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0853 MAIN STREET (COTUIT)
-� Mw' n See-t .� Town of Barnstable N Building Post ThisCard.So,That rt,is visible Frm LheStreet, 'A „roued,Plns,Must bye Retained on Job and this o a Ca_rd�Must be�Kepi r:; •.,MRN'3CABSE, `a ,,q :, sr .,. t ,4" pp. M" Posted UntilzFinal 1 spect�on Has Been;Made r S x z . Permit ., RWh'ere a Certificate`of®ccu;pancy�s<Required,such Building shalhNot be Occupiednunt�l�aFinal�lnspectionhas�been made Permit No. B-18-685 Applicant Name: Mike McMahon Approvals Date Issued: 03/15/2018 Current Use: Structure Permit Type: Building-Insulation—Residential Expiration Date:- 09/15/2018 Foundation: Location: 853 MAIN STREET(COTUIT),COTUIT Map/Lot 035-059 001 Zoning District: .�RF Sheathing: .. F " v Owner on Record: LEVERONI TIMOTHY W TR Contracttor, ame MiCHAEL T MCMAHON Framing: 1 Address: 845 MAIN STREET _. Contractor License CS068111 2 s rS�Cr r COTUIT,'MA 02635 �w` Erofect Cost: $4, Chimney: P 200.00 Description: Weatherization,air sealing,weather stripping own cellulose Pe fil Fee: $85.00 Insulation: Project Review Req: ` �£ Fee Paid $85.00 r Date ' 3/15/2018 Final: ." Plumbing/Gas Rough.Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed'by this permit is commenced within six months after issuance. Rough Gas: All work authorized by this permit shall conform to the approved application and the approved construction documents for WWhAhis permit has been granted. All construction,alterations and changes of use of any building and structures shall be in with the local zoning bylaws 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 pub levanspect 16n for the entire duration of the Electrical work until the completion of the same. Service: The Certificate of Occupancy will not be issued until all applicable signatures bythe Bwldmg andiFire Officials areprovided o �tis permit. Minimum of Five Call Inspections Required for All Construction Work `, Rough: '1.Foundation or Footing g 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy ' Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Work shall not proceed until the Inspector has approved the various stages of construction. 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 L' TOWN,OF BARNSTABLE BUILDING PERMIT APPLICATION Map 31 Parcel Application # /I Ys" i Health Division Date Issued Conservation Division " G DpT Application Fee Planning Dept. DEC Permit Fee Date Definitive Plan Approved by Planning Board ,-,n r-,toO iNgLE TOWN kdc L`nt a`•. - Historic - OKH _ Preservation/ Hyannis Project Street Address 953 (,W re?+ VillageC-04luif f .__�._ �n % h'l Lj�yE: >.ji Owner Address 853 ALfn c Gret+ Telephone Permit Request eM S W.,k lqX 20 , 3UifC lyl!' M g lab &n d4-/7 01 NO U770176:S Square feet: 1 st floor: existing _proposed 2 80 2nd floor: existing proposed Total new Zaa Zoning District Flood Plain Groundwater Overlay Project Valuation 3 500 —Construction Type Lot-Size Grandfathered: ❑Yes No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes XNo On Old King's Highway: ❑Yes _XNo Basement Type: ❑ Full ❑ Crawl ❑Walkout XOther '�;L 0 73 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: Q Gas ❑ Oil ❑ Electric ❑ Other�� Central Air: ❑Yes KNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes E o Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing, ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ] existing ❑ new size _ Other: I T X 2/0 Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes XNo If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION — -- , (BUILDER OR HOMEOWNER) f � Name Mckor#11PA #&&44lephone Number �'E'3 d 'Z TO Address �S9 Q V� License # '07 3 w 5 ���� t ►T Home Improvement Contractor# 3Zq 3 S Email In� l rt� f�a,�bdr: COO Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 'Z FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER _ w DATE OF INSPECTION: FOUNDATION a "' FRAME " INSULATION . FIREPLACE K ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT " ASSOCIATION PLAN NO. PITTE OR WOOD. PRODUCTS Its all about the wood 259 Queen Anne Road, Harwich MA 02645 326 Yarmouth Road, Hyannis MA 02601 508-430-2800 harwichoffice@pineharbor.com 508-7.71-5007 hyannis@pinehabor.com Owner. s Authorization -tiowner of the ro ert p p Y located at , , ( Property Address.) authorize Pine Harbor: Wood Products to act on my behalf in all matte rs.:relative to work authorized by this building permit application. caner s. ignature Date: " a ,. f ---"1 MCGRPOS-01 DEA ACORO` CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDdYYY03MV2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THI CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICII BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZE REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED,the pollcy(les)must have ADDITIONAL INSURED provisions or be endorse If SUBROGATION IS WANED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement c this certificate does not confer rights to the certificate holder In lieu of such endorsement(s). PRODUCER Faur" Rle&moray Insurance Agency,Inc. PHONE E�: Fes,,No:(877)816-2156 South Dennis,MA 02660 L .mall@rogemgray.com INSURERS AFFORDING COVERAGE NAIC N INSURER A:Travelers Insurance Companies INSURED INSURER B:Travelers Indemnity Company 25658 McGrath Post&Beam Corp INSURER C dba Pine Harbor Wood Products 259 Queen Anne Rd INSURER D: Harwich,MA 02645 INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIC INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH TH CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERM; EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IINSR TYPE OF INSURANCE AD DL SUBR pO�Y NUMBER POLICY EFF POLICY EXP LIMITS A X COMMERCIAL GENERAL LABILITY EACH OCCURRENCE $ 1, CLAIMSADE ❑X OCCUR 16602016N4981ND17 01/31/2017 01/31/2018 DAMAGES ,oRENTED e $ 100 -M MED EXP one rson $ 5 PERSONAL&ADV INJURY 1000 GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000 X POLICY❑jeeT LOC PRODUCTS-COMP/OP AGG $ 2'000' OTHER: ` $ B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000, ANY AUTO BA4487B68617SEL 01/31/2017 01/31/2018 BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY Ix AUTOS yyN p BODILY INJURY Per accident) $ X 2 SONLY AUTO O Y PPeOra ER deni AMAGE $ UMBRELLA LIMB OCCUR EACH OCCURRENCE $ EXCESS LIM CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION STATUTE I I ER PER OTH- AND EMPLOYERS'LIABILFTY ANY PROPRIETORIPARTNERIEXECUTIVE Y� N/A E.L.EACH ACCIDENT $ � FICER/MEMBER EXCLUDED? Ylendetory in NH) E.L.DISEASE-EA EMPLOYE $ If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers Compensation certificate to be issued directly from the carrier CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORI Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED If ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main St Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE ACORD 25(2016/03) @ 1988-2015 ACORD CORPORATION. All rights reserve The ACORD name and logo are registered marks of ACORD h 7 ® DATE(MMDD/YYYY) `A�o CERTIFICATE OF LIABILITY INSURANCEF07/13/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this.certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Kalene Sears ROGERS & GRAY INSURANCE AGENCY INC PHON; , (508)398-7980 ac No): EMAIL ksears r ers ra com ADDRESS: G� g Y• 434 ROUTE 134 INSURERS AFFORDING COVERAGE NAIC# SOUTH DENNIS MA 02660 INSURERA: AMERICAN ZURICH INSURANCE COMPANY 40142 INSURED INSURER B: MCGRATH POST&BEAM CORPORATION DBA PINE HARBOR INSURERC: WOOD PRODUCTS INSURERD: 259 QUEEN ANNE RD INSURER E: HARWICH MA 02645 INSURERF: COVERAGES CERTIFICATE NUMBER: 172638 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. