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HomeMy WebLinkAbout1286 MAIN STREET (COTUIT) % _ \ /2P/v �lairr ,�/, Y i _ 6A;. Y, ID „ J i I K� c soup 4 in z41 - a 774 EC a r TOWN OF [ARNSTABU a 'ti S L ii r_ • .� ate`` �.�F ` e��.4 G'�iF p , . ., #1� - T Z+��_'h' n 'r— �' ' � �a.�'L.Fi�♦�y %� • � *+Ili. 4�l��y��•a �r Y - �. i •f r ,r r w t Message �`,'r ZZ�J-� Page 1 of 2 Anderson, Robin CO From: Anderson, Robin Sent: Monday, June 27, 2016 8:08 AM To: Kaspan, Steve; Scali, Richard; 'gallantt@barnstablepolice.com' _ Cc: Roma, Paul; Hartsgrove, Elizabeth Subject: RE: Reflectors, Rocks&,plantings in ROW I do not see how I cann issue a ticket for this property under the zoning ordinance. There no "No Parking" signs here. While I agree the rocks are clearly a parking deterrent, I cannot write a ticket for a rock. Obviously, the property owners are walking a very fine line one designed to discourage beach parking. So, in the alternative, I would suggest that we explore posting official signs that welcome parking here. Like - Parking -2 hours Only, Restricted Parking, Resident Parking Only - Beach Sticker required. or something similar. Then we could seek enforcement if the property owners remove the signs or otherwise interfere. 0i 96ln Robin C.Anderson ; Zoning Enforcement Officer 200 Main Street Hyannis, MA 026oi , 5o8-862-4027 -----Original Message----- From: Kaspan, Steve Sent: Sunday, June 26, 2016 4:21 PM To: Scali, Richard; Anderson, Robin; gallantt@barnstablepolice.com s Cc: Roma, Paul; Hartsgrove, Elizabeth Subject: RE: Reflectors, Rocks & plantings in ROW I asked Ryan to'take pictures while he was out on patrol. See attached: Steve Kaspan Parking Manager/Transportation Coordinator 200 Main Street Hyannis, MA 02601 508-862-4613 -----Original Message---=- From: Scali, Richard Sent: Saturday, June 25, 2016 8:13 PM To: Anderson, Robin; gallantt@barnstablepolice.com; Kaspan, Steve Cc: Roma,Paul; Hartsgrove, Elizabeth Subject:,Fwd: Reflectors, Rocks & plantings in ROW Can you look at this site again. I know we enforced it last year Sent from my iPhone 6/27/2016 Message Page 2 of 2 Begin forwarded message: From: Precinct? <Precinet7Cc�comcast.net> Date: June 25, 2016 at 8:04:49 PM EDT To: Lynch Tom<tom.l.ynch 7,town.bai.n.stab!.e.cn.a.us> Cc: Ells Mark<Maik..Ells(a-)town..barnstable.ma.us>, Scali Richard <Richard..Scali a town.barnstable.ma.us> Subject: Reflectors,Rocks & plantings in ROW ' Received a call today from a constituent that saw that at 1286 Main Street, Cotuit the homeowners have placed a half a dozen rocks 1.5-2 ' in diameter as well as bushes in front of their fence. These are the homeowners that were cited for placing no parking signs in the ROW. Also there are 8 reflector poles placed in the ROW at 1262 Main Street. Please take the appropriate action to have these items removed. If this trend continues all of the Town's ROW will be littered with such, It's hard for me to explain to all of my constituents along Main Street who do not encroach on the Town's ROW why these 2 flagrant conditions are allowed to exist. We have many important challenges in this Town and it pains me to have to spend our time chasing these issues! I'm afraid there is no substitute for fast and clear enforcement. Thank you; Jessica Rapp Grassetti, President Barnstable Town Council, Precinct 7 P. O. Box 1310 Cotuit,'MA 02635 t Precinct?a,comcast.net www.B arnstabl.e Pre c i n.ct 7.c om (508)360-2504 (C) (508)862-4738 (0) 6/27/2016 } UNITED STATES POSTAL SERVICE First-Class Mail Postage&Fees Paid LISPS inP, Permit No.G-10 p ' Sender: Please print your name, address, and ZIP+4®in this box* TOWN OF BARNSTABLE BUILDING DIVISION ? 200 MAIN ST ` HYANNIS, MA 02601 I USPS TRACKING# 9591 iSENDER: COMPLETE THIS SECTION COMPLETE THIS SECTION ON DEI.IVERY ■ Complete items 1,2,and 3. ■ Print your name and address on the reverse r t so that we can return the card to you. �ftddressee ■ Attach this card to the back of the mailpiece, eived Pnnte a ) C. Da a of Delivery or GA the front if space permits. 1. Article Addressed to: D. Is delivery address differen}'from item 11 ❑Yes If YES,enter delivery address below: ❑No i I)I'I'lII IIII III I I I I II IIIII II Ijlll'II II I I II III 3.I Service Type ❑Priority ❑Adult ignature ❑Reisterect MaIITM ❑Adult Signature Restricted Delivery ❑Registered Mail Restricted 9590 9403 0232 5146 5385 65 0 certified Mail® Delivery ❑Certified Mail Resfricted Delivery P(Return Receipt for ❑co!act on Delivery erchandise 2. Article Number(Transfer from service label) ❑Collect on Delivery Restricted Delivery ❑Signature ConfirmationTm ❑Insured Mail ❑Signature Confirmation ❑Insured Mail Restricted Delivery Restricted Delivery PS Ft% 7 14 12 QO 01 0 3 5 8 519 7 Domestic Return Receipt Postal CERTIFIEDRECEIPT (Domestic Mail Only,No Insurance Coverage Provided)For delivery Information visit our website at www.usps.comg Ul m 0 UI M Postage $ Y �. Certified Fee -4, O !! Postmark Return Receipt Fee O Here C3 (Endorsement Required) r r' Lj . C3 Restricted Delivery Fee Zo M (Endorsement Required) C3 W Total Postage&Fees r3 SenITSC.Crtj 9" A ------------------------------ (� Vr - Street, No.; l/ 1 rO� or PO Box No.