------ . -' G.�, Nomi� lH '�h|ofTaUe��Opnn�"z -'-.------.:-'(F� 4)------�---------.��_�_= =�M|NsCoNNECDoNs 3enera compliance with nonnoc§onx.:-.�----(Table 2)---------------',----.� �DUND/QlON requirements �oundaUonYYa}bm:oUngrug Concr ._���.._�___......__..._.._........_. / $�----____________~_-____� ___.______�_`____ Concre� Masonry ---------�-'^--,--_----- ------. . `��� \NCHO�.AbETDFoUNoAT'oN h \ Mechanical�nchomus an �n concrete only�D^AnchorBo}��mbaddedor5/O^ Prop Proprietary ' 'rl( ' — � i7n � '��' BoUSpac�g-gepensi --'..-...-..-.-'-.--'.(Tab|e4)-----': - � �.�(Flg5)_'---.��'_---- �~ v`�� " - .2�� ^ ' Boll [n�m �nd��ndnfp|ab: ` 5 _ , i � Bolt an\-conc��-------_..:___'�-(Rg5'_--'�---------� ^ � '~ BoKEmbedment mason�-'----' � 5-- 3"x3^ x ' (Fig _-___........ p�ka\Nashec---�-----_------'---- ------'- :LDDRS `|ocvfi-anninQ member spans checked ---.-----''`.(Per7DDC��R Chapter 55L----- --''. AoxknumF�orOoen�gOhnenskw-�----.---_...U�g5�..----,_:--_---__..V. .`~ '^ 7uU Height Wall Optuds ening |exsthan2' from EjdeCiorWall (Fig OL-................................. laximum Floor Joist Setbacks ' � /� � �d L^� Suppo�ingLoadbeahnD\@a� cv8heapwuU-.----(Fig 7)----------------- � � iaximum Cantilevered Floor Joists 3uppo��bLoadbeahngYVa|�prSheanvaU-----.(r u) ]oo�Bro�nga(EndwaUs-_--------..��-'---��'vy "/ ' - '' -- loor3 Sheathing ^----'---------'«'= '~~ `^^'' --''- -`-- i ' ' ~~^^ --- � (per hap�cr55) -����-'`---_ u loorShooU�ngTh�knoos ---------------' �| 2)..~ � adge/_!��»finN �^~ |oorSheathngFqu(ering----'�-----------(Ta c _�_" nex� sn ���n 6ALL3 VaUHoigh\ ' -_(�g 1O and � 1� LoodbeanngwaUs -...�------_''-_'._ 20' 1OandTo�u5) Non-Loodboahngwe|� ~-:-------------'.(Fig iOandT��e5'-------'/._*- 24,� o : (�g ) -----'.lu '� ~ . . b�/ Sbd �Spacing ------------------� '~ ~~ '---- � /? � � 6 � . (Flgs7 � OL----^----`----'`_�_ /aUS�� unxeo -____________, ......... ' / , XTER|OFlVVALL3 , food Studs _(Table 5) . ___ ' ~, M in. Loadbnahng ' ---------`'��'~ ''-----'' � �.-�� ---M---|n walls------- ' ��b|e S\ ^,-�� -~�' _`�_ . N Loadbaarng /� -.----__________,r_ '__________� . obh*End Wall Bracing 'Full Hel 'ht dwa| Sh�d 10A '. -' ' . -' � ----- 'Gypsum9. Ceiling- Length ' Laiu' [B�ne �� Gfi b o A�o 11\ ---��------~---' ' ond ��x4ConUnuous ra � . .. .� ~ '_______ b �� - � ---- `^ ' i wiUl2X4b|ockng �� 4 � spedngihnndj�sicvUoss ays � or1 x3cnUk�g.funinga�ps �� 15'opa�ngcnn. u�m ` ^ , )u p�6a »/� ' '� ._-~-_-__' 1 dTabeG>---.---`----_��n Spxcru�/u"' -`-------� ' - O) �- --�� �oU�aConnad�nkm. �� 1Ddco�monnaUd----(Ta��� '--~--��_-_'__`____._____� � . � ` . . a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio, determine Percent F0II-Height • Sheathing and Nail Spacing requirements ` b. • Wood Structural Panels shall be minimum thickness of 7/i6" 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. 0. 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 lop member of the upper double top plate and to band jolsl at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate of first floor framing. , Y. Horizontal nail spacIng8at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center per figures below: Vertical and Horizontal Nailing for Panel Attachment Glazing protection:a) new'house or-horizontal addition—required if project is 1 mile or closer to shore (generally, south of {` S' Rte. 28 or north of Rte. 6) V . b)$vertical a*ddition—not required unless there is extensive renovation to the first floor c) replacement windows—needs energy conservation compliance only (chap 93) Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure B may be obtained from the American Wood Council (AWC)website. - .f n t7` - .-WHEN THIS EDGE RESTS ON Fi7J.I1NG USEBd 1JAi(S AT 6'DS- t - 11 „ t ,i n ll � ; t t Z•d , „ „ t t, „ < „ , L7 w „ „ FRAMIFfG M YABEAS klTFRl.t EDIATE '' ' ,• J ' „ '1 STAGGERED }�MU A1LOLE aI G -------- �;` "L PATTERN � PANEL •. ' NAILEDGESPAGNCDMt- PMW=-EDGE DOUBLE See Delall on Next Page Detail Vertical and Horizontal Nailing Vertical and Hot'izontal Nailing for Panel Attachment for Panel Attachment I � _ Tom, Town of Barnstable ti Regulatory Services . • sxx�rsr� X Thomas F.Geiler,Director E%6. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstab 1 e.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder I, S T-e- I enJ e�L l n, , as Owner of the subject.property . hereby,authorize S T--(191+50 -tVL4 r i to act on my behalf, in all matters relative to work authorized by this building permit application for. I K ct.I N sr, Qr(/IT (Address of Job) x/A 1 0 Si of er Da Print Name If Property Owner is applying for permit please complete.the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WTIERPERM ISSION Town of Barnstable THE t , Regulatory Services T f • . slxrrszwsrE. ; Thomas F.Geiler,Director , MAas. Building Division PrfD Tom Perry,Building Commissioner 200 Mairi.Street;--Hyannis.MA 02601.. WWW.town.b arnstable.ma.us Office: S08-962-4038 Fax: 508-790-6230 HOMEOVYWER LICENSE EXEMPTION Please Print DATE: JOB LOCATION:- nu er street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended elude owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire o oes not possess a license,provided that the owner acts as supervisor. D N OF HO OWN_R Persons)who owns a parcel of land on which be/ a resides or inte to reside,on which there is,or is intended to- be, a one or two-family dwelling, attached or ched shuctures acres ry to such use and/or farm structures. A person who constructs more than one home' a two-year period shall not considered a homeowner. Such "homeowner"shall submit to the Building cial on a form acceptable to th uilding Official,that he/she shall be responsiM e for all such work erformed der the buildin a IDI (Section 109. .1) The undersigned"homeowner'as es responsibility for compliance with the State B ' ding Code and other applicable codes,bylaws,rules an regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection proced es and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner .X Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION .The Code states that Any bon=wncr perfmming work for which a building permit is required Shan be exempt from the provisions of this section(Section 1 D9.1.1-Licensing of eau lruction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,that such Hom=An r shall act as supervisor." Many homeowners who use this exemption an:unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Ragulatiow for Licensing Construction Supervisors,Section'2.15) This lack of awareness 01en results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our$oard carmpt proceed against the unlicensed person as it Mrould with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the bomeowner is fully aware of his/her responsibilities,many convnunitics require,AS part of the permit application, that the homeowner certify that bdsbe understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by scvcral towns. You may care t amend and adopt such a fonalcertification for use in your community. Q:fomis:homec cmpt Mnto s4a , n I One Asl1burton Place Room 1301 oston; lulassaeh setts 02108 Home Improvement l'ontractor Registration Registration: 131841 r s Type: Private Corporation 'T Expiration: 9/26/2010 Tr# 274186 NSTRlCTICNGO 9 ,C S GO N� �CENTRAL CAP STEPHEN DEVLIN A 820 MAIN ST. -� ..C®TUIT, NIA 02635 =' Update Address and return card. Mark reason for change. "`. � Address Renew<I Employment Lost Card OPS-CAt sa 50M-07J07-PC8490 _ ;�/JO'!J"b7J2IJ�YGII/CILLati d��U Lf G - -1 Board of Budding Regulat�o sand Standards r } Construction>Sripervisor License i a- License;:C& "4Z993 