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DPOLIDY/YYYY MM DD EFF Y EXP LIMITS LTR COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO CLAIMS-MADE OCCUR PREMISES EaE occurrence) $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO ❑LOC PRODUCTS-COMP/OP AGG $ JECT OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident UMBRELLALIAB H OCCUR EACH OCCURRENCE $ EXCESS LAB CLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION AND EMPLOYERS*LIABILITY X STATUTE ERH Y/N ANYPROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 100,000 A OFFICER/MEMBEREXCLUDED? I N/A N/A N/A 6ZZUB9F79895717 07/08/2017 07/08/2018 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 100,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 N/A DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached It more space Is required) Workers'Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B;no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/Iwd%workers-compensationfinvestigations/. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town Of BarnstableACCORDANCE WITH THE POLICY PROVISIONS. 200 Main Street AUTHORIZED REPRESENTATIVE Hyannis MA 02601 (131 { L� Daniel M.Cro,✓ky,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserve( ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD ir I;lr € �//ze 7usiness Office of Consumer Affairs and Regulation 10 Park Plaza - Suite 5170 Boston, Massa c setts 02116 Home Improvement for Registration-, i w Massachusetts Department of Public Safei McGRATH POST & BEAM CO. M f j Board of Building Regulations and Standan JAMES McGRATH m License: CSFA473865 259 QUEEN ANNE RD. a .w Construction Supervisor 1 6 2 HARWICH, MA 02645 Family ° JAMES R MCGRATH t 204 CRANVIEW RD .4 s BREYYSTER MA 02631 . � SM/suy/J;gn1�/F CX__ Expiration Commissioner 03/14/2018 Office of Consumer Affairs and Business Regulation 10 Park Plaza- Suite 5170 Boston, Mas$hchusetts 02116 Home Improvem4itractor Registration .) Type: Corporation Registration: 132935 McGRATH POST &BEAM CO. 1YJ _ =� -C' Expiration: 10/30/2018 259 Queen Anne Rd. Harwich, MA 02645 �y , i, Update Address and return card. Mark reason for ehartBe. scA 1 O 2OM-05/11 ❑ Address ❑Renewal ❑Employment ❑Lost Card VItQwmzmanus�a/�o�C�/�adadc�/u[eetla Office of Consumer Affairs 8A Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only Type: Corporation before the expiration date. If found return to: ration !UI[ffi!SO Office of Consumer Affairs and Business Regulation =..,r 132935 10/30/2018 10 Park Plaza-Suite 5170 Boston,MA 02116 McGRATH POST&SEAM CO• DB/A Pine Hait0f,Mali Products James McGRATH '= 259 Queen Anne Rd. Undersecretary Not valid without signature Harwich,MA 02645 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibiv Name(Business/Organization/Individual): MC ra Isf 5 cam AddressA 6wren Road City/State/Zip: 5 Phone#: 6 . 98 Are you an employer?Check the appropriate box: Type of project(required): 1. lam a employer with 4. 1 am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. New construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp.insurance.: 9. Building addition required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. I am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. ' right of exemption per MGL Y �o workers comp. 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#I must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name:Awricar, 7nrichante- Comma Policy#or Self-ins. Lic.#: ( 2 7 u R g`,q 8'tn 51 ` 171 Expiration Date: J, hi Job Site Address: BS Alin Ae e"rr City/State/Zip: iu 011a (s935 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$250.00 a day against the viol . Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA surance coverag verification. I do hereby certify der th an of perjury that the information provided above is t e and correct Signature: Date: L �D Phone#: 'a Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: ti Z- v� 4 r. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION,,. Map 3 Parcel 65A 1150j. ;'Application # 7 Health'Division Date Issued Conservation Division '1JG`• :'Application Fee ., Planning Dept, -:Permit Fee _� 10• Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street Address T Village L&XuL Owner I imolg� D.&Uik— LF Address y5 ►3�1A �t� iG �+ � Telephone &I?•�(y8•$a�•�{� Permit Request 13; 1 QD_ Square feet: 1st floor: existing proposed N& 2nd floor: existing ME>proposed &IA,—Total new NA Zoning District, Flood Plain Groundwater;Overlay Project Valuati 160-00061ronstruction Type \A1Cal Q Lot Size ( .I , ck Grandfathered: ❑Yes ❑ No If yes, attach sUpporting-docurentation. - c=s Dwelling Type: Single Family 0 Two Family d Multi-Family (# units) Age of Existing Structure $O`t' Historic House: ❑Yes ULNo On Old King's Highway:,❑Ye5 N No �. LO Basement Type: ®-Pull WCrawl ®-Walkout ❑Other CD Basement Finished Area (sq.ft.) -1?_0 Basement Unfinished Area (sq.ft) M Number of Baths: Full: existing new Half: existing new Number of Bedrooms: �y 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 1 New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing 0 new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name F�ffQ t���t� Telephone Number Address 767 N04M License # 40i & �� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO��g l,(� SIGNATURE DATE x FOR.-OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. f ADDRESS VILLAGE OWNER l r - - DATE OFINSPECTION: FOUNDATION FRAME �F/2 S� !� ��Z1JlJ• ` S , INSULATION +- FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH s FINAL GAS: ROUGH >FINAL ' FINAL BUILDING 4 DATE CLOSED OUT r ASSOCIATION PLAN NO. 6 . XSt. .. _ m of Barnstable �ypFtHE tp�� BARNSTABLE.p n Regulatory Services 9 MASS. 0 °639. Building Division prED MP'�� 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230. Inspection Correction Notice Type of Inspection Location S71 C � == = Permit Number - Owner Y 3.4 1/�-t2 D.tII Builder One notice to rem m n•job site, one notice on file in Building Department. The following items need correcting:.. L VC s BfJ�7- `rkr- cam % / op � -' ' 7 �Yt•r4 S -e r Y `T'cuAv N pel4rr.- l� r ^ aamme AAo r 5 lit pec Awguis & 7-, rOX& WA n� k*f- AE-7-MAJ -- )?a 7 t� 0 Please call: 508-862-4M for re-inspection. Inspected by /Uju"(�/ � ��� � Date I -6 Lo i The Commonwealth of Massachusetts Department of Industrial Accidents r Office of Investigations' 600 Washington Street Boston, MA 02111 "• www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Eleetricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):R Tci rr D Address: 6 7 W I;T' City/State/Zip: =-nTy 4� M.1�• Phone.#: SD�• 0�� ' g�( Are you an employer?Check the appropriate box: Type of project(required): 1.®.I am a employer with 4. 1 am a general contractor and I employees(full and/or part-time). * have hired the sub-contractors 6. New construction .2.❑ I am a sole proprietor or partner-' listed on the attached sheet. T. ❑Remodeling ship and have no employees These sub-contractors have g_ ❑Demolition workingfor me in an capacity. employees and have workers' Y P h'• � 9. ❑Building addition [No workers'-comp.insurance comp. insurance. 10. required.] 5. ❑ We are a corporation and its ❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑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 infomtiition. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new 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. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: L2r7A/L AT Policy#or Self-ins.Lic.M Expiration Date: Job Site Address: 9.3 AAA 4" 'S l City/State/Zip: IT 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 tip 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 r an pen ties o erjury that the information provided above is true and correct. Si attrre• Date: J Phone#: SO�' (�?