- Z8 Yj L :00 Certified Mail Provides: o A mailing receipt ■ A unique identifier for your mailpiece IN A record of delivery kept by the Postal Service for two years F Important Reminders: ■ Certified Mail may ONLY be combined with First-Class Maile or Priority Mailq; ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables,please consider Insured or Registered Mail. ■ For an additional fee,a Return Receipt may be requested to provide proof of delivery.To obtain Return Receipt service,please complete and attach a Return' Receipt(PS Form 3811)to the article and add applicable postage to cover the fee.Endorse mailpiece"Return Receipt Requested".To receive a fee waiver for, a duplicate return receipt,a USPSe postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent.Advise the clerk or mark the mailpiece with the endorsement"Restricted Delivery". ■ If a postmark on the Certified Mail receipt is desired;please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed,detach and affix label with postage and mail. '. IMPORTANT, Save this receipt and present'it when making an inquiry.'' PS Form 3800,August 2006(Reverse)PSN 7530-02-000-9047 THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M AxkC& DATA TOWN , OF BARNSTABLE BAR-W "' Ordinance or Regulation / WARNING NOTICE Name of Offender/Manager`" :; }I, lr �t' i i t�__ Address of Offender - ,! (nP"1 ;�+, , � MV/MB Reg.# Village/State/Zip Business Name am//pm on 20 l� Business Address S gnature'off•Enforcing Officer Village/State/Zip Location of Offense c'k�(e Enforcing Dept/Division Offense ;� r i` ✓ _)4 t ,t;) r Facts+: :-�j :i ;; !;i �" € �'�� 1 r"i 1 f 'rt' ,� !"1 �>( jt'� d - 4 This will serve only as a warning. At this time no legal action has been taken. It is the goal of. Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education 'effort's -and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal- action by the Town.- WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. t , _ of \ 1 ,7 ,(S.�a as"t. !f.• ' f �v �R �+ ys � ..S `� ••'gyp, n '� h r- - ti r r±� � r�'rr ', ,>✓� 'r. e'sa. �-'tYf rj/ f. t �Y�i�,�i �, THE Town of Barnstable ti Regulatory Services Richard Scali, Director BMtNSTABLE, 639. � Building Division �ED1A°�A Tom Perry,Building Commissioner 200 Main Street, Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 November 2, 2015 Barnstable First District Court Clerk Magistrate PO Box 427 Barnstable, Ma 02630 Re: Scott Blizzard Bar No. 79170, 79171, 79172 Dear Magistrate: Please be advised that Mr. Blizzard has come into compliance with the removal of the unofficial No Parking signs formerly posted in front of his Cotuit home on town property. As he has not re-posted the signs since the date of removal there is nothing to be gained by pursuing a magistrate's hearing. I,therefore request that the aforementioned enforcement matter pending before you on November 6, 2015 be summarily dismissed. Thank you for your consideration. Sincerely, Robin C. Anderson Zoning Enforcement Officer J:\Court Dismiss Letters\Court Dismiss LetterScott Blizzard parking sign.doc C:Scott Blizard`1286 Main St,Cotuit,MA 02635 N i 1 '•`1. '.."-_'. .�... ... �33 ram.•�'' 7 r , f ,,:,`;'`�� TO�V AWAY ��`.���•��.^ 1 ZD C. it or F'tA4Ti'�rY r y w�dS4 .15va v , rA t �i.� •n - � v' �Ae��r0 p� �f , 1 i" I�ry� �ii��n - r�l�. ? 1 �I - �a al S� � G' SA° 1� ,APPLICATION NO. NOTICE TO COMPLAINANT Trial Court of Massachusetts ,s s OF CLERK''S HEARING £ 1525 AC 006891 District Court Department w DATE OF APPLICATION DATE OF OFFENSE CITATION NO. NO.OF COUNTS COURT NAME&ADDRESS 8/31/15 8/0 4/15 BAR7 917 0 1 BARNSTABLE DISTRICT COURT LOCATION OF OFFENSE POLICE DEPARTMENT ROUTE 6A, P.O. BOX 427 BARNSTABLE BARNSTABLE POLICE DEPT. BARNSTABLE MA 02630-0427 NAME AND ADDRESS OF DEFENDANT (508) 375-6600 SCOTT A BLIZARD DATE OF HEARING F 1286 MAIN STREET COMPLAINANT 11/0 6/15 MUST APPEAR AT COTUIT MA 02635 ABOVE COURT ON TIME OF HEARING THIS DATE AND 9 : 00 AM jeE SCHEDULED EVENT CLERK'S HEARING (G.L. c.218, § 35A) NAME AND ADDRESS OF COMPLAINANT BAXTER, SGT. BENJAMIN D. FIRST SIX COUNTS - 11 666666 MISCELLANEOUS MUNIC ORDINANCE/BYLAW VIOL TO THE ABOVE-NAMED COMPLAINANT: You are hereby notified that a hearing on your application for a criminal complaint against the above named defendant will be held at this court by a magistrate on the date and time indicated. If you have any witnesses you want to testify at the hearing, you must bring them to the hearing. Please bring this notice and report to the Clerk-Magistrate's office upon arrival at the court. If you fail without good cause to appear at the hearing; the application will be dismissed.. 4 DATE ISSUED CLERK-MAGISTR 8/31/.15 Charles J.Ardito, III 3 , n ;. ATENC16N:ESTE ES UN AVISO OFICIAL DE LA COUTE.SI LISTED NO SABE LEER INGLES,OBTENGA UNA TRADUCCION. Ak ATTENTION:CE91 EST UNE ANNONCE OFFICIALE DU PALAIS DE JUSTICE.SI VOUS ESTES INCAPABLE DE LIRE ANGLAISE,OBTENEZ UNE TRADUCTION. ATTENZIONE:IL PRESENTE E UN AVVISO UFFICIALE DAL TRIBUNALE.SE NON SAPETE LEGGERE IN INGLESE,OTTENETE UNA TRADUZIONE. ATENCAO:ESTE E UM AVISO OFICIAL DO TRIBUNAL.SE NAO SABE LEA INGLES,OBTENHA UMA TRADUQAO. LUU-Y:DAY LA THONG BAD CHINH THUC CUA TOA•AN,NEU BAN KHONG DOC DUOC TIENG ANH,HAY TIM NGU01 RICH HO, x 6on } CH2 8/31/15 12:05 PM 1` -NAME.OF OFFEND - ---]BAR 7170 TOWN OF ADDRESS OFOFFENDEq -00 .,,.�.�� • - - 1R i i BARNSTABLE CITY,STATE,ZIP CODE. ) /y .�' MV OPERATOR LICENSE UN�BER ! - MVIMB REGISTRATION NUMBER' F SE •7 �/} + niAss jr. fe�ra r `( �,- �.� 1 'C'^; Y ��i � ,d"1 �K�• iQd1�� a.d CD vim TJMR DDA 0 'VIwQ. T O TIO 0 VIO TT ON, Wt NOTICE OF IA ./ P.M.>ON :. 