r Tr# 15334 Exprratron 2l}412010 . Restncfion' 00 = — 1 t STEPHEN J DEVLI�N ` 261'BLACKTHORN pR MARSTONS MILLS;'MA 02648'` Commissioner A'7 O W Central Construction Company, Inc. Stephen Devlin 261 Blackthorn Drive (508) 420-1340 - Voice / Fax Marstons Mills, MA 02648 (508) 776-6660 - Cell May 1, 2008 Bob McKechnie Town of Barnstable Building Department 200 Main Street Hyannis,MA 02601 Dear Bob, Enclosed are additional drawings requested for my renovations permit for 820 Main Street in Cotuit. I have highlighted all the items you and I have discussed by phone. If anything else has come to mind since-just let me know. Once again,thank you for taking the time to help coach me through the new Codes. Sincerely, W Steve Devlin - CENTRAL CONSTRUTION CO. INC. = s SJD:db C,;1 Via: :P e Town of Barnstable 41 Regulatory Services ` T'E Thomas F.Geiler,Director Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.banwtable.ma.us 'Office: 508-862-4038 Fax: 508-790-6230 PLAN REV EW Owner: �o cwA Map/Parcel: d 3 : 0 76 Project Address /USN Sr •� CT Builder: SJ The following items were noted on reviewing: >' 4/(l ax a s A 60 4 /j��� %tGL Lin <F e- ct,5 Q-f-t e ( (/>) $h.�a�� oQo r rM1�r- ae�b�w— y`Swrl rcrbrl►ti cc lJ Y�CZtJ �v�L 17�9�1�1G< Ft1�i2 j�6-7-�-,col-,Oye ;-- oxi c-��- �dC� •--/lG�I1 a i. l)tg-Gt ohs �/0 7' e.�cc� -see , (o !9 s d o Cat rc�fo oc►Q S . iewed yb s � . Date: kf` t Q:Forms:Plnrvw NY o(3 V i e D� (?-(j Vk l 0J 6 6 SMOKE DETECTORS REVIEWED BARNSTABLE BUILDING,DEPT TE s PIREDEPARTMEhT DATE BOTH SIGNATURES ARF.REQUIRED FOR PEPA4ITTINO I IMPORTANT—UPGRADE REQUIRED STA BUILDING- �— T tis,ztY -''- .---'—' ..-._... .. CODE REQUIRES THE UPGRADING OF PAJ T� � i.��- SMO E DETECTORS FOR THE ENTIRE DWELLING WHEN l ONE DR MORE SLEEPING AREAS ARE ADDED OR CREATED. ` NOT: A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL :.- _ La _ _ • PERT IT DOES NOT SATISFY THIS REQUIREMENT. IL — - Sw CARBON MONORIDEALARMS � a w MUST EI y INSTALLED 7•� LED PER M S It '� ,.I I " -� _- �' - •f}Z�-�j _ ASSACHUSETiS BUILDING CODE f .'I PREPARED OR . I st " ay 6, /' — 11 {P Y t�- IIIrr _ - J 1 j Central Construction Comp j Steve DePG,.•Prcrident �R a�•� r LC.VG rl �---- `' - > 261 Bldddhom Drive•Morzions MOfs,MA 02648.508-420 SCAM l F= 1 1 — " D DATE tZI 1 Z.16 DWG NO. r DEStGN C qa. L ,J CHECK B DRAWN JOB SHEET E3 N0 i PROJECT TITLE ----- _.._..... _ a , > Neal v \ . �'�: � {dC �v - •'.�h?�fix.,.,.. �t4"'+�4' —F, 9 _ 1 Lid Ena PREPARED FOR �_ 11 J yip li , n �' - IZLy . i I Central Construction.Company St v D—Un-Pmridmt CAf I.c.vafi 0v [ il�:F=I 1. F 261 BladAom Drive•Mato Mk NA 02648.508-421 SCALE DATE I 1 6 DWG NO. DESfGN. S t✓v1 CHECK DRAWN. JOB NO. - SHEET PREPARED FOR L 4 * Z G �- - ' Central Construction Compan .. • - StemDn,Ga•President 261 Bloddlrom Drive•Marston Mils,MA 02648.508A: - - 0 DATE C wvL i DWG NO DESIGN z CHECK J DRAWN JOB NO. SHEET. - i P.ROJE L GT.TIT E IN -- co i --�iza�leaic --_ as I G IZ t ��. ,: i 13cL•v� , I 2 3 Z i a4y?J1 1= 4 L 2 4'77 77 .. {. PREPARED FOR . .:. . A'Ll 203l6 z4�6 'U3lo `�- — Central o Ce .Company IF n I:C nstruction . - vt, - 4= r .. :: I Sze DmLin•President i 261 elodcfhan Drive•YAorbaa MOB,MA 02648.508-42f SCALE SP _ O _ - Lov'h� -- DATE DWG NO. DESIGN -.. CHECK DRAWN, OB N .' J O • _ - .. SHEET 77 PROJECT Tr_ LE -,aw. —. _..�� .. _. �y • �q/ T P 3 Qi �jl,� �v !•�t,!m �S, . 3.6iyt W' tiyrr 3' STp(Lhbf — �1r 2��1 litT� i E ' t to , b i y 243.2 1 2G xi,cs_ w,c�N _r+cus� 2-qi PREPARED FOR Rzc kt46 ul i6 L446 2xyc Central Construction Compan 39' sra ex D U,•President 261 Bladdhorn Drive•Morsioas Mills,MA 02648.5084: - :... O — % DESf6N; t, - PROJECT L OJ '.TIT E �Nn p S - - II wb(AO - oW r PREPARED FOR r tY �= /� o A.0 c T 1 S . 2 � J L� Central Construction.Company, Steve Devlin•Praident . F 4. 261 Bloddhom Drive•'Morstons MMs,MA 02648.506-0241 F-ui-K4h n aIn 1 G I T� 0 DATE DWG NO. DESfGN �fJrvy� CHECK 4 DRAWN. - JOB NO. SHEET C PR J _ LE . _ _ O EGT.TIT �4mE-e vdur LED ot v: d 3z�o.c 2�� HeunsiS .— 1 l 2gr Gei rti d G �a. ?fir o Frans 16"v.a . rK •rlti . . HUJS�, Ile PREPARED FOR t2v3�,.c1cc' gtt,n, i W CTccf ?ccwn S6PF t1" v 0C1:G- `2�z-:.. sn s r `• Central Construction Company Sra DrnGn•Pradenr 261 BI dAh -Morstosa Mills MA 02648.5064 0- �'! CA.. Los-%Lrtcr 5a`.(.Qv SCALE_ �DATE DWG NO. "L-e 7L?nSG �N_GT Id J i DES16N 5.10 P✓ ry CHECK DRAWN, „ JOB NO. SHEET r PROJECT TITLE_. ..wavanw�- .. C_.d�slSeh.�...f3._GL\<.rGLF il.ol..... TIO - - LOl pm DecI,—I;, Q� si p-ram 77 PREPARED FOR I�H arx'6Gtia u o�p � . . .-��"'� f•�k,yt.tcnx aoi�. 2�F Gk Fn c�1 �f�12b�'Qr� 71'!S 16 O.L . Central Construction Companj 77 - Stem Devlin•Presaenr 261 BlodRhom Drive•Mmstaa Mugs,MA 02648.508-42D YnS ', � o'er /�t3-J2. F'•Ya v-eafK ^ � «.��CA 1.� D/a7E �.a..; �WIPW 'ND:' 1 wr-L Ir _ E — -- . .�r.�a;-� ...w��*".,�'t �s :-+�w- .�...,: ... ... ,.._ .- .. ", '• � PROJECT TITLEc .. _. S �.�L�_ zd✓.U✓c,�vJ si - .._.: - ,.. — lUjvr 1 j'Yrq3f. fMgg ' J� t 6 - cti r� T•_ i VC Cdw� 6sirc t�cen v�5 :t ! - — t 777- T a ABED PR{EP OR am _.. . _ - .. , S j{ D -eAFn•Pseriden C trap Construction Company Stew t _ G -— - -- ---- 1 Blad&mm Drive•Marstons MOIs,MA 02648.508-026 r - CALE I PROJECT TITLE - � snG Fi �H r�W(7C�6 CoMI._ — . c? LF63 -,4"4.C- fck P� lo's t6"o-.c � .th.khl.sl,' (Lvgv3cn N,e aar,;,,-� w '. �.. -- �. .., � ..—...__" _--_. _....._._..__ --.�_. Z.h-':(._/ (LAC �•J3G_ 2 IW f6`0c IZ C _ D I u fl Sam v-E*Ti 71 PREPARED FOR Sib rJ. - - _ •! i^ �afL-V- _. .. • Ztb PrS if S v Ii sccd s mob— s� 1� �1 i"oc tl 'J ScG Central Construction Company . Steve Devlin•Prerident I1 C=M. RAIr n cntr 261 BWdhnm Drive•Marston AU'Bs,MA 0264E•SOB-420- _:.. .. — - DATE-, FRW�D • .. -_ ... / '- Se I.TT eat s � y � r,IN ST. —.. _ l.i.-7 S yL n z o.c Ajo—IC - -- -- -- .-..- � 2�._6 STtA1j 1 6"Jc � v �l L.2W2b Stc L- -?b' y - PREPARED FOR . R G t�iSTt 40.7SG- 3i �wL ST�Dt t ` Central Construction Company, `Tflvsr— Steve Devlin•President 261 Bladal m Drive•Marston ME,MA 6648.50&M-13, i 7 SCALE 4 _ -t-1L 01t-6°---r1�-2 I.6 -- 0 DATE SDI: v&F DWG NO. DESIGN n / CHECK Ti u rJ DRAWN '�- J08 NO. SHEET Of (D . _4 0*1 1. � r ' I lIZ ' SOvZI Tv13e, [actvu wiNppw 6—�,r wItna �� S4 I�lao3�+�' ZC —� 1v0-e (R.-rVi�cp1,��vJ_(L_O_O.r_•_--���ce.tc't3--�.t�Zn�F-_��.��.�-- - �r � ��" urn �-iassL N,�moy�3el.ou -- _ 1 - 1d . ac` PREPARED FOR Ce1U� nts Central Construction Company, Steve Devlin•Praident a h i 2aC t 261 B6"om DM•M"am ME,MA 02648.508420-13, _ 7g its _ J a 16"a.L -- h SCALE tI isc c k.,�l O DATE r ! 0 DWG NO. DESIGN CnlwJ L Z CHECK DRAWN .- l „Rwf.% "S t)I'U.._. 0 Qh._. .5_.�'.orJ -- \ � �. i y--' I .� JOB NO SHEET OF //�� �J 12ei%eR�lo•�a - A /T/M/, Nt/� AF!/ltroVCJt wt s r zY b STvb ZA f N n e Snc�rz ^tc =7 - -w�pr� - Jib PREPARED FOR if kfALL r-t ir`t-c E� Central Construction Company, Skew DmLin•Prmident r - •. i h-Izi - Cl,)U YI,... ..r E?'f,Yt �-} k�*/�V, 1. - .. 261 BI.ddhom Drive•Maniom WE,MA 0264E•508420-13e. SCALE 0 evlSwl rG t �� ISO I DATE II DWG NO. DESIGN CHECK DRAWN JOB NO. SHEET. OF -- _ �^lldjj-- T Town of Barnstable Regulatory Services RARNSTAIRLF . Thomas F.Geiler,Director . E16�;4. Building Division Thomas Perry, CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.,barnst2ble.ma.us Office: 508-862-4038 Fax:. 508-790-6230 PLAN REVIEW Owner: 6&CCa Map/Parcel: 0 3 S o o Project Address 8•2 n � N S� �°7'. Builder: I�t,-VCI✓✓ The following items were noted on reviewing: • � Sry a2� /�,�N�-L.5 �ls�.y ,�� C/sE-fit �iv ��/�c� o� �.