•e �U Official use only. Do not write in this area,tb be completed by city or town official• City or Town: Permit/License# Issuing Authority(circle one): 1.Board of health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: 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 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' 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-conti actors)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 confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. 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 pemut(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,telephoneand fax number: The Commonwealth of Massachusetts. , Department of Industrial Accidents Offtee of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-49-00 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AND TWO-FAMILY DETACHED RESIDENTIAL'CONSTRUCTION (780 CMR 61.00) Applicant Name: � d��� Site Address: $E �,—��T prim Town: Applicant Phone: 5i�• -la7,��$Y 9 Applicant Signature: Date of Application: S/46T�dr NEW CONSTRUCTION: choose ONE of the following two,o tions 780 CKR.TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR NEW ONE-AND TWO-FAMILY BUILDINGS hckximUM MINIMUM Ceiling or Slab Option 1: Fenestration exposed Wall Floor Basement perimeter U-factor floors R-Value R-Value wall R-Value AFUE HSPF SEER R-Value R-Value and Depth National Appliance-Energy 3 5 R-3 8 R-19 R=19 R-10 R-10, Conservation Act(NAECA)of 4 ft.• 1997 as amended,minimums or eatcr as applicable Note: This form is not required if you choose either of the two versions of REScheck as listed below. Option 2: REScheck 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.energycodes.goy/reschtrk/ ADI ZTIONS.OR ALTERATIONS.TO EXISTING BUII,DTNGS..O:S;':ER'S YEARS OLD* *Buildings under 5 years old must use option 91 or#2 in New Construction section above. Complete the following formula to determine the %o of glazing: (a) Gross Wall & Ceiling Area equals Formula: (100 x b_a) T i Sr 100 x - _ % of glazing (b) Glazing area equals SF b a If glazing is<-40%.uge the chart below. If glazing is > 40 % rc cee.'d to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS MAXIMUM MINIMUM ' ^ Fenestration .Ceiling and .Wall Floor Basement Wall Slab l eter /// U-factor Exposed floors R-Value' R-value R-Value n VVaaluu e •R-Value and Depth .39 R-37 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 MIn ressed 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 120T) r Town of Barnstable Regulatory Services BAMSTABMThomas F.Geiler,Director 1639. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 12wi e.L as Owner of the subject property hereby authorize 7r--rq;L ( t•F(7 to act on my behalf, in all matters relative to work authorized by this building permit application for. $S3 At S( e—o-co t 1 Mk. (Address of Job) 51710 Signatur of, er X Date Print Nam& If Propegy Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. " Q:FORM&OWNERPERMISSION t Town of Barnstable Regulatory Services BARNSTABLE Thomas F.Geiler,Director %639. ��� Building Division ArED MA'I 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 annlirA%lP rnriPc }hvlamc nilPc and rPmllatinnc 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 R 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 constriction 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 form/certification for use in your community. Q:\WPFILES\FORMS\homeexempt.DOC AWC Guide to Wood Construction in Libels Wind Ar•easa 110 mph Wind zo're Massachusetts Checklist for Compliance(780 c»IR 5301.2.1.1.)1 Engineering 1 - Design Co., Inc. r � r r f • 4 1 - � 7 � / r I �r r� � I tv r / • STAGGERED Xw PAtTTEM PAINS ELUISI F NAIL MM DETAR Detail Vertical and Horizontal Nailing fbr Panel Attachment AWC Guide to Wood Colistructiou iti High Wiled Areas: 110 tuph Wiled Zolle Massachusetts Checklist for Compliance (7s0 CM_R 5301.2.1.1)1 > ngineering Design Co., Inc. Exterior Donner Wall Sheathing to Resist Uplift and Shear Simultaneously, Nominal Height of Tallest Opening2 .......................................................................... 610"<_6'8' Q Sheathing Type..............................................(note 4)..............:.................................CDX/WSP Q Edge Nail Spacing.........................................(Table 10 or note 4 if less)..............................4 in. Q Field Nail Spacing..........................................(Table 10).....................................................12 in. Q Shear Connection(no.of 16d common nails)(fable 10).............................................3 Per Foot Q Percent Full-Height Sheathing...Right Side...(Table 10)..........(18%Required)(35%Available) Q Percent Full-Height Sheathing...Left Side.....(Table 10)...........(18%Required)(61%Available) Q Wall Cladding Rated for Wind Speed?.............................................................. ................................................110 MPH Q 5.1 ROOFS Roof framing member spans checked?........................(For Rafters use AWC Span Tool,see BBRS Website) Q Roof Overhang ...................................................(Figure 19).....1 ft or Less s smaller of 2'or L/3 Q Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(fable 12)..............................................U=379 plf Q Lateral.............................................(Table 12)...............................................L=220 ptf. Q Shear...............................................(Table 12)......................................... ...S=96 plf Q Ridge Strap Connections,if collar ties not used per page 21... (fable 13).................................T=301 plf Q Gable Rake Outlooker...........................................(Figure 20) .....1 ft or Lesss smaller of 2'or L/2 Q Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(fable 14)..............................................U=492lb. Q Lateral(no.of 16d common nails)...(Table 14)..................................:.... L=2201b. Q Roof Sheathing Type......................(per 780 CMR Chapters 58 and 59).......................CDX/WSP Q Roof Sheathing Thickness.........................................................................................5/8 in.z 7/16"WSP Q Roof Sheathing Fastening............................................(Table 2)..............................8d{6"Edge 6"Field) Q �O 99® PAP14 EXPOSURE 8 WIND ZONE C Table 2. General Nailing Schedule � - f _Roof training `. ��J..�.��._��.._...__A.....�. .��_� __ .. _., -,._.0 .. ...w ._�.._____ ._._•__ _ ...-_ .r_..,._.._� ,_. , �� , Blocking to Rafter(Toe-nailed) 2-8d S 2-10d each end ' 3-16d i Rim Board to Rafter End nailed 2-16d each end ZT Wall Framing _ �, : Top Plates at Intersections..