20 ; n r s fM/ —9" Tl1R OR114VOfl ER N ENF RUING DEPT. BADGE N0. W'� is VIOLATION o.l I: srx I— f OF TOWN #4A(kH BY ACKNOWLEDGE RECEIPT OF CITATION X a' i ORDINANCE` u"able toy°q I gnat a of nder. THE NONCRIMINAL FINE FOR THIS OFFENSE IS S Date malldl4 - Uj W u .YQU HAVE4THE FAhLOWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL POSITION WITH NORESULTING CRIMINALRECORD. ti y'.Pr R EG U LAT I ONI ` ((y;Y`u ma elect to;a the above fine,,either b a ear ng in arson between 8i30 A.M.and 4 00 P.M.,Monday through Frida,le al holidays excepted, Q k4 befo a The Barnstati Glerk,200 Main Street;Hyannis,MA 02601,,or by mailinga check,.money.order or postal note to Barnstable Clark,P.O.f3ox 2430, !iT 4 Hyannis MA0'601,WITHINTWENTY-ONE(21)'DAYSOFTHEDATEOFTHIS'NOTICE. a a 2))'If you desiJe to contest this matter in a noncriminal pproceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST ARATABLE DIVISION,COURT COMPOUND,:MAIN STREET,BARNSTABLE,MA 02630;Attn:21D-Noncriminal Hearings and enclose a copy of this r - citation for a hearing: - (3)If you Tall to pay the above offense or to request a hearing within 21 days,or if you fail to appear,for the hearing or to pay any fine determined at the i s hearing to be due;.criminal complaint may be issued against your 0 I HEREBY ELECT the first option above,confess to the offense charge and enclose payment in the amount of$ L ' -- — --- --— Signature ., r rt NAME OF OFFENDE ..�•. �( -�°�,, BAR�-7 �.?1 4' TOWN OF ADDRESS OF OFFEND R (' �BARNSTABLE -cln,SATE,ZIP CODE.• THE 1'Dw r _ CD "C... .679. -4�' �� y�. / vrED MKt�' 3 t f i .4dC a,• .pq, .�'.' r�'. 4 .dJ , 1.. 1 \ 'F .,,,1'y !LE rVI01A 1 4J L4C!}T N..F V �ATION�.•� -�^"''._ 'J - IfW ; NOTICS OFF �i t i (A / P.M.)ON 2N`� t f ► �t U k I f W V. 'SIGfLI T f(FAhCI, 1 SON S EN INl OE T. BADGE NO. U Cn VIOLATIONV CD OF TOWNh, s. . . . W,; r Ni_ti l N E Y Aj;KNOWLOGE RECEIPT'OF CITATION.X 0 ORDINANCE1" UrfaDet libtai na of , der.. J I ,.; ,' w - THE NONCRIMINAL FINE FOR THIS OFFENSE IS Rate mal(ed ' . W i r OR �" U HAVE THEQ! AWING ALTERNATIVES WITH REGARD TOAISPOSITION OF THIS MATTER.EITHER OPTION(1)OR OPTION(2)WILL OPERATE AS A FINAL cL ✓n- N pISPOSITION W11'F'NO,)RESULTING CRIMINAL RECORD. y .� REGULATIONn"" p (0)Yovmat7 elect to pay the above fine;'either by appearing In person between B:30 A.M.and 4i00 P..M.,Monday through Friday,legal holidays excepted, Wit f ° ,• :before`)11e BarnstabCL le Clerk,200 Main Street,Hyannis,MA 02601,or by mailing-a chebk;money order or postal note to Barnstable Clerk,P.O.Box 2430. ' F K }p .+Hyanfils MA q�601,WITHIN TWENTY-ONE(21)DAYS OF THE DATE OF THIS NOTICE. I w F 291tt you.deaire to contest this matter in a noncriminal pPoceeding,you may do so by making written request to DISTRICT COURT DEPARTMENT,FIRST RNSTABL-E DIVfSION,COURT COMPOUND,:MAIN STREET,6ARNSTABLE,MA'02630,Attn:21D Noncriminal Hearings and enclose a copy of this C "citation for a hearing. 1 (3)If you fall to pay the above offense or to request a hearing within 21 days,or if you fail to appear for the.hearing or to pay any floe determined at the he aring to be due criminal complaint may be Issued against you. ❑>I,HEREBY ELECT the first.option above.confess to the offense.charged;and enclose payment in the amount of$ _ `, Signature — — ` NAME OF OFFEND -' •� f . Z. TOWN OF ADDRESS OF OFFEND Fl ��••' Y f C',.,BARN CITY�STATE. COOS ST ABLEDA . S - _ �dl ZHE�Qy,� �. / �-- 1 HARNSIARI.E.I 'IASS Lij 1 6LUA u.'7/'��7`/ Qr/ ,�\'• I'9 '� ^'w�t y/yy �"'p ,I. rED MA'S• '4.1r �' �)• ti 4 ry I C TIME AND DATE FVIDLA 10 �� r` I�I '✓l:- I W ! O ! I L CA ON F IOLATIQ� - - ✓ `" - W ,,. NOTICE.OFF M P.M.)ON 20Y6q EN ClIMT VIOLATION I.:+a � f f ! ,;..r-. �.. BADGE NO Iy;: OF TOWN i' I HER .Y�kCI�NOWLEDCE RECEIPT OF CITATION X ~ ORDINANCE u' LU :Unable o Qbtair�s�gna re Of aPlender. THE NONCRIMINAL FINE FOR THIS OFFENSE.IS S a 7 a&YOU HAVE TUj yE FOCLQWING ALTERNATIVES WITH REGARD TO DISPOSITION OF THIS MATTER.EITHER OPTION'(1)OR OPTION(2)WILL.QPERATE AS A FINAL n W r �I$PpS[IIt51)�NITW f�0 RESULTING CRIMINAL RECORD: REGU LATI0�1 N;; Y(t)You mayf'elect to pay the above fine,either by appeadng in person between 8 30 A M:and 4:60 P.M.,Mondar through Friday,le aLholl ayys exce ted, before The Barnstable Clerk,200 Main Street,.Hyannis,MA 02BO1,or by mallin a check;money order or poste note to Barnstable9Clerk;P.O:Box 2430, J ' Hyannis;MA 02601,WITHIN TWENTY-ONE 21 DAYS OF THE DATE OF THI NOTICE::: (2)If you desire to contest this matter in a noncriminal proceedingg,yyou mayy do so by making written request to DISTRICT COURT DEPARTMENT,FIRST; BARNSTABLE DIVISION,COURT COMPOUND,MAIN STREET,BARNSTABLE;MA 02'30;Attn:210.Noncrlminal Heanngs and enclose a copy of this' citation for a hearing. (3)If you fail to pay the above offense or to request a hearing within 21 days,or 1f you fail to appear for the hearing or to hearing to be due,criminal complaint may be issued against you. PP 9 pay any fine,determined at the ❑.I HEREBY ELECT the first option above,confess to the offense.charged,and enclose payment in the amount of.$ Signature j y t:.rA x-e..,�,,,r,,,_,_,.,>w,m»v^4.+^.x^Y_-.'..".`^.. 'T'�s•*r-"'`✓^^^.'r�.".a-.e+,�,.y^.."+,v..•c'fn-.,. TOWN OF BARNSTABLE BAR-W 5080 ► Ordinance or Regulation WARNING NOTICE Name of Offender/Managers ( • #.4 17Xr4- Address of Offender � t7"'Hn g• Village/State/Zip MA 6;L63 . Business Name + -'' 1 am/p i on 20 Business Address S""�gnature V enforcing Officer Village/State/Zip Location of Offense Tir7 tl l lA'# +U 4 Enfo�r"cing Dee/-Division Offense, A�+�k� �`�"�~ 63 �� �t�� �C"� � � Ci� \ 1/'6_��� <<�. i � Fads" , v)) 11� #104 . 0 This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations. Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town. WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER GOLD-ENFORCING DEPT. THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I M A�C(, I DATA TOWN OF BARNSTABLE . BAR-W Ordinance or Regulation WARNING NOTICE Name of Offender/Manager, (".A Address of Offender fir° f,- !p� ?�; � , ram MV/MB Reg.