�-J°.4�� 6u4-ss 4—t-r/C 09-c- ,s-6 6� 7e`f//ITCs IC�� GE/iZ��xf ,4 , NFG�,�S�/25�� •����n� /�a of/itJiSr� �Ef�E ° �'d�l�- � 7nii�2le rG�f�trE N44C,i a,1G 5;C-J U U—LE ©AY Xorrr Reviewed-by: 90-J 0-- 7-10W- Date: Q:Forms:Plnrvw The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 0 600 Washington Street Boston, MA 02111 y,< www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information .Please Print Legibly Name(Business/Organization/Individual): i Address: " City/State/Zip: , ` icPne. Are 6u an employer? Check the appropriate box: Type of project(required): 1.(� I am a employer with 4. ❑ I am a general contractor and I 6. ❑ w construction employees(full and/or part-tim.e).* 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 g,,❑Demolition workin for me in an capacity., employees and have workers' g Y P tY ° t 9.1❑Building addition [No workers'comp.insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.0,Roof repairs §insurance required.]t c. 152, 1(4), and we have no 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 anew affidavit indicating such. XContractors 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. Iam an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. A-1 � ' Insurance Company Name: Policy#or Self-ins.tic.#: 1 0�(' Expiration,Date: I"I Job Site Address: �5 Zo 11-) 421 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.statemei t may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby c under tha-pains andpenalt'es ofperju6 that the information provided aboveis true and correct ` Signafore: 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.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector - .1 6. Other Contact Person: Phone#: I1 , 1 Information and Ins, tructi®ns 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 hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." 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-contractor(s)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 employees other than the members or partners,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 may be submitted to the Department of Industrial Accidents for confn-nation 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. 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. 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 bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone-and fax number: The Commonwealth of Massachusetts Department of industrial Accidents Office of Investigations 600 Washington Street Boston, MA 021-11 Tel: #617-727-490:0 ext 406 or 1-877-MASSAFE Fax## 617-727-7749 Revised 1.1-22-06 www.mass.gov/dia Town of Barnstable BARNSTABLE. ry, Regulatory Services 9 MASS. t639. Building Division plEO MAy A 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection //U Location ��0 GU[JaJ Sr Permit Number 1oog a oo U ( Owner S yr ,� ,� ,�, Builder ti g One notice to remain on job'site, one notice on file in Building Department. The followingitems need correcting: 96 �r)� ' ff Ja�5' Please call: 508-862-4-3:8-for re-inspe ion. Inspected by � � G7 Date _...... _ PROJECT — Tv10KE DETECTORS REVCEWED r TITLE B.ARNSVABLEBUILDIN l - DATA - .. . V "t:IF, DScd1. 2f.�v s; IMPCRI'N ^GRADE REQUIRED �nt�G ` STATE BUILT C CODE E R Cl; ES THE UPGRADINIC 0° - - ,FIRE DEPARTMENT - DATE - _ - SMOKE DE Cl.+- �F� E DWELLING WHEN _ TN SIGNATURES ARE REQUIRED FOR PERMITTING . F . .. ONE OR IAGRE�L -r P :�DED OR CREATED. BOTH _. NOTE: A SEPARATE IS ❑ ....RED FOR THE • INSTALLATION OF S!'. CTC -_ELECTRICAL . PERMIT DOES NOT SA ISFY Th;S FC.J_REMENT - CARB-IN N:..X PAUSTBE INSTALLED PER M SSACHUSETTS BUILDING CODE .. �.� � ice.. ...... ..... .. � , .. r - I — 77, I ! — - ' l f or r 4 _ _ xr _ I ' •.t- , I 1 - j PREPARED FOR z f 77T "t Central Construction Company, Inc 261 Blukth..Drive•MoNois MOk,MA 02648.508-420-1340 SCALES O P DATE (Z,/t Z. DWG NO. DESfGN c .6cviLT v CHECK DRAWN s PROJECT .TITLE.� iF'.: • .. OT t J. 7\• _ .. _.: — - � 'emu CI a a E ED FOR-71 PREPARED � - �� -- 14 IIIlo' Z l' -��4` Central Construction,Eompa�y,.ln I Ma 50 340 _ true Dmli •Ptu dens �• 261 B addhom Drive� istom.MOh,MA 02648• 8-0T0-1 --- _ - SCALE �' 0 . DATE I z 6 DWG NO. DEVGN CHECK DRAWN: JOB NO.. _ SHEET OF `PROJECT TITLE . ��P y .M , c • I _ 1 _ e w Ir 1 3 �4 v L4 kith•---�-�G�ffl�i�- ' I'JEt✓1 3Z - 2M T^ I .n b : 77777 _ y — 21§YL PREPARED FOR Az( - AA fL- 37 .: -u46 2-4 If. 2446 2v4c _ Central Con . tion Company, In ..] ., ...5uve Devlin•President ._ ... G - 261`Bl.&6.Drive•Awtms M16,.MA 02648.508420-1340 sees a = DATE, - DEStGak _,K tD6T1Y(l Y ti C FEE7 OF : v _ , �. A-. - "- - --._.., ,. _ • _ _._ PRO - -JECT TITLE 1 ., �.. "' �? _ �I (.� O � GdL_..R ts�•0�/g,j- of 4 . P 48pf� P a U,ai fig. c..' l . Ll d c 7 Fnow T'+ p i p - I I I I ~ t {1 1 • 1. r —WI of , PREPARED FOR �1 UT) (y1Z \ \ YK Y. —I i— f3ksGr.u, � '.tc'• Wr II I •� y s. tt�6A. ..,�- Central Construction Company, Ini St ve Devlin•Pr idint f 261 Bladdhom Drive-Aarstans MA,MA 02648.508A20-1340 • SCALE DATE DWG NO. DESIGN S',f)rvlqJ CHECK DRAWN.. tna Nn SHEET OF _ PROJECT TITLE } _ - i , XX L.c10f-c2 IL I'01C-.. _'_-• ..._._' t .. _ - - ' - - - I FOR ' 2 I S irytSO�•, j; Ti�J •PREPARED Z Crs s . Iz U•c I Se�F<f Jt� I� .Z.„L 6 .CrtN1l 16��U,c- � • .. �W-Qlf{S:-.. �� �� �I 10 2,c rvnl 16't p c Central Construction Company,Inc. II - Steve Devlin•President ii R3D g C t 20. . ._ - , 20 Mai Street aemuft MA ew is u508-4 n 1340 '11E_Sr�g 61iLn 1i'p,t _ _ DATE, DWG NO. ...:..._.. 61 --- ..-- -- ------------------ L`1 DESIGN CHECK I t DRAWN SHEET ��S..r, ... __ ��_'CSI.Utz _ I..�h'✓,. �'---- � -- - :.. ...._. ., ..._, OJECT. .. .. - � PI R -TTLE �.. I •.. � � ,. � � � t r - .. —..��'t1�OSC�•.�2Gl.fA/C,M�i JAj t •, w p� .A�V h.cl�N 8J• l ✓ti;rs; i 3 . n 1 i 2 CtZ fAD:rL { L �P� T•- _ it IPi,11`Tic Cis I l II ._-.L�LI`I-GL JJ[a_• r",'.le PREPARm FOR Central Construction Company,Inc. 1, 7 Steve Devlin•President Ni `The Excitement is Building" - — - .820 Main Street•Cotuk,MA•508-020.1340 ___--- - o 11_ i �2A*n i Nt ��n C� DATE. DWG'NO. .--+---'--- \ DES[GN CHECK DRAWN - P'Rt7JECT''T'ITC E 0&e RCv7 g7(ilN a Ga'S cal Iz�:1�t1 _ . � — tiIN � l'�IS r 1_ 1 _ 1 y t Iolb t �_ 11 rPREP. t = AR F 7hID BAR { r , l r Central Construction Company, Inc. KB 1z ou c 'r A C-5 Steve Devlin•President �'Tke Excitement is Building" j I _ 820 Main Street•COtUIt,MA•508420-1340 iYj � � i• _ ...l-no oSc�f.. 2.cuov-aLcu� COrvI-� I , lit -0- 1 i i , • PREPARED FOR 1. B l � i I2 6 � t rtt . ' 1._ _ ___ Central Construction Company,Inc ' - Steve Devlin•President • , � f 4 I I ( .I 7 ...5 .1 .r _...-. -- `The Excitement is Building" 820 Main S Cot 508-42 I,. treat• uit MA 0-1340 - ._.. INN SCALE J . O I / DATE WG NO t DESIGN .C.2euw CHECK DRAWN JOB.NO. :. SHEET';.OF'. _ - Pff6 EC TITLE -i `, Se i I � thty JI '-w'] IL, 0- Nr i I , PREPARED FOR . rl Central Construction Company,Inc, I! Steve Devlin•President li _.-_ �,� _�3 _ "The Excitement is Building" -- 820 Main Street•Cotuit,MA•508-420-1340 SCAM = — 0 ' r DATE. DWG'NO. _ _ ti rr -Sni DESfGN C✓'LI r CHECK DRAWN r o n SHEEP".OF r TOWN OF BARNSTABLE BUILDING PERMIT.APPLICATION Map ✓p Parcel ; Application # Health Division ' Date Issued � � O Conservation.Division �'� Application Fee Planning Dept. - ,,. Permit Fee �S Date Definitive Plan Approved by Planning Board- J �� Historic:- OKH Preservation/ Hyannis Project Street Address Z Q ly tQ 1 ►'1 Village 1�' g �� Owner AV !'lam C-i(�jL�� Address U Z o Mal r)* 97 J�9" Z8'D Telephone ����t) Permit Request _ V-0 JM t 0 n a r s rtA -f'D Square feet: 1 st floor: existing 16proposed 5919 2nd floor: existing'12D proposed (Pdy Total new I 1 g g Zoning District Flood Plain_hl) Groundwater Overlay Project Valuation 150- DW 1Construction Type aML'1 Lot Size ' 2A 1506 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family:..Y Two Family ❑ Multi-Family (# units) Age of Existing Structure !