(Face=nailed) 4-16d 5-1.6d at oirrts i 1 Stud to Stud (Face-nailed} 2 16d 2=16d 24°a:c M ` Header to Header(Face nailed) 16d 16d 16'o c anglo edges { � � WIN 150 FIbOr�raininu v EA � _ 9 ;. ,r a Joist to Sill,Top Plate or Girder(Toe nailed):(Fig 14} 4 8d: 4 10d per lots# _ BlocWng 6461 st'(Toe nailed) 2 8d 2 1 Od each end Blockng 3o Sill or Top Plate (Tpe nailed) 3 16d 4 16d -each block Lodger Stnp to Beam or Girder(Face:nailed)` j. 3 16d 4 1.6d :each joist i Joist on hedger to Beam(Toe=nailed); 3 8d 3;10d per Lois# i Band Joist to Joist(End Waited) (Fig 14) = 3 1&d 4-16d ; per foist Band Joist to Silt or Top Plate(Toe nailed}(Fig 14} 2 16d 3 16d per foot s _Raof Sheathing Wood Structural Panels i rafters or trusses spaced up to 16'o_c. 8d 10d 6'edge/6°field rafters or trusses spaced over 160 o.c. 8d 10d 4°edge/4°field gable endwall rake or rake truss Wo gable overhang 8d 10d 6'edge/6'field j gable endwall rake or rake truss w/structural 8d 1 10d 6°edge/6'field outlookers gable endwall rake or rake truss w/lookout blocks 8d 10d 4°edge/.4°field Ceiling Sheathing _ .Gypsum.Wallboard 5d coolers � - � T edge 11.09 field:_: I Wood Structural.Panels ' °studs spaced tip 24 o c 8d, iQd 6 edge/ 2"field to . '. i92°and=25/32 :Rberboard Panels 8d1 — 3°edge/6"field 112°Gypsum Wallboard "5d coolers — 7°edge/10"field: Wood Structural Panels In or less 8d 10d 60 edge/12°field greater than I" , 10d i 6d 6 edge/6°field 1 Corrosion resistant 11 gage roofing nails and 16 gage staples are permitted,check IBC for additional requirements. Nails.Unless otherwise stated,sizes given for nails are common wire sizes.Box and pneumatic nails of equivalent diameter and equal or greater length to the specified common nails may be substituted unless otherwise prohibited. AMERICAN FOREST ire PAPER ASSOCIATION I � ` AWC Gtdde to Wood Construc on in High Whid Arens:110 ntph Wind zon; Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)I Engineering 17esign Co., Inc. Leveroni Residence Project No.2009-048 853 Main Street Cotuit,MA 02635 (Dormer Addition) Q Check 1.1 SCOPE Compliance Wind Speed(3-sec.gust).................................................................. ................................................110 mph Q WindExposure Category.................................................................. .............................................................C Q 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story),... 2 stories s 2 stories Q RoofPitch ...........................................................................(Fig 2) ............................... 12:12&6:12<_12:12 Q MeanRoof Height ..............................................................(Fig 2)..................................................28 ft s 33' Q BuildingWidth,W ...............................................................(Fig 3).................................................. 30 ft s 80' Q Building Length,L ..............(Fig 3)...................................................42 ft s 80' Q Building Aspect Ratio(L/W) .....(Fig 4)..................................... 5 Nominal Height of Tallest Opening2 ...................................(Fig 4)...................................................68" s w Q 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)............................................................... Q 4.2 EXTERIOR DORMER WALLS3 Wood Studs Loadbearingwalls........................................................(Table 5)...........................................2x6-8 ft 0 in. Q Non-Loadbearing walls................................................(Table 5)...........................................2x6-8 ft 0 in. Q Gable End Wall Bracing Full Height Endwall Studs............................................(Fig 10)................................................................. Q Gypsum Ceiling Length(if WSP not used)...........................(Fig 11)................................Full Ceiling ft a 0.9W Q and 2 x 4 Continuous Lateral Brace @ 6 ft.o.c. ..(Fig 11)............................................................. .L7{ or 1 x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays Q Double Top Plate Splice Length ........................................................(Fig 13 and Table 6)........................................6 ft Q Splice Connection(no.of 16d common nails)..............(Table 6).............................................................8 Q Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Tables 7).............................................3 Per Stud Q Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(fable 8)...................................I............3 Per Stud Q Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) HeaderSpans ........................................................(Table 9)........................................ 4 ft 0 in.s 11' Q Sill Plate Spans ........................................................(Table 9)..........................................4 ft Wn.s 11' Q Full Height Studs(no.of king studs)............................(Table 9).............................................................2 Q AWC Guide to Wood Coustruetiorr irr High Whrd Areas:110 rnph Whrd'Zoue Massachusetts Checklist for Compliance(7s0 c>R 5301.2.1.1)� Engineering & Design Co., Inc. The compliance checklist is typically used for the prescriptive design method for high wind construction and applies to structures located with in exposure B.When a structure is located in exposure zone C,the checklist is used as reference guide to.help determine the areas of a structure that need further structural evaluation.The forces that have been provided on the checklist have been calculated for this particular structure factoring in the exposure zone C location. Notes: a_. This checklist shall be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 53012.1.1 Item 1. 2. Exception:Opening heights of up to 8 ft.shall be permitted when 50/6 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. 4. a. From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing and Nail Spacing requirements b. Wood Structural Panels shall be minimum thickness of 7/16°and be installed as follows: L Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction,panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction,upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel.Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates,band joists,and girders shall be a double row of 8d staggered at 3 inches on center per figures below:Vertical and Horizontal Nailing for Panel Attachment r 0 V) 0, a, 0 q p U) ----------------------------- ---------------------------------------------------------------------------------------------------------------- ------------------........................ ----------------------------------------------------------------- < -----------------------------............ -------------------------------------------------------- ----------------------------------------------------------------------------------------------------------------- I a� � web . 7 ------...... 5T� —-—-— —-—-—-— or I1 WSI�E 1 WYN U Iz 7- 62 Z "I LU LU Z ----------------------------------------------- -------------------------------- ------ LLI >.............................. ............. ------------------------------------------ ---------- ----------------------------- ro LU (01F OU O Ron-RI ESR I o 3G70 s CTUpm BASEMENT C)rzrK FOOTI Nr, PLAN 0 o r r F Ta h r r. .v a PEP rz,eTM 0evrsaoM - a F ai 4'SkFi 01,41% Y sap _ - III . ya Yaa �ea: i x5 . ❑ PorEF � ,_ IlJ Li LU Z - DEGK fLOJQtm) I I � V Z 9 i — m o � QLU o uIII Ij N N C Y p J m OF 4f, m a� BER v G IE n' o. 6770 PUMP., � ,nF fCl$hR��tfP F IRST FLOOR PLAN r W 4 nw c ' e ...... .... _ _ i' E rT- 3 6�' $ ° [;`,:a ., 'i emrsa�n� sI hl I. ea$ fE -20 I < — — — zLIJ a W " .. .. .. W N U �10FM BERr SRO RS m 6770 H rcuvuvs.i 5 E G O N D FLOOR PLAN - Lo In 0 zC, 4 ;n ITT-�I • ,: M11111101111110 � pl��l� i� � �i ��,�� � ICI i� ;I�' � :� E FRONT EL V ATION c°E5 eY Y�,S$uP�4�ic . 'ykYb ✓t Ex�F=' • .• JN4PyL��&9 n2� d W ws g 1 Z Efi .,.ate.. N 13 o w W ~ NW In w ' W Q o x p �p W Mill. I IiI 'I Iltl III �4t , li a1 P`�H Ill MA J is '"`y''i t c,.� yxc. +•.-�i a .,wca.. p��E OBER7 M. M�tf v i . >' `, a<,,nys..vtk5�. �'7 /<y'`.V✓� �' k1 ESRO IF A 6770 J �v.•`}y <.. f �+� /.j �,wn.ss �i�FUCTOPt.L "";� �7a1AL EMS 8 R 1 6 M T ELEVATION 00 P z m0 r r 0FF r 0 ... i 5 ni�i ii g, ' IIIIIIIY INI.iiniYY'Y k11. - F R E A R ELE VAT ION SeSgK`iYf7PPn LU Z Q J Imo, •.x..,•.e,.al.. LU w g z w PLI"OF Ifa p `�.Yi'a2'j;ne:G% :: O OBE ER �`e f ESR ERS 3 770 —.. . � L,E F T E L E V A T I O�N i'@�f e�.�e.,,. ...0 4-3_�� A_5 R BER7 M.aC6 - O < D RO 6770 In t�- . ' •OCTU?e.l o�FCISfEaE� :e � u F�70NAL Eh� z w . STO E W < Z.F W EXI5TIN6 E ISTIW' ' 9 Q FIRST FL. FIRST FL J V LU W _O 0 W LU LU I Q Z lJ S '05 E%ISTINS 5T 5 e W rt1 Q • � 0.45EI•�NT J K L S E G N T 1 O .,. . A-6.. N oP z a4 p vv a J m r 0j y "J i QIIEi I e ' — — _ — _ _ — — — — — i v < Z _� a Q F' i pp W LL Z N p z p W Q m OF M4S� J m LL oa R BERT �aC 0 RS . 