# Village/State/Zip %.;fi'�;, �' �3r, ''7 r Business Name ' am/!pm on - 20 l D Business Address ,�� Signature;:of%'Enforcing Officer Village/State/Zip Location of Offense plc ir� Enforcing Dept/Division t Offense, is.i' i - i to ', °^� ' , d r'1 "1 4 FactS' ,` i4 i i\ 3 1 �'' + L�1 j` lt' ti � ^1 ! kb Y This will serve only as a warning. At this time no legal action has been taken. It is the goal of Town agencies to achieve voluntary compliance of Town Ordinances, Rules and Regulations." Education efforts and warning notices are attempts to gain voluntary compliance. Subsequent violations will result in appropriate legal action by the Town.'. . WHITE-OFFENDER CANARY-ORD./REG.-PROG. PINK-ENFORCING OFFICER 'GOLD-ENFORCING DEPT. S Official Website of The Town of Barnstable - Property Lookup Page 1 of 4 Select Language ♦, Assessing Division Property Lookup Results - 2015 • 367 Main Street,Hyannis,MA.02601 - <<BACK TO SEARCH<< Print Friendly Owner Information - Map/Block/Lot: 033 % 003/ 002 - Use Code: 1010 Owner Owner Name as of 1/1/1 5 BLIZARD,SCOTr A&LAURIE S Map/Block/Lot CIS MAPS 1286 MAIN STREET 033/003/ 002 COTUIT,MA.02635 Property Address Co-Owner Name 1286 MAIN STREET(COTUIT) Village:Cotuit Town Sewer At Address:No GIs Zoning Value:RF Assessed Values 2015 - Map/Block/Lot: 033 / 003/ 002 - Use Code: 1010 2015 Appraised Value 2015 Assessed Value Past Comparisons Building Value: $367,100 $367,100 Year Total Assessed Value Extra Features: $42,300 $42,300 2014-$810,200 . 2013-$791.200 Outbuildings: $26,400 $26,400 2012-$789.900 Land Value: $490,400 $490.400 2011 -$844,900 2010-$844,900 2009-$1,418,400 201 5 Totals $926,200 $926,200 2008-$ 1,407,900 2007-$ 1,407,000 Tax Information 2015 - Map/Block/lot: 033 / 003/ 002 - Use Code: 1010 Taxes Cotuit FD Tax(Residential) $2,056.16 < Community Preservation Act $258.41 Fiscal Year 2015 TA RATES HERE Tax Town Tax(Residential) $8,613.66, $ . 10,928.23 Sales History- Map/Block/Lot: 033 / 003/ 002 --Use Code: 1010 History: Owner: Sale Date Book/Page: Sale Price: BLIZARD,SCOTT A&LAURIE S 2013-12-11 C202239 $1040000 VIRGINIA V BUSH TRUST 2004-05-28 C1 73186 $1 DEE,VIRGINIA V 1982-03-29 C88271 $200000 Photos 033 / 003/ 002 - Use Code: 1010 Sketches - Map/Block/Lot: 033 / 003/ 002 - Use Code: 1010 �- http://www.townofbarnstable.us/Assessing/propertydisplayscreen l 5.asp?ap=0&searchparce... 9/3/2015 Official Website of The Town of Barnstable Property Lookup Page 2 of 4 E aAs "YI rr a AS BUIIt Card$:Click card#to Card #1 Card #2 Card #3 Card #4 Card #5 view: I I I I Constructions Details= Map/Block/Lot: 033 / 003/ 002 Use Code: 1010 Building Details Land Building value S 367,100 Bedrooms 5 Bedrooms USE CODE 1010 Replacement Cost $512,212 Bathrooms 4 Full Lot Size(Acres) 1.06 Model Residential Total Rooms 10 Rooms Appraised Value $490,400 Style Conventional Heat Fuel Gas Assessed Value $490,400 Grade Custom Plus Heat Type Hot Air Year Built 1850 AC Type . Central Effective depreciation 25 Interior Floors CarpetHardwood Stories 2 Stories Interior Walls Plastered Living Area sq/ft 4,458 Exterior Walls Wood Shingle Gross Area;q/ft 6,362 Roof.Structure Gable/Hip Roof Cover Wood Shingle Outbuildings& Extra Features - Map/Block/Lot: 033 / 003/ 002 - Use Code: 1010 Code Description Units/SQ ft Appraised Value Assessed Value FOPC Open Prch-roof, 28 $ 1,300 S 1,300 ceiling FPL3 Fireplace 2 story. 2 S 7,600 $ 7,600 WDCK Wood Decking 240 S 3,900 $3,900 w/railings BMT Basement-Unfinished 304 S 5,500 S 5,500 FOP Open Porch-roof 404 $ 13,600 S 13,600 ceiling GEN1 Large Generator 1 $21,100 $21,100 PAT2 Patio-Good 200 S 1,400 $ 1,400 BMT Basement-Unfinished 728 S 14,300 $ 14,300 ' Sketch Legend Property Sketch Legend B2N Bam-any 2nd story area FPC Open Porch Concrete Floor REF Reference Only BAS First Floor,Living Area FTS Third Story Living Area(Finished) SOL Solarium BMT Basement Area(Unfinished)FUS Second Story Living Area SIRE Pool Enclosure (Finished) BRN Bam GAR Garage TQS Three Quarters Story(Finished) CAN Canopy GAZ Gazebo UAT Attic Area(Unfinished) http://www.townofbamstable.us/Assessing/propertydisplayscreen 15.asp?ap=0&searchparce... 9/3/2015 Official Website of The Town of Barnstable - Property Lookup Page 3 of 4 CLP Loading Platform GRN Greenhouse UHS Half Story(Unfinished) FAT Attic Area(Finished) GXT Garage Extension Front UST Utility Area(Unfinished) FCP Carport KEN Kennel UTQ Three Quarters Story (Unfinished) FEP Enclosed Porch MZ1 Mezzanine,Unfinished UUA Unfinished Utility Attic FHS Half Story(Finished) PRIG Pergola UUS Full Upper 2nd Story (Unfinished) FOP Open or Screened in Porch PRT Portico WDK Wood Deck PTO Patio tm°)Print Friendly Contact 'Director of Assessing Jeffrey Rudziak P 508-862-4022 - i iF508-862-4722 .8:30a.m.to 4:30p.m. jjHelpful Links to Downloads i Abatements SALES LISTINGS i Barnstable FD Residential C.O.M.M FD Residential Commercial-Industrial- ! Mixed Use Cotuit FD Residential Hyannis FD Residential Townwide Condominium W.Barnstable FD r Residential Department of Revenue t Exemptions Parcel Consolidation 3 � Questions about values Town Tax Rates ( Town Land Use Codes Helpful Maps All Town Maps Flood Insurance Maps Property Maps Contact Director of Assessing ,Jeffrey Rudziak { iP 508-862-4022 F508-862-4722 18:30a.m.to 4:30p.m. i http://www.townofbamstable.us/Assessing/propertydisplaysereenl 5.asp?ap=0&searchparce... 