�, • Historic House: ❑Yes 2<0 On Old King's Highway: ❑Yes Flo Basement Type: ❑ Full a-crawl ❑Walkout ❑Other, yyli l Basement Finished Area(sq.ft.) P 10 YILI Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing ` new Number of Bedrooms: 2 existing I new Total Room Count (not including baths): existing 6- new First Floor Room Count Heat Type and Fuel: W'Gas ❑Oil ❑ Electric ❑ Other Central Air: @ Yes ❑ No Fireplaces: Existing / New Existing wood/coal stove: ❑Yes fff No Detached garage: ❑existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑existing 9/new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ s Commercial ❑Yes ❑ No If yes, site plan review# CI_ Current Use Proposed Use , APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name, ��C.t/ Il 1'1 Telephone Number Address 2(V I ri!d License#_d 41�eq3 �G `Zn'1eJ M4 1,j , OI A 6A14 X Home Improvement Contractor# Worker's Compensation # W6 ( '_D$��J ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO( 4 Iai [A SIGNATURE DATE 3f FOR OFFICIAL USE ONLY N APPLICATION# z DATE ISSUED , -3 ti MAP/PARCEL N0. ADDRESS ; VILLAGE ' OWNER i ?4 DATE OF INSPECTION: ~t " FOUNDATION .b o San/ o S'o o 6•a�®� r - _? FRAME s�0 � -�-Fi� `l'rQ' o clk i INSULATION � / 3/�S'12Nt��a3/�(I FIREPLACE , ELECTRICAL: ROUGH FINAL it , PLUMBING: ROUGH FINAL Y' t GAS: ROUGH FINAL � ,1 FINAL BUILDING r s i DATE CLOSED OUT ASSOCIATION PLAN NO. °p1HEt Town of Barnstable Regulatory Services * BARNSTABLE, f MASS. Thomas F. Geiler,Director JFOnwt°' 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 A A to act on my behalf, in all'matters relative to work authorized by this building permit application for: . (Address of Job) _PAW, 10� Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORM&O WNERPERMISS ION ,a o r... ' op ram, Town of Barnstable THE " Regulatory Services * BARNSTABLE, # Thomas F. Geiler,Director MASS. Q,A 0.19• Building Division rFD MA'1 A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 ------------ HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official, that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and.requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the 1 State Building Code.Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions ' of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor. Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed SuPervisor. The homeowner actingss Supervisor is ultimately responsible. To ensure that-the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the horrieowner certify that he i e understands the-responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You-may care t amend and adopt such a form/certification for use in your community. Q:f6rms:homeexempt tan - Board of Building Regulatro s an16S dards Construct-ion: Supervisor. License Lic rts6 CS 47993 i Ex era P _. 1 VA `2 4/2010 Tr# 1533.4 I est�tct�ott. OQ, STEPH'EN J DEVLIRf 261 BLACKTHORN DR MARSTONS=U LLS; MA 42548 �bm, issioner' Board of Building Regulations and Standards 15 HOME IMPROVEMENT CONTRACTOR Registration. : 131841 ' Expiration: :9/26/2008 Type: Private Corporation CENTRAL CAPE CON.STRUCTIONCO. INC. STEPHEN DEVLIN 261 BLACKTHORN DR. MARSTONSMILLS, MA 02648 Deputy Administrator 061 05 '207 16:12 l5e86561499 PAGE W/01 AD-ORA CERTIFICATE OF LIABILITY INSURANCE BATIIw"8NwV) - - 1: "/vs/x00y PO4aceR C500I 14400 FAX C5 56.149f1 l"IS CERTIFICATE IS ISSUED AS A MAT ER OF INFORMATION Charl eS Ri v4r lasursffca Brokerage, Inc ONLY AND CONFERS NO WgWe UPON THE CERTVICATE S Whittier Street HOLDER.THIS CORTIFICATE DOM NOT AMEND,EXTEND OR A1,'1'HR THE,COVEIRA EAF BY TH P CII98 E 4th Floor Framingham, 14A 01701 INSURERS AFFORDING COVERAGE NAIL RI INwipabiCe"tral Construction Co. Inc. INBuNRA• AIG - 32220 261 Elacktharn• Drive "9UVRIt - Marston Mil IS. KA 02648 IRSUMC ---' THE POLICIES CIF INSURAMCE Lie=BELOW HAVE 96CM 13BUED TO THE IN%)FtM. KkYZD ABOVE FOR THE POLICY PERIOD INDICATED NOT"THOTA IFrATF mAy BE ISSUED CA NDING MAY PCRTAIN,ANII'MUIREMTHE INSURANCE AFFORD D BY THEITION OF ANY CPOLICIES OESCRF6ED kkEEPVW IS SUBJECT LL THE 77 ETO WHICH IXCL SK M3 AND CONDITIONS OF SUCH POLICIES,AGOMOATE LIMITS SHOP M MAY HAVE BEEN gFMXQD SY PAID CLAIM I TYPlOPINlWVLNCf PGLtcrkUM6lR ci'— N LIhv78 OfiNlMtL1AlR►ry 6AQHOCCURRENGE f CCU gMIALGENSRALUnlILtTY CLt!Mif MAD! OCCUR I j Mf0 OF/Arty one pmaan; f fi Lt L ACS (I&NT.AQORpQATEUNRAPPLIIQ►ER:, T$—•• ------.. AUTOMOBILELIAlmiff COMRIN6DRINGIBLIM1MT r ANY AUTO `i°a sw*nt; , ' � ALLCIWNEOAL,nDQ i '—'—' h BCHI MAEOAUTOS ' I 4 IOOiLY RY w ( IParaanont ' " FKIRED AUTOS NON-O`ANED AUTOS IPar Fw4dwj^Y I T] �� Qr. 1 Pe??Eeeae�DANIVGB � p 6AIIAITY i 4JTOONL.Y•EAAPC;_ i ANY AUMVrJ OT►ERTWAFI 6AACC I _ AUTOOH4Y; AGG I j I=LIR OVIMS MACS 1 � IF RETSNTION f -- f - ..,- WWKMCOMPi1111111AMNAND WC 684-08-9 S,'14/Z00 05 4/2008 X srA-u- x eMPIO?EW IJASILM I 1N A %Nv aa.��QQIp+gqIETOR&ARTaI�!����L�r V-GCM ACGDfiNT � � 160,00O O IG�MEN6ER lXCLUbEO' QL Do Ale-dA eMo=-- 0 100.000 N aawlaelaleer 'JV�ION$aohAl __ F.L.aI ff Z6•POI,I'.Y'Lunn f 50p�g00 4EWRIP'TiON OF OPERAWNS n LOCATION!I YINIOL IS I E CLLX 0*Aum f1Y ENOORlIREMFAIr I OPMAL Pft0vw m EftnFICAll NOLDERi!IF 9NCUW ANY GP T►II ABOVE 066041b MUM a!CANCELLaD lEFTMSQ THE l7OWTIOR OATS THEMOP,THS Lt k f 6 NeUA6R WILLQ"b"V0aT0 MAL �__OATf MfTTF,N YOTICE TO TN!CIRTIftCAT!NGLOER NANF.01G TNB LEPT, w rAR.WIE TO MAL SUCN NOTICE SMALL IMPOAf NO 08LIG&TON 0R LIABadTY OF ANYKLMOYPGNTHEINlURCR ITfA6F!!T$ORREPIIEaENTATIVE9. AiJTNORiZED RlPRl�ITATiYP. rry Kennedy IACOAD a9IS60ifD9} (DACOR0 CORPORATION i998 CENTRAL 1-24-08 KeyBegffi 820 MAIN ST ���'l"L-"2. �j!;"� 11:02am COTUIT,MA R 1 of 1 KeyBeam®4.502g kTnBeamEngine 4.502g _ Materials Database 746 Member Data Description: Member Type:Beam Application:Floor Lateral Bracing:Continuous Top Standard Load: Moisture Condition:Dry Building Code:SBC Dead Load: 10 PLF Deflection Criteria: L/360 live,L/240 total Live Load: 40 PLF Deck Connection:Nailed Member Weight: 26.0 PLF Filename:KYB1 -Ob er Loads Type Trib. Dead Other (bescription) Begin End Width Start End Start End Category Replacement Uniform PLF 0' 0.00" 26' 0.00" 144 480 Live O 2600 2600 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 0'-0.0001, Wall N/A N/A 8497# -- 2 26' 1.750" Wall N/A N/A 8497# -- Maximum Load Case Reactions Used for applying point loads(or line loads)to mining members Dead Live 1 2222# 6275# 2 2222# 6275# Design spans 26 1.750" Product:W 12 x 26(50ksi) Component Member Design ha Passed Design Checks." esign assumes continuo ateral bracing along the top chord. VAllowable Stress Design Actual Allowable Capacity Location Loading ; 40ositive°Moment 55.54'k# 83.50'k# 66% 13.07' Total load D+L "`Shear 8.50k# 56.21k# 15% 0' Total load D+L' LL Deflection 0.8531" 0.8715" U367 13.07' Total load, TL Deflection 1.1553" 1.3073" U271 13.07' Total load,D Control: LL Deflection All product names are trademarks of their respective owners 7Q n+y� Copyright(C)1989-2005 by Keymark Enterprises,I.I.C.ALL RIGHTS RESERVED. li ENTERPRISES,LLC —Passing is defined aswhen the member,fioorjoist,beam orgirder,shown on thisdmwing meetsapplirable design criteria for Loads,Loading Conditions,and Spans listed on this sheet.The design.must be reviewed by qualified designeror design professional as re wired fora meal.This desi n assumes induct installation aaoidin to the manufacturers ectfications. ' CENTRAL 1-24-08 KeyBe qm 820 MAIN ST 0JfiS 16 E �j'rt� (` � 11:08am COTUIT,MA 1 of 1 KeyBeam®4.502g kmBeamEngine 4.502g Materials Database 746 Member Data Description: Member Type:Beam Application:Floor Lateral Bracing:Continuous Top Standard Load: Moisture Condition:Dry Building Code:SBC Dead Load: 10 PLF Deflection Criteria: L/360 live,L/240 total Live Load: 40 PLF Deck Connection:Nailed Member Weight: 35.0 PLF Filename:KYB2 Other Loads Type Trib. Dead Other (Description) Begin End Width Start End Start End Category Replacement Uniform(PLF) 0' 0.001, 26' 0.00" 72 240 Live Additional Uniform(PLF) 0' 0.001, 26' 0.00" 80 0 Live Additional Uniform(PLF) 0' 0.001, 26' 0.00" 180 360 Snow Additional Uniform PLF 0' 0.001, 26' 0.00" 45 90 Snow O 2600 2600 Bearings and Reactions Location Type Input Length Min Required Gravity Reaction Gravity Uplift 1 0' 0.0001, Wall N/A N/A 12151# -- 2 26 1.759' Wall N/A N/A 12151# -- Maxinfum Load Case Reactions Used for applying point loads(or line loads)to carrying members Dead Live Snow 1 5386# 3138# 5883#' 2. 