36770 RUCTURA.I • � '°E�s1E�° FIR 9 T F L O O R D E O K F R A M I N G P L A N µ 0 4-3-Oq A m m 0, O a 4 ✓ 0 n w G u Ip o U b x ve IIS ICI I�1�� IF — L C a I Q� t i i • �� ��E�cEF sYzb'nq ", a Lu Z F + Z F to � Y w v w p Z w i °z > a LU m W N IV1 OF q,q oa O ER 9Cy R IERS n o.36770 - ST ucTUP,l ! SECOND FLOOR DECK FRAMI NO PLAN t C • � �fi.; � b - '3s1-y kt W O P m i ✓ O'n. ------------------------------------ r..a,..rw•w nr.nu..n r/ • Q a 0 E 2 _m.m - y Ce o 8.�kFr x -- ,. ^ xpb;°.tU�B GEG°z`z ei��..•�YY5 ueu an+r w+w +r.0 crnecme.m� � . ., • -. FBL�°SRt�°diY Eye uo>ns......a •uwa.i+�M .,aMms,m —+uu..rvsr _ W < � man mn� emrne runsn x+n • n n .....------.__...._'-'---------'--'----------- -. Z t- W � Q p Z a W r IL 0 o Z N Z —' m rc EP H.OF Mq Ord ERT - _ S O RS `v M1• ROOF FRAMING PLAN 0 o770 1 . - TR CTOP<t a/r' as �a. 0 9FC/�o�Pj A-9 „ z a U Q � ALL RAFTER TO SUB-RIDGE CONNECTIONS (2)1Y/'x V2'SUB RIDGE (LCE4)POST CAP SHALL BE(1)SIMPSON LSSU210 PER RAFTER POST DOWN TO W8X75 STEEL BEAM COLLAR TIES OR(3)1 Y4 X I1 9' TYPICAL V z s EXTERIOR HEADER TO BE CONTINUOUS (R)W10X12W8X75 F=1 a F a WF SIMPSON(LCE4)POST CAP LVL TO BE ATTACHED Z O AT ALL POST TO HEADER PARALLAM I POST ON TOP OF EXISTING TO ALL PARALLAM POSTS USING - ►� W F CONNECTION BOTH SIDES TIMBER POST LOCATED BETWEEN THE 3Yz'X V4' SIM_PSON BCS POST CAPS(TYPI L) �W .. - PARALLAM POSTS AND ATTACHED USING 8' aj W TIMBERLOCK FASTENERS SPACED 12'O.C. ALL LVLs SHALL BE TIMBER LOCKE 0 _ IN FROM THE EXTERIOR FACE OF _ - THE HEADER WITH A MINIMUM - p Z OF.3 PER LVL(TYPICAL) O a - . 0 W y Q 5y"x 5Y'PARALLAM POST W x SY'PARALLAM POST ATTACHED TO BOTH - - - - A "'�00 Q DOWN TO FOUNDATION SIDES OF EXISTING POST USING _ BOTH ENDS OF HEADER 8'TIMBERLOCK FASTENERS SPACED AND - - STAGGERED 1T O.C. _ - °ZS U N C ,3 O c U c c C yo W N o O D POST DOWN FROM SUB RIDGE °F"' o TO COLLAR TIE BEAMS 4j ROBE �7 s E ERS m T� $ .36770 y auvuvai N L�? m Z3 y i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map n��j Parcels tfoci- Application Health Division Date Issued l Conservation Division Application FeeC��_ Planning Dept. Permit Fee p2� Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/Hyannis Project Street Address 49 S 3t Village 6e3Tu Owner 32.E LfAGQ-,3Na, (.IAA Le y Address Yt Telephone (el Permit Request f�X!�j1`�cX 1 -Twara& 1 -ganISIt f?4a'FW L4 tab Pax Square feet: 1 st floor: existing proposed 2nd floor: existingl& Zproposed kA- Total neA� Zoning District Flood Plain Groundwater Overlay Project Valuation 2O,eXDO Construction Type'E�WA-E Lot Size S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family .❑ Two Family S Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes O.No On Old King's Highway: ❑Yes ❑ No -- R Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Others Basement Finished Area(sq.ft.) 7;�_o Basement Unfinished Area (Sq.ft) Number of Baths: Full: existing —L 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 ,l 2�� � Telephone Number Address 17� 7�#-�( zj( License #��,,"'� Home Improvement Contractor# �(P(t6 (� Worker's Compensation # 76a72 t:Z ALL CONSTRUCTION DEBRIS RESULTING FP M THI JECT WILL BE TAKEN TO SIGNATU E DATE y 1 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER r _ DATE OF INSPECTION: FOUNDATION FRAME INSULATION PF a F FIREPLACE ELECTRICAL: ROUGH FINAL " PLUMBING: ROUGH FINAL GAS: ROUGH .FINAL FINAL BUILDING kwov r DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations I 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):.Em,j( _ �cs�l Address: <95- 7 N s,-tm City/State/Zip: Phone #: �j�(`� '�(o?•�E�t( Are you an employer? Check the appropriate box: Type of project(required): L❑ I am a employer with 4. ❑ I am a general contractor and I employees(fall and/or part-time).* have hired the sub-contractors 6. ❑New�construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees TM These sub-contractors have g, ❑ Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp.insurance comp, insurance.$ required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their . 11.0 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. i 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 the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: ,1 WC '70 �f6 001 Expiration Date: Job Site Address: 2 72 U du 51 City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required:under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby certi and penalti rju that the information provided above is trite and correct Signature: Date: Phone# Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2. Building Department 3. 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 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 confirmation of insurance coverage. Also be sure to sign and date the affidavit.. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address, telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 Fax # 617-727-7749 www.mass.gov/dia ENERGY CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE-AND TWO-FAMILY DETACHED RESIDENTIAL-CONSTRUCTION (780 CMR 61.00) Applicant Naive: �� '' �� Site Address: q0 print 11 Town: �oq— �. Applicant Phone: — Applicant Signature:_,--"--,-- ignature: ate of Application: NEW CONSTRUCTION: choose ONE of the follow two-options) 790 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR. NEW ONE-AND TWO-FAMILY BUILDINGS . MANIMUM MLIIIMUM Ceiling or Slab aOption 1: Fenestration exposed Wall Floor. Basement perimeter U-factor floors R Value R V R-Value wall R Value HSPF SEEF R-Value alue and Depth National Appliance Energy .35 R-3 8 R-19 R-10 R-10) CDnsuvaflon Act(NAWA)of 4 ft.- 1987 as amended,minimums or cater as applicable Note: This form is not required if you choose ither of th o versions of REScheck as listed below. ❑ _Option 2: REScheck Version 441.2 op4atAari t software analysis must be completed 780 CMR 6107.3.2 REScheck—Web " hie ccessed at http://www.Cnrrgycodes.gov/rrscheck/ ADDX'� O1VS:OR`ALTO OlYS.TO E TING 13UIX.DIN S'O V:E12 5 FEARS OLD* *buildings under 5 years old t use o 'on#1 or#2 in New Construction section above. Complete the€ollowi ula determine the %o of glazing: (a) Gross . & ilin ea equals Formula: (100 x b_ a) SF 100 x _ % of glazing (b) Glazing area quals SF b a If glazing is<-40%.i4q the chart below. • . If glazing is> 40 %prQcc6d to"SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS hDTiIMUM Ceiling and Slab Perimeter Fenestration Exposed floors -wall Floor Basement Wall PI-Value R-Value R-Value R value R-Value and Depth .39 R-37 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 Consurner Information Form found in Appendix 120.P 4 Board of Building Regula ons and Stan ards One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 120362 Type: DBA Expiration: 0/2009 r# 261156 PETER FIELD BUILDING & RESTORATION PETER FIELD P. O. BOX 16 COTUIT, MA 02635 date Address and return card.Mark reason for change. - ddress Renewal Employment Lost Card DPS-CAI is 5OM•07/07-PCB490 1lassachusetts- Department of Public Saft..0 " Board of Buildin- Re-ulations and Standards + Construction Supervisor License License: CS 65638 Restricted to: I PETER D FIELD PO BOX 16 COTLI IT, MA 02635 Expiration: V15/2019 ('iron»iasii�ni r Tr#: 19280 i I IJ1C Registration Complaints Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Mass.Gov Consumer Affairs and Business Regulation Home> Consumer> Housing Information> Home Improvement Contractor Program> ..........._.............._._..._._........................._........................._._._._............................................._......................................._................................................