9/3/2015 Arn t ThermalGuard CC2 TECHNICAL DATA SHEET i PRODUCT NAME PHYSICAL CHARACTERISTICS r Property Value Test Method I. ������� Density(nominal): 2.0 lb/ft3 '`'ASTM D-1622 R-value: 7/inch' ASTM C-518 ' ThermalGuard CC2 compressive Strength: 35 PSI; ASTM D1621-94 Tensile Strength: 70 PSI ASTM D1623-78 PRODUCT DESCRIPTION Dimensional Stability: <4%A ASTM D 2126 j Closed Cell Content:: 96% ASTM D.2856 ThermalGuard CC2 is a fast set,closed- Air Permeability: .002 L/sm2(@ 75 Pa @ I") ASTM E283 celled,245fa-blown spray polyurethane Vapor Permeability: :8 Perms,@ 2" ASTM E96 foam(SPF)insulation designed for use Fungus Growth: None ASTM G21 in residential&commercial structures, Service Temperature: 250-F(120°C)* exterior foundation or perimeter f insulation,below grade applications,. *Service temperatures will vary depending on application. Contact yourArnthane Technical Representativefor ' exterior tank/pipe insulation and etc. recommendations and limitations.Always test 77termalGuard CC2 for suitabilityfor yourporticular application in a safe manner, ThermalGuard CC2 is applied as a LIQUID PROPERTIES liquid and expands 25x in seconds to fill Property, Value Test Method and seal building cavities of any shape ViscosityA 200-250 CPS ASTM D-2196. ( ). � and size. >xhibits superior thermal Viscosity(B) 1100-1300 CPS ASTM D-2196 , insulafioir,air-barrier,and sound Weight Per Gallon(A) 10.25 lbs/gal ASTM D-1475 attenuation properties compared to Weight Per Gallon(B) 9.4 lbs/gal ASTM D4475 conventional insulation materials. REACTIVITY PROFILE I. Once fully cured ThermalGuard CC2 Property Value remains rigid maintaining significant Cream Time:, 2-3-seconds @ 25°C(77°F) structural strength and thermal Rise Time: 12-16 seconds @ 25°C(77°F): insulation properties in adverse (' . conditions across a wide variety of COMBUSTION PROPERTIES i. applications. Property Value Tes Method Flame Spread Index:" <25 ASTM E-84 MANUFACTURER Smoke Development: 5450 ASTM E-84 ThermalGuard CC2 is manufactured PACKAGING&STORAGE exclusively by Drum Weight(A) 551 lbs Drum'Weight(B) . 500lbs Arnthane Inc. Total Set Weight 1051 lbs 1002 West Main Street Storage Temperature Range(STR) 60—80 OF Richmond,MO 64085 Shelf Life at STR 6 months P.816.7763015 F.816.776.3215 *Do not allow material to freeze.Do not preheat or recirculate(B)material as it will causefrothing and loss of W W W.arnthane.COm blowing agent. Storage at temperatures above or below S7R may shorten shelf life and cause degradationI or loss'of blowing agent. Cold material will develop higher viscosity which can cause during processing such as pump,: CORROSION cavitation and poor mixture of(A)and(B)components.For best processing performance daring application(A)" and(B)drum temperatures should be between 60 F=80 F ThermalGuard CC2 is chemically& PROCESSING PARAMETERS physically patible with all common Processing Pressure Range: 900-1400 PSI* building materials including electrical Processing Temperature Range: 115—145°F* wiring,wood,metal,concrete,plastic Substrate Temperature Range: 35 105 OF (PVC),copper,vinyl;and glass. Ambient Temperature: 35—105 OF I" Substrate Moisture Content: <19% INSTALLATION Yield: 3800-5000 Board Feet Pei Set* - Maximum Lift Thickness: 4 inches** ThermalGuard CC2 must be spray applied using approved equipment.Use `R aessingparameters&yields can vary widely depending on substrate temperature,type&condition,ambient 1:1 ratio proportioning system that can temperature,elevation,humidity,equipment and other factors:During installation the applicator must observe the quality and characteristics of the foam and adjust equipment temperature&prWui ti settings as needed to achieve the speClfied temperature and accommodate these variables in order to ensure optimum yield,proper adhesion,proper cell structure,and pressure requirements. performance of thefoam. "ALWAYS test 7hermalGuard CC2 at desired thickness in a safe manner prior to insulating structure to ensure that it can be safely installed at the desired l yi thickness without risk of charring or combustion. B is the exclusive responsibility of the applicator to achieve proper lift.thickness for safe application. Safe lh thickness may vary from application to application. i .OArInthane ThermalGuard CC2 TECHNICAL DATA SHEET appropriate PPE as required by OSHA,, intended for use by nonprofessional ThermalGuard CC2 demonstrates NIOSH,and state/local safety applicators,or those who do not excellent adhesion to various substrates regulatory agencies. purchase or utilize this product in the. when installed according to normal course of their business. The. manufacturer specifications. It is the applicator's responsibility to potential user must perfprm any, comply with all job site safety pertinent tests in order io determine the ThermalGuard CC2 resin(B)does not requirements set forth by OSHA, product's performance and suitability in require agitation. Do not pre-heat or NIOSH,and state/local safety 'the intended application,since final recirculate resin(B)as doing so will regulatory agencies. determination of.fitness.of the product result in the"boiling off'of the 245fa for any particular use is the blowing agent which will result in poor LIMIATATIONS responsibility of the.buyer. yie ld 1 d o0 foam r performance. dan P ThermalGuard CCf should not be left All guarantees and warranties as to the ThermalGuard CC2 should be installed exposed to sunlight,as UV light will products supplied by Amthane shall at a maximum thickness of 4 inches per rapidly degrade foam. Do not use near. have only those guarantees and . pass with a minimum of 30 minutes high heat or open flame. warranties expressed by the between passes. It is the applicator's manufacturer..The buyer's sole remedy, responsibility to test lift thickness for a ThermalGuard CC2 must be covered as to the material claims will be against particular application prior to with an approved 15-minute thermal, the manufacturer of the product. The commencing installation to ensure that barrier when used as insulation for aforementioned data on this product.is the product can be installed safely at the residential or commercial buildings. to be used as a guide and is subject to desired thickeeess. . Installation must comply with all change without notice. The information applicable building codes. herein is believed to be reliable,but SAFETY&ENVIRONMENT