5386# 3138# 5883# Design spans ' 26- Producti)m :W 12 x 35(50ksi) Component Member Design s Passed Design Checks.- --Des' an assumes coif us lateral bracing along the top chord. Allowable Stress Design Actual Allowable Capacity Location Loading Positive Moment 79.43'k#. 125.40'k# 63% 13.07' Total load D+O. Shear 12.15k# 75.00k# 16% 26.15' Total load D+O. LL Deflection 0.6584" 0.8715" U476 13.07' Total load 0.75 TL Deflection 1.1825" 1.3073" U265 13.07' Total load D+O. Control: TL Deflection 4 '3 All product names are trademarks of their respective ownersG = Copyright(C)1989-2005 by Keymark Enterprises,L-C.ALL RIGHTS RESERVED. ' ✓ ENTERPRISES,LLC "Passing is defined as when the member,fl 'oi"beam orgirder,shown on this tlrewing meets applicable design criteria for Loads,Loading Conditions,and Spans listed on this sheet.The design must be reviewed by a qualified designer or design mfessional as re aired to revel.Thisdesi n aswmes roduct installation a000rdin to the manufacturersspecifications, AWC Guide to Wood Construction in High Wind Areas:110 mph-Wind Zone Massachusetts Checklist f�o/r Compliance (780 CMR5301.2.1.1)1 Check 1.1 SCOPE - � Z,$V Compliance Wind Speed(3-sec.gust).................... ..................... ,.�1.� mph Wind Exposure Category...............................:................. ................. .............................................................B 1.2 APPLICABILITY ' Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story)--L stori <<2 stories v RoofPitch.......................................................................:...(Fig 2) ........................................... <_12:12 MeanRoof Height ..............................................................(Fig 2).................................._.............. L.ft _<33' BuildingWidth,W...............................................................(Fig 3).......:................. .......... .............aQft <-80' BuildingLength,L...............................................................(Fig 3)..........ae......�:....... . ..... ...... <80, V�- Building Aspect Ratio MM ...............................................(Fig 4)......fr!............... ............!. . 3:1 � Nominal Height of Tallest Opening2 ...................................(Fig 4)................................................g-,K- s 6'8• 1.3 .FRAMING CONNECTIONS / General compliance with framing connections....................(Table 2)............................................................... V 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete..................................................:.........:.:..............:.:......:......:....:........................... . ConcreteMasonry...... '............................................................................................................... 2.2 ANCHORAGE TO FOUNDATION'.3 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only -- Bolt Spacing-general...........................................(Table 4).............. .!4.!�.+i`....... .. .' 12 in V Bolt Spacing from end[joint of plate..............................(Fig 5).................................... Z_in.`6"-12" Bolt Embedment-concrete.........................................(Fig 5).................................................Z in. 2.-7" Bolt Embedment-masonry.........................................(Fig 5).......:..... ....... ....... ...............$41j- in.?: 15" ,v/A PlateWasher................................................................(Fig 5).---..........................................2:3"x Y x W 7 r" 3.1 FLOORS Floor framing member spans checked ...............................(per 780 CMR Chapter 55)..... ... ..- . .. !.. Maximum Floor Opening Dimension...................................(Fig 6)............................................ �-0. Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6).........g.. Maximum Floor Joist Setbacks Supporting Loadbearing.Walls or Shearwall................(Fig 7).................................................... () ft <_d Maximum Cantilevered Floor Joists / Supporting Loadbearing Walls or Shearwall................(Fig 8).................................................... Oft :5d i/ FloorBracing at Endwalls....................................................(Fig 9)............................................... Floor Sheathing Type ............ ...........................................(per 780 CMR Chapter 55)..... :✓.°Nt fJ Floor Sheathing Thickness ...:.............................................(per 780 CMR Chapter 55).......................3/inZV Floor Sheathing Fastening...................................................(Table 2)..$d nails at__�&Jn edge/12-in field 4.1 WALLS Wall Height l/Loadbearingwalls....... /........:........................................(Fig 10 and Table 5).._...................._.:.�ft s 10' Non-Loadbearing walls................................................(Fig 10 and Table 5)...............--9- ft s 29 Wall Stud Spacing . ........................................................(Fig 10 and Table 5).................... in.-<24"o.c. 4�7 Wall Story Offsets ........................................................(Figs 7&8)............................................ 4 It s d 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls........................................................(fable 5)..............................2x --fft 0 in. Non-Loadbearing walls................................................(fable 5)..............................2xa-j ft 0 in. Gable End Wall Bracing' I Full Height Endwalf Studs............................................(Fig 10)..................................�V.......:.................. !/ WSP Attic Floor Length................................................(Fig 11)..................................... :......N Gypsum Ceiling Length(if WSP.not used)...................(Fig 11)............................................eft>_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).............................: Splice Connection(no.of 16d common nails)..............(Table 6)......................................................... �� AWC Guide to Wood Construction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)I Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7)..................................................... Z Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)...................................... .............. 2 Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9)...........................I.......�ft d in.<_11' Sill Plate Spans ........................................................ able 9).................................. ft d .<11' R Full Height Studs (no.of studs)................................ ....................................................... (fable 9) m 37 Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans.............................................................(Table 9)................................... ft Q in.5 12, Sill Plate Spans...........................................................(Table 9).................................. in.<12" Full Height Studs(no.of studs)....................................(Table 9)....................................................... 3 Exterior Wall Sheathing to Resist U and Shear Simultaneously4 Minimum Building Dimension Nominal Height of Ta est Opening2 .......................................... :. ................. 6'8" Sheathing Type..............................................(note 4)................... Edge Nail Spacing.........................................(Table 10 or note 4 it less)........................ in. Field Nail Spacing P 9..........................................(Table 10).......................r... � m. Shear Connection(no.of 16d common nails)(fable 10)............... .. .......... ..1�'(... Percent Full-Height Sheathing.......................(Table 10).................................:.........:.: ....; o 5%Additio heathing for Wall with Opening>6'8"(Design Concepts)......... Maximum Building Dimensio it Nominal Height of Ta st O ernn < Sheathing Type..............................................(note 4).........n7 a.b... i! .S3GY!�........... 1/ Edge Nail Spacing.........................................(Table 11 or not 4 if less)........................ 6 in. 7i Field Nail Spacing..........................................(Table 11),................................................4i in. —77` Shear Connection(no.of 16d common nails)(Table 11)...........Z�.X 3..=.................... Percent Full-Height Sheathing.......................(Table 11)............................................. ....Z-3 °. 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)....... Wall Cladding Rated for Wind Speed? (U one t �.... .............................. ......... 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) V Roof Overhang ...................................................(Figure 19)............ L ft<_smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift............................:...................(Table 12)...:......:.........:.......................U=Z(s of l/ Lateral.............................................(Table 12).............................................L_426 plf V Shear.. 12)............................................S= T- plf Ridge Strap Connections,if collar ties not used per page 21... (fable 13)..................cl..A.....T= plf �r Gable Rake Outlooker..........................................(Figure 20)............ ft 5 smaller of 2'or L/2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors p ... .............(Table 14)............:...............................U- ff 71b. L Uplift.............. . .'... . . . ..... - Lateral(no.of 16d common nails)...(fable 14).......................................L= Y-)4b. Roof Sheathing Type....................................................(per 780 CMR Chapters 58 and 59) .... ...0 � Roof Sheathing Thickness.............::............................ ...........................................ram in.>_7/16"WSP Roof Sheathing Fastening h f Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1.If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening,heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. { 3. The bottom sill plate in.exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. L A WC Guide to Wood Constracction in High Wind Areas:110 mph Wind Zone Massachusetts Checklist for Compliance(780 Civet 5301.2.1.1)i V Q Check 1.1 SCOPE .�, 7/ Compliance i Wind Speed(3-sec.gust)............:........:............: V ............................... ..... . . : . ... . . . ..... .... .. . . .... ............ ✓ Wind Exposure Category 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) L stories :5 2 stories RoofPitch............ ..............................................................(Fig 2) ........:..................................W i Z <_12:12 Mean Roof Height ...(Fig 2)....................... .. ft 5 33' BuildingWidth,W.....................I..........................................(Fig 3)................................................ 41-ft s 80' Building Length, L...............................................................(Fig 3).................. ft 5 80' Building Aspect Ratio(LNV) ...............................................(Fig 4).-Kt /.Z.......... ._.....4 ,3:1 -7 Nominal Height of Tallest Opening2 .........................:.........(Fig 4)•---............ .........................._... 6'8" 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... 2.1 FOUNDATION Fou al meeting requirements of 780 CMR 5404.1 Concrete.. ..................................................................................:...........:........................... oc so ry..................................................................... ............................................................... NfFr 2.2 ANCHORAGE TO FOUNDATION" ll I 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an altemat in concrete only Bolt Spacing-general..........................................(fable 4) .. R ................_....M....t4....... �n. Bolt Spacing from endfjoint of plate.............................(Fig 5)....................................6-1Z in.`s 6"-12" Bolt Embedment-concrete........................................ (Fig 5)................................................2 in.>T Bolt Embedment-masonry.........................................(Fig in.>15" 1/Plate Washer................................................................(Fig 5)..............................................>_3"x 3"x W 3.1 FLOORS 1 � B Floor framing member spans checked ...............................(per 780 CMR Chapter 65)......z Maximum Floor Opening Dimension...................................(Fig 6)............................................ Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)......BI ftoN 2 Maximum Floor Joist Setbacks Supporting Loadbearing.Walls or Shearwall................(Fig 7).................................................... ft <_d V/' Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall................(Fig 8).................................................... It :5 d FloorBracing at Endwalls....................................................(Fig 9).................:............................................. _.... Floor Sheathing Type ........................................................(per 780 CMR Chapter 55)......� - Floor Sheathing Thickness ......:..........................................(per 780 CMf3Chapter 55). ..........9....� in. - 17- Floor Sheathing Fastening..................................................(Table 2 .. d nails at 6 in ed e/ -in—field 4.1 WALLS Wall Height �1�! Loadbearing walls........................................................(Fig 10 and Table 5).........................:�ft 5 19 V Non-Loadbearing walls................................................(Fig 10 and Table 5)...................... .... -ft 5 20' Wall.Stud Spacing (Fig 10 and Table 5):...........:...... in.:524"o.c. -�� .................................................. Wall Story Offsets ........................................................(Figs 7&8)............................................. ft s d 4.2 EXTERIOR WALLS3 Wood Studs / Loadbearing walls....................................................:...