_.........._..........................._- HIC Registration Complaints Registration# 120362 Registrant PETER FIELD BUILDING&RESTORATION Name PETER FIELD Address P.O.BOX 16 City,State,Zip COTUIT,MA,02635 Expiration Date 11/30/2011 Status Current No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search ©2010 Commonwealth of Massachusetts http://db.state.ma.us/homeimprovement/licdetails.asp?txtSearchLN=20324 2/3/2010 � r Town of Barnstable Regulatory Services Thomas F_ Geiler,Director - 4' fn.19- "' Building Division Torri Perry, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 FaK: 508-790-6231 Property Owner Must Complete and Sign This Section - If Us ing_A Builder as Owner of the subt ct.property hereby authorize� � � to act on my behalf, in all matters relative to work authorized by this building permit application for. 57 ( Ca(QCk. dress of job) Signature of Ovffier ate Print Name r If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. oF t� Town of Barnstable � ray Regulatory Services Thomas F. Geiler,Director '`"SS . Building Division PrEO}AA't� Tom Perry,Building Commissioner 200 Main-Street, Hyannis,MA 02601 v%-wwAown.b arnstable.ma.us Office: 508-962-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village --^'HOM$OWNER": name home phone# work_pbonc# CURRENT MArL NG ADDRESS: eityAown state ap eodc 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. DEFINTRON OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which them 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 "harrieowner"shall submit to the$uilding 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. HOMEOVeWER'S EXEMPTION .The Code states that "Any homeowner pafonning work for which a building per nit is required shall be exempt from the provisions of this scction.(Seetion 109.1.1 -Licensing of construction Supervisors),provided that if the homeowner engages a parson(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowncas who use this exemption are unaware that they an assunvng the responsibilities of a supervisor(see Appendix Q. Rules&Regulations for Licrosing Construction Supervisors,Section 2.15) This lack of awarcncss bftrn results in serious problems,particularly when the homeowner hires unlicensed persmus. 1n 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 respormbilities,many communities require,as part of the permit application, that the homcowncr certify that he/she understands the responsrbilitics 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/ccrtification for use in your community. Q:forms:homccxcmpt I ACOR"D �EI�TJ�IGATE�OFLIA'BI,LII'iY I,NSrURAN # E °ATE`^^M'°°'"; T ... 6/30/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE, MA 02655 COMPANIES.AFFORDING COVERAGE COMPANY A AIM MUTUAL INSURANCE COMPANY _ INSURED COMPANY PETER D. FIELD e DBA PETER FIELD BUILDING & RESTORATION COMPANY PO BOX 16 C COTUIT, MA 02635 COMPANY D. 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 B Y 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. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION LTR POLICY NUMBER - DATE(MM/DD/YY) DATE(MM/DDIYY) LIMITS .. GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY - - PRODUCTS-COMP/OP AGG $ CLAIMS MADE ❑OCCUR - .PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROP -. - EACH OCCURRENCE - $ - - - FIRE DAMAGE (Any one fire) $ " - MED EXP (Anyone person) '$ : AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY _ $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE - $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO .OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM - .. $ W C STATU-" OTH- A WORKER'S COMPENSATION'AND AWC 70237840.12009 05/16/2009 05/16/201 O TOR EMPLOYERS' LIMITS ER EMPLOYERS'LIABILITY -- EL EACH ACCIDENT - $ 100,000 THE PROPRIETOR/ 8 INCL - _ EL DISEASE'-POLICY LIMIT $ 500,000 TIVE PARTNERS/EXECU - OFFICERS ARE: _ EXCL - EL DISEASE-EA.EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES/SPECIAL ITEMS ' _ - - - SHOULD ANY OF THE.ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE ,DARED KELLEHER EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL - DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY - -OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. AUTHO�p REfto" Scala, re� ,;.:z?a w.t'=a,- ., tti .0 i �/ii//// { A,��AGQRDCORPQRATION19$8. DATE E(MM/DD/YY) z AOOR©� CERTIFICATEOF LIABILITYI)NSURAN,CE r 6/30/2009 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE GERMANI INSURANCE AGENCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 908 MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. OSTERVILLE, MA 02655 COMPANIES AFFORDING COVERAGE COMPANY A AIM MUTUAL INSURANCE COMPANY INSURED COMPANY PETER D. FIELD B DBA PETER FIELD BUILDING& RESTORATION COMPANY PO BOX 16 C COTU IT,MA 02635 COMPANY D COVERAGES ' �. .. w�. _= .. M M. . 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 B Y 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. CO TYPE OF INSURANCE POLICY EFFECTIVE POLICY EXPIRATION U E LTR POLICY NUMBER DATE(MWDD/YY) DATE(MM/DD/YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ . CLAIMS MADE ❑OCCUR - PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 'FIRE DAMAGE (Any one fire) $ IVIED EXP (Anyone person) $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS - BODILY INJURY - $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: - EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ TH- A WORKER'S COMPENSATION AND AW C 7023784012009 05/16/2009 05/16/2010 TORYWCSTA LIMITSU- OTER EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100,000 THE PROPRIETOR/ 8 INCL EL DISEASE-POLICY LIMIT $ 500,000 TIVE PARTNERSIEXECU OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS iCERTIFICATE,HO.LDER ', t� sly.= 3 .'ti _ _.GANGELLATIfJ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL JA R E D KE LLE H E R 110 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, - BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY ITS AGENTS OR REPRESENTATIVES. II AUTHO�P R�TATIVS"�A ,�,y.. ,;;fire`* _, ., //N.'�Hw�r ,�-`•$as wa ...x �AGORD�zS-S,1195 >� .<, �.< �x;:.- .s � .� . ©sACORD CORPORATION,1988' Board of Building Regula ons and Stancar s One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement;Contractor Registration - Registration: 120362 Type: DBA Expiration: 0/2009 r# 261156 PETER FIELD BUILDING & RESTORATIOIu t PETER FIELD P. O. BOX 16 COTUIT, MA 02635 Update Address and return card.Mark reason for change. Address Renewal Employment Lost Card DPS-CAI 0 5OM-07107-PC8490 + - Massachusetts- Department of Public Safet) Board of Buildin ; Refrulations and Standards Construction Supervisor License License: CS 65638 s 5 Restricted to: 1G ` g. PETER D FIELD PO BOX 16 COTU IT, MA 02635 Expiration: 7/15/2011 onrmisi trier TrC: 19280 COMMONWEALTH OF MASSACHUSETTS BARNSTABLE, SS. SUPERIOR COURT NO. 88-858 kOA) 1 FOREST DANIELS, ET AL PLAINTIFFS ) ) 1 VS ) STIPULATION OF DISMISSAL I BOARD OF APPEALS, TOWN OF BARNSTABLE AND DANIEL W. ) LEVERONI , ET AL ) DEFENDANTS Now ...'ome the _ni 'the a}y. acting by and through their counsel, and hereby -,a•gree- that th^e complaint be dismissed wit prejudice and without costs . _ �- Plaintiffs Mich D. Ford, Esq. dward W. K Esq.,Atty. for / Attorney for Defendants, Leveroni Hunziker, McDermott, Kirk Mycock, Kilroy, Green and Russell & Ford, P.C. 182 Palmer Ave . , Box 547 Box 960 Falmouth, MA. 02541 Hyannis, MA. 02601 548-4901 771-5070 BBO#174440 ;Ruth J. Weil, Assistant Town 1 Counsel Attorney. for Defendant Board of Appeals Town Hall . 5545d 367 Main St. Hyannis, MA. 02601 , 775-1120 A true copy, Attest: Clerk _a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 1 Map 0SgooZ-ParceI Lo+ Z Permit# Health Division .' 