unknown risks may present. Do not install ThermalGuard CC2 at a ThermalGuard CC2 is installed by thickness exceeding 3 inches per pass NO WARRANTIES,EXPRESSED OR .. independent SPF contractors. It is.. and do not apply subsequent passes IMPLIED,INCLUDING PATENT recommended.that building owners within 30 minutes of the previous pass. WARRANTIES OR WARRANTIES verify that the SPF insulation contractor In rare cases doing so may cause OF MERCHANTABILITY OR maintains proper credentials,insurance, charring and combustion.. . FITNESS FOR USE,ARE MADE BY and licenses and is properly trained to ARNTHANE INC.WITH RESPECT safely install SPF insulation products. Itis the applicator's responsibility to TO PRODUCTS OR INFORMATION test lift thickness for a particular SET FORTH HEREIN. ThermalGuard CC2 achieves a Class.I application prior to commencing Fire retardancy rating and meets or installation to ensure that-the product Nothing contained herein shall exceeds minimum building code can be installed safely at the desired constitute a permit or recommendation... requirements for fire safety. thickness. to practice any invention covered by a patent without a license form the owner. ThermalGuard CC2 has low odor during Please contact your technical sales of the patent. Accordingly,buyer application and produces no toxic representative`for recommended assumes all risks whatsoever as to the vapors after application. equipment configurations and for use of these materials,and buyer's recommendations for your particular exclusive remedy as to any breach of. Always read and follow all Material application. warranty,negligence,or other'claim Safety Data Sheets provided with all shall be.limited to the purchase price of shipments.Additional copies are DISPOSAL&.CLEAN UP the materials. Failure to adhere to any available upon request from Arnthane recommended procedures shall relieve Inc.or your technical sales Cured/reacted product.may be disposed Amthane Inc.,*and the manufacturer of representative. of without restriction.Excess liquid W. all liability with respect to the materials and S'material should be mixed and their use thereof. Basic PPE safety equipment is required. together and allowed to cure;then for personal protection including,but disposed of in the normal manner.not limited to:long-sleeve chemically Product containers that are"drip free" resistant overalls,rubber,nitrile,or may be disposed of according to local, latex gloves,splash shield or safety state and federal laws glasses with splash guards,rubber or: leather boots w/covers,full-face air- WARRANTY&DISCLAIMER 0 _ purifying respiratory(APR)with appropriate cartridges or full-face The data presented herein is subject to` Arn thane supplied-air-respirator(SAR),and other change without notice and is not ® Amthane ice, 1002 W Main Street Richmond,MO 64085 P 816.776.3015 F 816.776.3215.. m".arnthane.corn ( 1002 W Main Street Richmond,MO 64085 P 818.776.3015 . F 816.776.3215 www.arnthane.com aArnth ne. Foam,Spray . .. tog .. fi 1' t� i v �- r L F 'Sry ThermajGuard ThermalGuard ' ThermalGuard CC2 :: OC 1 OG 5 & PC.5R Nominal Density: 2.0 Ib/ft3 Nominal Density: 1.0 Ib W Nominal Density. .5 WW CC2 R-value: 7.0/in R-value:5.24/in OC.5 R-value:3.8/6 Compressive Strength:45 PSI Compressive Strength: 7 PSI. OC.5R R-value:4.3rn Vapor Permeability.• 0.8 Penns @ 2" Vapor Penneability:3.6 Penns @ 5 Compressive Strength: 0.6 PSl Vapor Permeability 4.2 Perms @ 2 Product Description Product Description = „ Product Description .ThermalGuard CC2 is a semi-rigid,fast set, ThermalGuard OC1 is a soft, fast-set, ThermalGuard OC.5 & OC.513 are`' soft, closed-celled, spray polyurethane foam open-celled, 100% water-blown spray low-density,open-celled, 100%water-blown spray ` . (SPF)insulation system designed for use as polyurethane .foam (SPF) insulation system polyurethane foam (SPF) insulation systems designed for use in residential & commercial designed for use in residential&commercial wall, wall,attic;and roof-deck applications. a high performance thermal insulation. attic, and roof-deck applications. Both products can reduce energy consumption by up to 50%and:' ThermalGuard CC2 is a . spray-applied insulate & air-seal the structure in a single step.-' ThermalGuard OC1 can reduce energy ThermalGuard OUR is a bio-renewable system suitable fora variety of insulation product consumption in structures by up to 50% that exhibits superior fire-resistance properties and applications. including' in-plant, tank. & P P P compared to conventional insulation systems increased R-value. ThermalGuard OC.5 can-be pipeline, residential . commercial ,because it insulates.&air-seals in a single step. optimized for in allation in cold temperatures construction, foundation7�d below grade down to 15°F. applications where compressive strength or ThermalGuard OC1 is applied as a'liquid and impact resistance are desired, expands over 40x in approximately 8 seconds to ThermalGuard OC.5 & 005R are applied as.a fill and seal building cavities of any shape and liquid and expand over 100x in approximately 4 ThermalGuard CC2 is applied as a liquid size. It exhibits superior thermal insulation, seconds to fill and seal building cavities-of any and expand 25x .in a. approximately 12 air-barrier, and sound attenuation properties shape or size. They deliver superior thermal seconds to forma smooth, durable surface over conventional insulation materials and has insulation, air-barrier, and sound attenuation. been proven to improve indoor air quality & properties compared to conventional insulation perfect for the application of primers or COMM, materials and contribute to a healthy indoor, and. finish coatings, outdoor environment. Telephone: 508/563-6049 COLONY INSULATION; INC.. 28 Jonathan Bourne Drive, Pocasset MA 02559 CLOSED-CELL FOAM INSULATION SPEC SHEET CONTRACTOR: rck j f't G vGt'1 ��to JOB SITE ADDRE S: ' DATE: l Q eZU ,J v REA THICKNESS- R-VALUE 04 rzefiling b Q/' ��?