(Table 5)..............................2x- - !Cft 6 in. .......... able 5 ..............................2x�-eft in. Non-Loadbearing walls............:................:....... R ) Gable End Wall Bracing' p Full Height Endwall Studs............................................(Fig 10)..........................i�.�' !(�. ... .................. WSP Attic Floor Length........:.........:........................... (Fig 11)..................:.1v . ........ ° ft>_W/3 Gypsum Ceiling Length(if WSP not used)... ...............(Fig 11)......._............. . . .. .6-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)...:.......................:....:... Splice Connection(no:of 16d common nails)..............(Table 6)......................................:.................. ,. - 1� L •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 / r Lateral no.of 16d common nails ................... ( ) .............(Tables 7)..................................................... 7 /� Non-Loadbearing Wall Connections V/ Lateral(no.of 16d common nails)................................(Table 8)....................................................... Load Bearing Wall Openings(record largest opening but check all openings for compliance!9 Table 9) Header Spans ........................................................(Table 9)...............0.V.0*X...... ft0 in.s 11' ✓ Sill Plate Spans ........................................................(Table 9)...............Am.9 y....... ft_6_in.511' Full Height Studs (no.of studs)....................................(Table 9)....................................................... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9 HeaderSpans.............................................................(fable 9).................................. 6 ft 0 in.—<12' Sill Plate Spans...........................................................(fable 9)........:.........................eft d- in.5 12" Full Height Studs(no.of studs)....................................(fable 9)......................................................._'3 Exterior Wall Sheathing to Resist and Shear Simultaneously4 Minimum Building Dimension Nominal Height of TCopening2 K <.. . 6,g" .................................................... Sheathing Type..............................................(note 4)................ ............................. 116.. w�wp f .Edge Nail Spacing.........................................(Table.10 or note 4 if less)................. ...... 6 in. —I� Field Nail Spacing..........................................(Table 10)............�p .3....�:�...... tZ in. Shear Connection(no.of 16d common nails)(fable 10).................. ........�...... .. 1.:........... Percent Full-Height Sheathing.......................(Table 10)..........................3`1.. ®......' % _ 50 10Addition heathing for Wall with Opening>6'8"(Design Concepts).................... Maximum Building Dimensio L Nominal Height of T st Opening2.................:..:. s 6'8" Sheathing Type..............................................(note 4)......... (r;......(e1!!�`v1. fiC�rtc�•. Edge Nail Spacing.........................................(fable 11 or note 4 if less).............. in., -� Field Nail Spacing..........................................(fable 11)................................................... (21in. . Shear Connection(no.of 16d common nails)(Table 11)...... ;..`..xC.$...P.:fN- ....f.� .. Lds: Percent Full-Height Sheathing.............:.........(Table 11)........................................i; ..7.b Wall Cladding .. 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts).................... Rated for Wind Speed?.................................................... ................... � v� ........ 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Sp n Tool,see BBRS Website) Roof Overhang ...................................................(Figure 19)......:...... ft s smaller of 2'or U3 t� Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift.................................................(Table 12)..............................................U=�3 Of Lateral............................................ (fable 12).............................................L=_10( plf Shear.......................... ..................(fable 12).......:...............:.... ... . S= .'t'1 pif Ridge Strap Connections,if collar ties not used per page 21... (fable 13)....... �r. ��lfi ...T PI Gable Rake Outlooker...........................................(Figure 20)............�ft s smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................ ......... .................:(fable 14) ........: ......... ..... ...........U— Lateral(no.of 16d common nails)...(Table 14)'...................:.....:.. .........L=_Q6Ib. Roof Sheathing Type............:...... :... .............(per 780 CMR Chapters 58 an 59)....V-2..&I Roof Sheathing Thickness........... ... �in.>_7/16"WSP Roof Sheathing Fastening............................................(fable 2).............................................5.®Jb.0- ",Av- t/ Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5361.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph_Guide: a. Steel Straps per Figure 5 b. . 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5%is added to the percent full-height sheathing requirements shown in Tables 10 and 11. 3. .The bottom sill plate in.exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-grade. i�'�-/ � �til i ►� �'l-� o ib r X-PRESS PERMIT - _ <. DEC 12 2007 . Town of Barnstable, *Permit# OCR 0 7 l� Expires 6 months from issue date TOWN OF SARNSTABLE Regulatory Services Fee Thomas F. Geller,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 j www.town.barnstable.ma.us 1 Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERNUT APPLICATION — RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number hD Property Address -0 I`r2-d o I r l/ 1 1 ee,t cot }:L ®Residential Value of Work 20:lzo Minimum fee of$25.00 for work under,$6000.00 Owner's Name&Address Vl� Ct�J(� SOX ( (e7 [ CC U 01 l ' G gy)e-n DL V I I n Telephone Number Contractor s Name - 4 50� —1-1 (a Home Improvement Contractor License#(if applicable) 2�� f Construction Supervisor's License#(if applicable) 00 16141 6 • dworkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ am the Homeowner have Worker's Compensation Insurance Insurance Company Name Ala Workman's Comp.Policy# we, Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 011�roof(stripping old shingles) All construction debris will be taken to o�'/ ❑Re-roof(not stripping.. Going over existing layers of roof) EJ Ke-side ®Replacement Windows/doors/sliders. U-Value °3�` (magi*=.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. A copy of i5etome Improvement Contractors License is required. 3IGNATURE: �Nj W� Z:Forrns:exprntrg tevise061306 �� .* ,� � sf x ✓"�.e C"Gl7v)riow�rLlOef.Li L'�c,=�' cz i EOsARD O' ii-iL`t31i�G R'EG.P AT1'O�aS Li.:; ,nse CONSTRUCTION SUPERVISOR. C C47g93 =; te,: 02f�4/195Z T Exp{re5' 9270d�2008 7 RestPcLA l�Q DR NS tU;t_!