3I D 3 Date Issued 3"_ 3 `0 3 Application FeeJ�Q• Tax Collector 200* 0 k AJL — �2pq 03 Permit Fee Treasurer M L" Planning Dept. Date Definitive Plan Approved by Planning Board SEPTIC MUST BE Historic-OKH Preservation/Hyannis INSTALLED IN COMPLIANCE =TITLE a Project Street Address D ' l �j lrv� ENVIRONMENTAL CODE AND TAUffil I�'► S Dr-no Village _ o� ©tt `jI�' e Iti j-L+►r Tr t . Owner P6 VN L Q,1/e�� V1 I Address v Telephone __Permit Request 'h _,c 1 J lam, 0-F4 n`fi c� l v,•��.�� r Square feet: 1 st floor: existing �y proposed, 2nd floor: existing6 6 proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation U O U e Construction Type ® -1 Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting do umentat0n. C' E CD Dwelling Type: Single Family 2-11, Two Family ❑ Multi-Family(#units) ! cI Age of Existing Structure 2 Historic House: ❑Yes Q'No On Old King's H way: ❑6Yes �I'Ro Basement Type: @156II ❑Crawl ❑Walkout ❑Other �a a, Basement Finished Area(sq.ft.) 69 G Basement Unfinished Area(sq.ft) `f 2 r- Number of Baths: Full: existing new -ki0 k\-R— Half:existing P1,0 s'Le� new / Number of Bedrooms: existing new 0 Total Room Count(not including baths):existing -7 new First Floor Room Count S Heat Type and Fuel: V(Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 2' o Fireplaces: Existing ' 0 New Existing wood/coal stove: ❑Yes 52 o Detached garage:❑existing ❑new size 0 Pool: ❑existing ❑new size 0 Barn:❑existing ❑new size 0 Attached garage:❑existing ❑new size Shed: ❑existing ❑new size 0 Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes No If yes,site plan review# Current Use s ideos g t Proposed Use S Gr vv%o� BUILDER INFORMATION Name 1 G�� N& Telephone Number - "-7-.s 2 ? .� Address 4 I ay lc Ave-, = License#- Q 6 n �1 77 Cj2, -Wry) Home Improvement Contractor# f —j 71 - 0'Z-6 32 Worker's Compensation# oe�''N 10 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /sae"S-67 SIGNATURE __ �" [�Dr� DATE 2-/�� FOR OFFICIAL USE ONLY Ct PERMIT NO. ' r DATE ISSUED i MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME CK INSULATION OK L3--0-:5 FIREPLACE ELECTRICAL: ROUGH FINAL I"t ' t FINAL PLUMBING: ROUGH '' € t ; - , �•t r GAS: ROUGH c 3 —4 t FINAL A FINAL BUILDING DATE CLOSED OUT i ASSOCIATION PLAN NO. The Commonwealth of Massachusetts — Department of Industrial Accidents ` = Office 81/nsesti9atioes 600 Washington Street Boston,Mass. 02111 Workers' Compensation.Insurance Affidavit name � �L'�Pt r location 4 city roAllKi/14` phone# J`.� ?'J Z-Cl I am a homeowner performing all work myself. am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this fob 3`"�r�s.�� -,,,.r "' :>"`�u air,r!'Y"r ,d.✓.�"5,7�'.r is t c s tT+t. .a S a ,r ,,,t.. r ,4 r° .+� i 9 q. a ,S - .company Dame �..��, !f: q : rs 5 y� p z Y � aw pi`�.'�aa�' r r ., r-'ltzt i y;€�,•' cltv � r : q �.�pP ,d2'.ir.:a k :gr'�-'✓�T'�.' a,r "E rh z..<i -w"%A a'�`+,.- Yl� ,r ✓e t- fi r N�a'`€ orn'taeilxt I am a sole proprietor,general contractor,or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices rSiRr i^` :F a "`'�' '�ri p� e t COIIt a'n 0 nle X § u t 3 Y x3 h address z uF axe C „MMI, ��,�"s Z �"sa✓i`4� fx1.,� fir ff,•,:. a z'4.,,��"�a�ew.w� s{J�� a'�� ,� z€ r.. W er"� yrai,v� _.eaG s - `b'. 'a' �"N� A' "..�,. .109uranCe'CO u sx�.r�4� � i:.�' as .ar c�� a t 3 tt � a �sP011Cy�# ,..-,� ,r.+ � "�,�-��' "�' ,��,.'�,• '��`� n r n m ar zr x€vrr s COm 8n namesyfXE s < s yv Ur s: . z:::� �' baa...w2� P •'r=et�'a '*t - �' * - � ,,`_',�. vF is -sl f '''",�: ...., 1 1'3NN." ;' address�� � a n. >i� w' 'y�- ,fir,r $ r-yt� a;i- .�C. :':. F ? < �}v phone# a 0 N M ��Fs g*.0 S', .siF � fs;"�Y V 1�i✓�'�i Y.^: l ;^ Z it C 'i P A fi � � � {. S..a- r'd"$'�'. � �'�'�d �,ya?� tr r#� s-*m .� �S.h A'a' - J s �s, -s z{ ,+ n ^.� ,.in - i s ,a,z 7�;y,�a 'r N,'w`� §'z"x.�v� r��.£#3 F�:;�•.., Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under thepains andpenalties ofperjuty that the information provided above is true and Jcorrect. Date 2 !�i Signature � I r p _ Print name 1 Ciln Phone# J�cJ 7 7 Z 9 2-3 official use only do not write in this area to be completed by city or town official city or town: permit/license# FIBuilding Department []Licensing Board check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: phone#; nOther (revised 9/95 PJA) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of 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. I MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out.in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to give us a call. SIM The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406 °FIHET�. Town of Barnstable Regulatory Services snaNsrnBLE. ' Thomas F.Geiler,Director 9�A . `�g ' TF 1639. a Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. P Type.of Work: �� ` I-e J Estimated Cost 'o OOU reel Address of Work: 5�3 1 J �. I Owner's Name: POI k, L e✓e�-o✓1 1 Date of Application:_ Z_ Z,/ 3 I hereby certify that: Registration is not required for the following reason(s): OWork excluded by law ❑Job Under$1,000 OBuilding not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Z� 3 I Ci o f Z S7 I Z ate Contractor Name Registration No. OR Date Owner's Name �ptME ram, Town of Barnstable Regulatory Services • STABLE, • 9 MASS �, Thomas F.Geiler,Director �p 0 9. ♦0 rEn►��s Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder L ry kA \'y �— Vulr'vy f , as Owner of the subject property hereby authorize Q ,[.N'C,g'L to act on my behalf, in all matters relative to work authorized by this building permit application for(address of job) Signature of Owner./ v Date Print Name Q:FORMS:O WNERPERMISSION �/ae �arrvnu?wrea�/i.na�./�aeaae�tu�e oard of Bwldmg B Regulations HOME I t!P EMENT CONTRA`. R 'i Ra 'strat 5742t l ratcD4 a �} '•sip--.i F . Elf � . RICHARDIN.NE OG kf i HARD 45 PARK AVENUE r CENTER VILLE, MA 02632 � A dm�rusfta I BOARD BUILDING RE.QV BUI ULAtT10NS �License: CONSTRUCTION SUPLAVOAS,OR i n Number:�CS: 060471. Birthdate�, 1955 s. r_. x I -Expires 05/tf/3`003" Tr.no: 10520 Res"tricted To 3 RICHARD IN NF_,4L 1G j 45 PARK CENTER•VILLE, MA 02632 _ Administ"ratgt RESIDENTIAL BUILDING PERMIT FEESn q o APPLICATION FEE New Buildings,Additions $50.00 c CD Alterations/Renovations $25.00 _ Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE ^�I 90(p square feet x$64/sq.foot= x.0031= plus from below(if applicable) D 0 r GARAGES(attached&detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $ 35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number)) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 ' Relocation/Moving $150.00 ��® (plus above if applicable) �� ,,� � Permit Fee ��T' I e 1 j j 1' jj x i tr� Is WA � 5 ., fz ON Pei 0 Q �--� co CD CO i t 09/15/03 TOWN OF REVENUE SELECTION CRITERIA: payact.date_paid between 108/30/20031 and PERMIT NO PERMIT TYPE TITLE FEE 71229 BPLUMR PLUMBING - RESIDENTIAL PL 71230 BGASR RESIDENTIAL GAS PERMIT GASR 71232 BGASR RESIDENTIAL GAS PERMIT GASR 71233 BPLUMR PLUMBING - RESIDENTIAL PLUMR 71234 BGASR RESIDENTIAL GAS PERMIT GASR 71235 BGASR RESIDENTIAL GAS PERMIT GASR 71236 BPLUMR PLUMBING - RESIDENTIAL PLUMR 71237 BPLUMC PLUMBING - COMMERCIAL PLUMC 71238 BEADALTR WIRING-RES. ADD/ALTER MISC 71240 BEADALTR WIRING-RES. ADD/ALTER MISC 71241 BEADALTR WIRING-RES. ADD/ALTER MISC 71243 BENBR WIRING PERMIT-NEW HOME ELECTR 71244 BSIGN SIGN PERMIT SIGN3 71245 BSIGN SIGN PERMIT _ arrnro _ w1 r•] ryL fri-.f_.. - -f.A rY' V - �1'( 'Fi' A441 P 4LiG♦♦'Fer „Fy M:�i`V i..►r+'w� � wrr .w r..y✓v a..p r/+F.• .a ..i.t,r t yT.� v� t-4.+ ..i.t, a/,..w♦ewr*, aiv,/r .w.+.�A Tr u E• t2' '..-•+•F r rs i5 rV ..max,..• hei irir t.r Y'�ri r t a/ad'�• rr o ! h�✓! ♦ Wi :'fi !y` .�,w+�y A T7y. .l.Y'/ri�j'�$ i• iM�.AID V.�.f. V«4S id`t!'�'v r..r '" 4 �R.• r vi !! �Ya M R•`,� S.�y r -+" r » �, k .- �e e�s.�a€/�ila 'k„w � �,�.•" �R Ise- w'ut � r.o. i -6 e•cb � j w,if'i� �� � 'Y � ��� s wr Al �.