_J. ��} 1h26?8.. r G ztcv i� e B:oa•rd of B'ui(ding Regnlattons and Standard's HOME IMPROVEMENT CONTRACTOR . g Reg�straitun,�131841 Exp�rati� 3/26f2008 - e _private Corporation. p CENTRAL CAPE:CONSTRUCT;,O.'N 0. INC, STEPHEN DEVU.N. 26:1. BLACKTHORN DFZ+. t MARSTONSMILLS, MA 02648 Deu:t1dinii�istrxtor p H ..v I06105i2007 16:12 15086561459 PAGE 01/01 _ 0--RiPN CERTIFICATIE OF LIABILITY INSURANCE DAT/OS/2DO7 _ 06/05/2007 PRODUCER (508)6S6-1400 FAX (SM 656-1499- _ THIS CERTIFICATE IS ISSUED AS A MATTER bF IN Charles River Insurance Brokerage, Inc ONLY AND CONFERS NOIRIGHTS UPON THE CERTFICATE S Whittier' Street HOLDER,THIS CRRTIFbCATE DOES NOT AMEND,EXTEPID OR 4th Floor ALTER THE COVERAGEAFFORDBD BY THE POLICIES BIE;LOW. Framingham, MA 01701 INSURERS.AFFOR DING COVERAGE NAICIY Maur= Central Construction 'Co, Iflr. INSurlRa AX- 32220 261 Bl.ackthorne Drive - Marston Mills, MA 02648 INSURERC INS17t<tER E; RAGES POLICIES OF INSURANCE LISTED BELOW THE SEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY P!itiOD INOtCATED.NQT4Y1THaTANDING REQUREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE.MAY BE ISSUED CR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE:TERMS,EXvLUSIOMS AND CONDITIONS OF SUCH POLICIES,AGGREGATE LLMITS SHOWN MAY HAVE BEEN REOMP BY OAID GLAIMS; TYPE OF INSURANCE POLICY NUM9oR. POUCv:EPF POLICY EXPIRA ON LIMITS BEHERAL LIA6ILITY t EACH OCCURREIrE $ COAAMERGAL CEN6RAL UA9I4I1Y �� 6AMAO1 TC RENTED V SES CLAIMS MADE OCCUR MBD%XP(Any one person;��-g—� . ' I • PERSONALLAOVINJURY I5 r GENERAL AGGRCGATE IS C-ENL AGORF-G—AT7E LIMIT APPLIES PER: ^RDDUCT6-COMPIOP AGG $ POLICY t l!EG? LOC 1 -- —^. AVTONOBILE LIAMELRT. -- CDM41N&L'gENG1.E LINT - 4 ANY AUTO (Ee ao^..raontl ALL OWNED AUTOS BODILY WJL'RY ' --• SCNEOULED AUTOS (Par Paaept - f _ HIRED AUTOS f 4' i BODILY INJURY NO1V-01ANEOAUTOS I - - [PararrldaM d �' Ik j I P",, RTY DAMAGE $ (Partedd.?M GARAQEUABIL ' t AUTO ONLY.EAA,M,.IpEM S . e ANY AUPJ - + OTHER THAN EA ACC. 5 • AUTO ONLY; AGG f _ EXC665l1)M9RELLALIABIU7Y - - _ -- EACHCCCUR- CE E OCCUR 0 CLAIMS MADE _ �--AOGRE—GA-TET - f f OE UCTIBL E -- t RETENTION a t• .I `05/14/6007 .. r_ oTwWORKERS COAPENSOAND kc 68440$ 9 N R UAULtrY . / p fEXECUTV 2.; EACH AGCIOEN I a 100,O®® OFFiCERAdCMBEREXCLUDED'ANY PRORIETDRIPARTNR j - •�aaW@{>nQar G.L.G01;iA8E-EAEMPLO f_ l00 ®00 SPECIALPRJVISIONSnrdaw E.L DISEASE--POIJ:.YLIMIT OTHER ! S00 097 . ^ a V DESCRIPTION OF OPERArONS I LOCATIONS I VEHICLES I EIICLUGIONB ADD®6Y ENBOMEMEN-r i SP@CAI.PROVMONS I 1.C,ATF HOLnEg CANCELLATION SHOULD ANY OF TPI ABOVE DEECMISED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISIA MI6 INSURIER.l47ILL 61006AVOR TO MAIL DAYS WRIT?EM NOr4E.TO THE CCIt77n0ATE HOLDER NAMCO IQ THE LEFT, -;I-- BAIT FAILURE TO MAL SUCH NOTICE SHALL IMP98E;NC OBLIGATION Or,WAMUTY Ok ANY KIND UPON TOE iNSURCK ITS AGENTO OR 9EPR66ENTATIVES. - - r . _ .. AVrKORIZED REPREST.NTATIVk Derr Edealel�d •` ACORp 25{2009/08) (DACORD CORPORATION 1968 ' The Commonwealth ofMassachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111, wrvw.mass.gov/dia ' Workers,-Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers Applicant Information Please Print Le ' 1 Name(Business/Organ=&on/individual): M__% Address: City/State/Zip: 1Vy�1� c"57'15. UAJJ,117 Phone.#: I' Are youan employer?Check the appropriate box: :Type of project(required):, 1.e1 t am a employer with � 4. [] I am a general contractor and I emp y 6. =R=o�doenling truction . '.employees(full and/or part-time).*• have hired the stab-contractors 2.0 I am a'sole proprietor or partner- lisi�on the'attached sheet. 7. ship and have no employees . These sub-contraciors have g, Demolition 'working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance 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 . 11.[]Plumbing repairs or additions myselL[No workers' comp. right 6f exemption per MGL 12.❑Roof repairs insurance.required.]t c. 152, §1(4),and we have no employees.[Na workers' 13.❑Other ' comp.insurance required.] *Any'applicant W checks box#1 must also fill out the section below showing their worlmrs'compensation policy infm nation. t Homeovwas wlw submit this affidavit indicating They are doing all work and ttien hire outside contractors mutt suhrrit a new sf davit indicating•such. 1contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether ornot those entities have employees. if the sub-contractors have employees,theymust provide their workers'comp.poky number. I am an employer that is providing workers'compensation insurance fur my employees. Below isthe policy and job site' information. Insurance Company Name: hie] f Policy#or Self-ins.Lic, Expiration Date: G1�� $ , ob Site Address: S 0 v 1 n - 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 imdei Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine Zip to$1,500.00 andlor 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 thq violator. Be advised that a copy of this statement maybe forwarded to the•Office of' Investigations of the WA for' coverage verification. ' I do her under the pains•and enaldes of perjury that the information provideed above is true and correct Si tore: ;?AA Date: ` I bl Phone#- ^ I � Official use only. Do not write in this area, to be completed by,city or town:official ,. City or Town: ' Permialcense# Issuing Authority(circle one): A.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6. Other Contact Person: Phone#: Town of Barnstable Regulatory Services saarr ABLE Mass Thomas F.Geiler,Director , 039• '�Eo►�w+°' Building Division- Tom Perry,Building Commissioner . 200 Main Street,Hyannis,MA 02601 wwwaown.barnstable.ma.us, Office: 508-862-4038 Fax: 508-790-6230 x ¢ Property Owrier Must k ' Complete and Sign This Section If Using A Builder L lex wi� as Ownerfof the. r _ ..t subject property hereby authorize to,act on my behalf, in all matters relative toxwork authorized by this building permit application for: (Address of Job) tZ i t6 1. Signature of Owner Date 00 0" Print Name i 1 . If P roperty Owner is,applying for permit please{complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSION ; .. 4 OFSHE T Town of Barnstable � h�P o� Regulatory Services ` Thomas F.Geiler, tiAltWSTAst.E, ; ,Director 9 MASS. g q, 0S9. Building Division �tfD MA'I a . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Rrwv.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER': name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides.or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming,the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. .The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomi/certification for use in your community. Q:fomrs:homeexempt - - _ B RAM�ffn to s an t _ One Ashburton Place - Boom 1301 Boston, ?Massachusetts 02108 Dome Improvement :Contractor Registration - f a Registration: 131841 i Type: Rrwate Corporation v= Expiration: 9/:6/2010 Tr# 274186 CENTRAL CAPE CONSTRUCTION. IN,Ct M STEPHEN DEVLIN � 820 MAIN ST. °st QQTUIT,_MA 026351` Update Address and return card. Mark reason for change. Address Renew,°I Employment Lost Car A DPS-CA1 0 5OM-07/07-PC8490 r Boar..d of Building Regutatior(>A. tandards 1. Construction:Supervisor License" -i- License: CS' 47993 Expiration,2/4/201`p Tr# 15334 ;+ Restncfwn 00 's y, STEPHEN J DE) LIN $ r '261 BG4CKTH0_RN,DR a i MA, NS-MILLS MA 02648` Commissioner r TOWN OF BAReiyTJ�S; i ._..... _..__..._._. P At; u 70 i w O rd,✓ _ — ;zz — aL- IN t �ac:Y o -- / " ' .:: �_`b�� ^�c'�i..`..��+r�9��`'�.•;" d '"E�s, i `. +' ' 4 —4— _,41 ` .-`7-7 ' ' I OF 33264 LA P6;5• ....W-W :. �of�C�S•�:D.;5�P'C�C;. LiPGR��. ..... x S:L :�:.c killrR COVU 'P� .iv►ASS, 0 v CIV!L �' SCALE: DRAWN BY No.29733 ./- p DATE: Ski' 'AL �- • o ciLt,L / ex, N i �.� y�f-5� � � ��-•33-cam Ail WA tj 0/1 A q 5 LIE)vc r .-rk • �o a ;KIWI 5 qj Allf- ».raIJ:J�xwJ ., �..-M...-- __ _ �-- _.r�,._ _. fir-.;rcta,4. $.'�%�.w "`C^.�4•'.�`�wt'c"3wn '.T '7•`c �YL.�'��J�'� m#I� i�aa�w""' �a--.#C'L,: JI'1d+F` �i14.�A- Er"- ,'�'- .�.w;;: PAC I - . f 0 3 �aL�h F r x • 'S �9.C..MOOR� f?Leg. � /ts d mce- 7 ,,_moo PROPOSED SEPTIC UPCrO-.ADE 7 Fig -------. c -rutT) •MASS. v I.,IViL cn SCALE: DRAWN BY. 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