�.-. �� ��f'fir •+IM•.+.� .r,',r..� Vg "� • nlci�..•1M. ♦R 11 4�+ZY� ` .? y�w. n FP1H Lt1- i Ni.A,;I PHONE t,«� i/ ,,r_,�,� w-•.Y a4�i :«• a 4w 'iw1 t _ s li► 'M����"�f' `Y y4� SIP A`b ?�"Y' �f ii. ��.+/.►�' ..a�_a' ��7'Itl�t�_Y•�`. ,..', .a�:L, �. �Y� ��,� Yfi �`. `�ys�:M�Q' `+ � ,` ('3'� �"®rr+r �����."''�y• �ryl7�,�� �f+�.-.`� •;��i COTU IT r Z I P - I LOT 2 BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CT .PERMIT 67257 DESCRIPTION FINISH .BASEMENT FOR PL,!YROOM ACID BA':LR PERMIT TYPE BRE,MOD TITLE RESID1-AiTIAL ALT/CONV CONTRACTORS: NEAL, RICHARD Department of ARCHITECTS: Regulatory. Services TOTAL FEES: $330_ 14 POND NSTRUCT I Lf'e"I COSTS $45, 184.00 tHE 434 RESID ADD/ALT/CONV �. PRIVATE . D� * B MSTABL;, • Mass. i639. F��rA BUILDING DIVISION BY A, � J� DATE ISSUED 03/03/2003 EXPIRATION DATE T OF BARN OWN STABLE `• ' r :'X BUILDING -PERMIT i PARCEL ID O'35' 059 002 CEOBASE ID 39220 ADDRESt 863' MAIN STREET (COTUIT)' PHONE COTUI'T 4ZIP - LOT . 2 . BLOCK LOT SIZE l BA DEvnopmwr DISTRICT C'E PERMIT 67257 .,DESCRIPTION FINISH BASEMENT FOR PLAYROOM AND BATH PERMIT TYPE BREMO:D TITLE RESIDENTIAL ALT/CONY CONTRACTORS: NEAL, RICHARD Department of ARCHITECTS: Regulatory Services TOTAL FEES, $330.14 Baal? $.00 of CONSTRUCTION COSTS $45, 184.00 434 REESID ADD/AL`I`/CONY 1 PRIVATE i°„bDL� sARNWASM MASS. i639. Ep Mp`l A II ' . BUILDING DIVISION BY DATE 'I SSUED 03/03/2003 EXPIRATION DATE �f THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF, EITHER TEMPORARILY OR PERMANENTLY.EN= CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY THE JURISDICTION.STREET OR ALLEY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS.THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. ANICAL INSTALLATIONS. 4.FINAL INSPECTION BEFORE OCCUPANCY. POST - D SO IT IS VISIBLE FROMSTREET BUILDING INSPECTION APPROVALFX a PLUMBING INSPEPT! o FLECTRICAL INSPECTION APPROVALS -i Old 3 1 HEATING INSPECTION As%®VAT S- k ENGINEERING DEPARTMENT I 2 BOARD OF HEALTH I' OTHER: SITE PLAN REVIEW APPROVAL I I WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARI:G rS_-ST GF OF,,OO TRQ MONTH$OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- i4 \ J-. --- .. -.-__ BUILDING PER,,,MIT P RR;m P} WOOD PRODUCTS PINEHARBOR.COM 1-800-368-SHED 259 Queen Anne Road Harwich, MA 02645 �+ 8f: (508)430-1105 barns®pineharbor.com ENGINEER'S STAMP I to r fiI $ �a � #. n 'k3 1 '�yT3 �` +� p - -- .. l - w Barn ..��E' H- r � 7 , , .i 1• '.r . S*: •� �. }. :..,�i{, � �'.' CLIENT: a t' i r . ADDRESS: y � : K 1 .n� ,, t. :r. .t ,»1FE.. � Y w. 4^ r r , _ r' 853 Main �tr r+ �"( y+< x.: - � ;3C �.f .�; � q P , r'� � n 4 .�, ;� rz,., r ;v..i.. ��_ e 2 t Cot u i t MA 02 635 •T.�t1. '��r. .;-. �iY� ]� ! %.,-" �..li � '� 1 '•ti' ..J '� � t^j '� Y f� _4 _�...�r' '� t.5d .,�•«..+ °.: F, �.'� >I r'•�' .�.� `.4 ' ,: z � :� : � ;'� ',, T:k-E' �: PHONE •A : .fa ,<. F, r -; � " i; f ,'- � �` r �I' +� �`�, ±a-. w<a ,t•sa '+'. , .fx y.'y�r r y .. ; k�'1� ,�r .re s �� .: Y rw�`_ 'C_, � nl �€. ! _ y F �;. �; ,� ,}•`r .'S, t ' r�; -� t E-MAIL: •a:.r � 'E � �. F'- n f. _ '`;3 �'`Z 4) ,�5+ .tit yS-i ADDRESS OF PROPOSED WORK: 853 Main Street ` Cotuit. MA 02635 REVISION DATE: 11/17/17 DRAWN BY: ! GB Scale.- 1/4' = F-0" Unless otherwise noted r Page A.1 w WOOD PRODUCTS PINEHARBOR.COM 1-800-368-SHED Front Elevation 2 Left Elevation 259 Queen Anne Road SCALE: 1/4" = 1'-0" SCALE: 1/4" = 1'-0' p:Harwich, 430 28005 f: (508) 430-1115 barnsOpineharbor.com _ ENGINEER'S STAh1P ICiI' pi_ch Arr:Iiir,ectaral il�ingles WeaI I F-- —T Cf �reawcr;�� I I f I I I PROJECT: 14' x 20' Barn f'l'C !r irr CLIENT: i Cathy McGuil less Board arro Batten ADDRESS: 853 Main Street 0 White Ceoar Sl-Jng les Cotult, NAA 02635 PHONE: E-MAIL: .4 4 4 4 P6 o _4 :tr '4 ;0 : -4 ;0 4 C Q v.. '.4 ; �. '-4 ;�.:' .4 ADDRESS OF PROPOSED WORK: 20'-0" 853 Main Street Cotuit. MA 02C35 REVISION DATE: _ Il 7/1 DRAWN! BY: Roof: 413 sq ft Siding: 227 sq Ft V7C Sn.ne-s Page A.2 . a VIAfLiRBOR 4 WOOD PRODUCTS PINEHARBOR.COM ear Elevation Ri ht Elevation 1-800-368-SHED (D-�SCALL 259 Queen Anne Road 1/4' = 1'-0° SCALE: 1/4" 1'-0° ' Harwich, MA 02645 p: (508) 430-2800 f: (508) 430-1115 barnsgpineharbor.com ENGINEER'S.STAMP IC?/1' Pt;I Arr.iiiLei:b_:r_alSl ,la_; \rjp3-1-,�r�en�.a�cx�n PROJECT: 14' x 20' Barn 19 PVC I rY' N Cathy NAcGuiness r. a ADDRESS: 853 Main Street Cotuit. IVIA 02b35 PHONE: t a a o o a E-MAIL: _. ADDRESS OF PROPOSED WORK: 14,_�„ 20._�.; 853 Main Street Cotuit. NAA 02635 REVISION DATE: DRAW` BY: GB Page A.3 l -- - Floor Plan AS SPINE HA"OR O PRODUCTS SCALE: V = 1'-0" PINEHARBOR.COM `eVC 1-800-368-SHED 3 � A3 259 Queen Anne Road IJ Harwich,MA 02645 p: (508)430-2800 f: (508)430-1115 STHD10 QQ ali posts barne®pineharbor.com ENGINEER'S STAMP r---------- 10" x 20" Grade Beam ------------------------------------------------- - PROJECT: I 14' x 20' Barn 0 0 Q C ) - CLIENT: N Gathy McGuiness A2 Intericr Partrr in . N q ADDRESS: to TDp r< L<! A3 853 Main Jtreet Cotuit, .MA 02535 Concrete Floor 6 PHONE: 4'-5' Fibermesh A5 E-MAIL: ADDRESS OF PROPOSED WORK: 853 -Main Street Cotuit, MA 02035 F REVISION DATE: �r 11/17/17 DRAWN BY: GB d _ ,:.. - .f Scale : 1 4" 1' •n � Z 4*.V Z )/1 7 1 li Unless otherwise noted Ai Page A.4 PIS FOR 6 Timber anel Frame Timberpanel rrame , WOODPBOtPUCTS /4 O(DSCALE: I " - PINEHARBOR.COM 1-800-368-SHED 259 Queen Anne Road Harwich, MA 02645 p: (508)430-2800 f: (508) 430-1115 barns®pineharbor.com ENGINEER'S STAMP 2"x8' Ridge- 2"x4" Collar Ties 1" Roof Board (4) Nails 8D 2'x6" C 24" O.C. Rafters with H2.5 A Rafter Clips PROJECT: 1'xl2 Sheathing 14 X 20' Barn CLIENT: 6'x6' Plate Beams 4' x 4" \•Vind Bracing Cathy McGl ineS.S 6"x6' Posts (Fir) ADDRESS: 853 Main Street 4' x 6" Door/Window Posts (Fir) COtUit, 'N/A 02535 �o 4"x4" Purlins (Fir) PHONE: STHDIO_traps LA pcsts) !,All(1)n5 Rebar at Top of Wall 2"x8" Sil!s (PT) E-MAIL: 5/8" Anchor Bolts 4' OC °0 ADDRESS OF PROPOSED WORK: 853 N'lain Street COttlit, /\AA 02535 REVISION DATE: s':-._- a•" DRAWN BY: GB Scale: 1/4" - 1'-0" BONA, '' / Unless otherwise noted Page A.5 4;;� N/F O . Diane E Looney .TR N/F 191.681175 Harvey & Elenora.'G Harvey . 8225/16. ,� — 3 4 E _ —o -- t2t �.—° --a °Stockade Fenc Shupe Foc.tor� - 21:2 -See. 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I I I , I � " - g - , I iti,;� , m,- I A I . - �, 'i I , �,, : . � 1'-�� l i'li ; -�;�'�` ll�'(I�i,l,� 'it �4��,,�, I , ", :I I,� I ,,, kz�;�,�, �, I �, , -�' EFERENCE; I AND WAYS SHOWN AR � ,"I"', �i",i�I 11 I I �� �� I I i I 1��, . C OR � �� ��:- '�' ,�,i; ,� �1, � ��"",� I , � - � ,%, ,� � �� � i, l, 11 k -�-"', I ; I , , , , ,� - - � I :..",l4i�, ,�tt I r , 4"'::'j . H THE RULES AND REGULATIONS ' '' �!` t, �,'�it.jt�_ RS ll � , ,�A,, -�,PLAN DATED MAY 2B. 1986, REVISED AUGUST i0, 1987 ABLISHE ' ; �` ' - I � 1�tl ", .M- - 1. ". 1 I , F�,,�,;�41-��', .-, I I I 1. ,� " .,M:;'-iw",`t6i-il�, 1. I 11 -,�f,'�:�� ` "BY CAPE COD SURVEY CONSULTANTS AND RECORDED AT OF�;-,;� , i",."41: .""', t� I ," � - �T�, il �"` ,, , I -,-,,�:I.,�Nll i ��,111, 0 I , " ��i�; "- t,,�� - , � 0 1 , " I ll�q,,,�11�:13 ., � I ,,� , -1 I 11 I 11 I I , 'I",ll I ��A I 1 . " ,',f - � 1,1�j�, - . I v , ,R�"l .A *�� " " . I i , , � 'l, I . �l I �111 � I �l 1"'�� �' 1�' I� I " � ,: I , I;, ,�,'THE-: BARNSTABLE COUNTY REGISTRY OF DEEDS IN I I . , ISH . I �Oi�l, ; I . , t�,,,,,,� tt- " j,/ � ,�� o 1`11,�:if,N,,�'l lll�,t,� I . 1, ,w , " '��,i,i-' ��,, . ,�,V,�,�,,� 11 � 41 � I I I �-�r� - i :, 1-; �� - - 406 1 N/F WARREN F. MORRIS � I I , I ;�,1%1,�O��i,�,�!,i,�i�ll I it'' I 'i It". � , , ,4 � . ".'ll�'i`� � : I r1l., �� �,�,�' -- � WILLARD STREET SUITE 201 .,� . - . !t��-�;'.,� �,'-I!� I � , .l.,I I!, Al - � 1, ; I .� . . I � , ,�I i,qq ltl'%�ll I ,. I ; � , , , .1. I . .1 . 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