_ Cathedral Ceiling Garage Ceiling Basement Ceiling Slopes Exterior W all GarageHse.. W all W alkout W all. ' Cathedral W all BIockers Overhang s tair/R isers All R-values and thickness measurements are dee t, be accurate by the following installers: TECHNICAL DATA FOR-MATERIALS IS ATTACHED TO THIS FORM `oFtHE iti Town of Barnstable BARNSTABLE. 'Regulatory Services MASS. 1639. � Building Division AfEO MAC s 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection 'FRAME f y Location /2 E In Permit Number Owner Builder One notice to remain on job site, one notice on We in Building Department. The following items need correcting: C►� ��,e E 2 LP(_k /yLI-�-S_MJ G 110 S C l'r G 6 A--I l/ FA-A-) /J 6 I 7b Please call: 508-862-4038 for re-inspection. 4 Inspected by 11 a Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Cj r' Map o��� . Parcel ` Application #06 f q6 `t Health Division Date Issued Conservation Division -1 Application Fee WO Planning Dept. Permit Fee f Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address hp 00V,17,/ Village 60ru"7, Owner 5f 77- ��� 411C16 Address C-V7ZV?, y;4 3, Telephone 7�/r V '"����1 Permit Request �'c Z&72-d 0— � � � � �J 6%�h'�r All 1. V,i�J4 14�' W , 4C A , /&44 8� Cl�Q3n& DAJc�ZCCP j n2. Square feet: 1st floor: existing proposed 5 to Z 2nd floor: existing proposed OPA 7 Total new/; �O Zoning District AV4 Flood Plain Groundwater Overlay Project Valuatio r� 0) Construction Type/51 e Lot Size ASS Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family f Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkoutther� �a"��/�-GC. Basement Finished Area (sq.ft.) IVI?- Basement Unfinished Area (sq.ft) 1049' Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing / new Total Room Count (not including baths): existing new Z First Floor Room Count Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: Yes ❑ No Fireplaces: Existing 0 New 4 Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing Ynew size_Pool: ❑ existing ❑ new size fl Barn: Lbexisting new size_ Attached ❑ existing ❑ new size Shed: ❑ existing ❑ new size Other ' ZIF F garage: g . — g Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# _� cn Current Use Proposed Use ` APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name � � Telephone Number ✓`��' �dt� -���9 Address PO /j6X 2,05?p License # C$- 050OX:�7 Home Improvement Contractor# Email I iJe Worker's Compensation #00,V/J-021 -.2W ALL CONSTRUCTIO EBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE A3 DATE • • FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME l�1(o Lly < INSULATION FIREPLACE x; ELECTRICAL: ROUGH g" FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH. FINAL FINAL BUILDING DATE CLOSED OUT ASS, CIATION PLAN NO.. w Gomm'omcwah*o,f Uassachusettr Department ofludus&ial Accidents OfrWe of InVest%ga iorrs 600 Washbigton Street Boston,,MA 021H wmv.masmgm1dia , ' ork-ei-s' Compensaf onInsurauceAfdavit.Builders/Contra.ctorslElectriciansfPlumbers A plkant Infarmation Please Print f ej�ibly Name t � ��: - G�i� oe CitylstatelZip_ lT Al Ph...4 16VF- __ ......_. ._._Are you an.employer?,Cheep tbe spprapriate box:_ ___-- ---. . _ ._..__ ...... - ---Type of o'ect._r . " _. I. I am a employer with 4. ❑I am a genmal contractor and 1 * have hired thesubcontractors 6- New�iun employees( ill and/or paztA me)_ Z_❑ I am a sore proprietor or partner- listed on the attached sheet 7. ❑Remodeling shy and haze no employees Thy sub-oontractors have g_ ❑Demolition working for me in any capacity. mployees and have workers' 9 ❑Building addition [No workers'comp_insurance comp_wsuranrt�1 reqaired] 5_❑ We are a corporation.and its 10.0 Dectrical repairs or additions 3.❑ I am a homeowner doing all work of Eicers have exercised their I D Plumbing repairs or additions right of emmption per MGL . ��seL£[No workers'comp- 12.0 hoof repairs - c.152,§1(4} and we have no TY*�+t�.ce regnired.j€ _ ' 131-1 Other employees-[No' ' comp-msmuance re5uued.-1; *Aap sapbx=at fait checks boa ttl IImst also fat out the section below showing Their walkers'rnaapen.adau PpF Snfaira.vEitm 9 Eomaurwnem arha submit this sTi jjv indcst n they ate damp an wc*and then hire outside contr8CMM 5abMit a acts affidarit ingitatina MdL rC.anu cmrs&A check this bwt must sttarbPA sa additiansl sheet shascing the name of 8ie sass-oonixactx-s and stste whetber ornot tIaase mdfmv s Fave employ If the suit camtmctcm base employ _%the}anal vide&eir workers'tong.police ntimaber lam an employer iliat is prmidu:g tr�orlFers'co nation irrsrtrartce f or m} Rmgioyem Belotr is the paTic}*and}ob rile lusumce CompanyName: —�J✓%�� ✓ � /�/ C /' p Policy;9 or Self-ins-Lic`4, (4:5 / 7�K EzPira'tianDate: Soli Site Address �� Sr` Citv/Stat�e/zip: �t77/6 /�✓ RS" Attach.a dopy of the workers'compensation policy declaration page(shoeing the policy number and expiration date). Failure to secure coverage as reT iredunder Section 25A o€MGL c.. 152 can lead to the imposition o f rrirninal penalties of a fine up to$1,500.0(}and/or me-y ear impri as well as diril 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 maybe forwarded to the Office of fin estigations of the DIA W inaarnrnce coverage vmfficatior>_ I do#czreby certrfy the.poi an enaWas afpedw y that the information provided abime is true and correct Signature: ADate: 7,14 Phone i#- (WEcial use only. El*not mite in this area,to bs uOmgieted by city ur toW oflSciaL City or Town•. _ PermitlUcense# Issuing Authority(drde one): 1.Board of HeAlth 2.Building Department 3.CitTIT own Clerk 4.Electrical Inspector 5.Plumbhig Inspector r 6.Other Contact Person: Phone tl_ 6 ]Inform►ation and. Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute,an erVloyee is defined as"_..every person in the service of another under any contract of hire, express or implied, oral or written_" Au 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, g theemployer,and including th l representatives of a deceased or the e 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." v Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certi5cate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with Do employees other Juan 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.DeparSnent of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be retuned to the city or town that the application for the permit or license is being requested,not the Deparment 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 of 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 permitllicense 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 fnay be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit mast 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 affidatiit. 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. Tho Commonw,-alth of Massachuscitts Department of lndnstdal*Ac idei is Office of kvestigatiGils 600 Washmgtan Stzctt Boston,IAA Q21 l l TeL 9 6I7 727-4900 W 406 or I-�97TMASWE Revised 4-24-07 Fax#61 ` 27-TI-49 vv-ww_mas .gov/dia Rightfax N3-1 7/10/2014 6:42:01 AM PAGE 3/004 Fax Server A�& CERTIFICATE OF LIABILITY INSURANCE DATE THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must 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 andomement(s). PRODUCER CONTACT HORGAN INS AGCY INC NAME: PO BOX 260 PHONE t N HYANNIS,MA 02601 E-MAIL INSURERIS)AFFORDING COVERAGE NAIC0 INSURER A:CONTINENTAL CASUALTY COMPANY. INSURED A 1 ENTERPRISES INC INSURER B PO BOX 2056 INSURER C: COTUIT,MA 02635 INSURER D: INSURER E: INSURER F: 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. �jp TYPE OF INSURANCE SU OLI PCY EFF POLICY EXP p POLICYPAMBER (MWDDrYYYYI LIMITS GENERAL LIABILITY COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $DAMAGE TO RENTED CLAIMS-MApE a OCCUR S . MED EXP(Ary oneperson) S PERSONAL&ADV INJURY $ GENLAOQR ATE LIMIT APPLIES PER: GENERAL AGGR EQATE $ , POLICY PR LOC PRODUCTS-COMPgPAGQ $ MOBILE LIABILITY WCi $ ANY AUTO C�Q ee ED SLE n LIMIT S ALL OWNED SCHEDULED BODILY INJURY(Par Person) S AUTOS AUTOS NON-OWNED BODILY INJURY(Per accident) S HIRED AUTOS AUTOS MADE q UMaRELUILIAB EACH OCCURRENCE $OCCUR S EXCESS UA6 CLAIMS-MADE ' DED RETENTIONS AGGREGATE S WORKERS COMPENSATION $S'LI AND EMPLOYERABILITY X WC STATU- OTH. ANY PROPRIETOWPARTNERIEXECLITN /N TORY LIMITSI I ER OFFICERMEMBER EXCLUDED? N NIA 6S59U8 07-18-2014 07.18-2015 E.L EACH ACCIDENT $500,000 (Mandatory In NH) H Yes,describe under 0276M742 E.L.DISEASE-EA EMPLOYEE $500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Attach ACORD 101,AddRlonol Remarks Somdub.M more space is requ4ed) LDER TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE DESCRIBED POLICIES SE 200 MAIN ST CANCELLED BEFORE THE EXPIRATION DATE THEREOF, HYANNIS,MA 02601 NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE` r - V I� ACORD 25(2010/05) The ACORD name and logo are registeyed9marks of ACORDCORPORATION.All rights reserved. Massachusetts -Department of Public Safety ( Q(X/e Office of Consumer Affairs&Business Regulation Board of Building Regulations and Standards. . WE IMPROVEMENT CONTRACTOR Construction Supervisor ,egistration: 109606 Type: License: CS-050457 �. xpi ratio n _9/2112014 Private Corporatiol PETER MPOME '1T �'�. AIE ERPRISES INC I t PO BOX 2056 "y Cotuit MA 02635- `` F , PETER POMETTI � 140 LITTLE RIVER RID >' -��3�- COTUIT, MA 02635 ._ Undersecretary Expiration . Commissioner 04/1912016: p �TMETa:. Town of Barnstable Regulatory Services yr r.E� Richard V.Scali,Director 6 . per` Building Division ' Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize � �7 to act on mybehalf, mall matters relative to work authorized by this building permit application for. (Address of Job) S Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are perfo ed and accepted. isnature--of Sienature c Applicant r Print Name Print Name Date Q:FORMS:O WINTERPERMISSIOI\TPOOLS Town of Barnstable Regulatory Services ��oF raiy,� Richard V.Scali,Director Building Division F F • F # Tom Perry,Building Commissioner 1 ��� 200 Main Street, Hyannis,MA 02601 lEb a www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION]: number street village "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 dweliinas of six units or less and to allow homeowners to engage an individual for hire who does not possess a Iicense,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 twc-year period shall not be considered a homeowner.. Such"homeowner"shall submit to the Building Official on a form acceptable to he Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersi ed `homeowner"assumes responsibility for compliance with the State Building d P� Code and e P ty P g other applicable codes, bylaws,rules and regulations. _ The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems, particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fuIIy 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 Iast 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:\WPFU_ES\FOP2JIS\building permit fonns\EXPRESS.doc Revised 061313 REScheck Software Version 4.5.0 Compliance Certificate Project Architectural Innovations Energy Code: 2012 IECC Location: Cotuit, Massachusetts Construction Type: Single-family Project Type: New Construction Orientation: Bldg. faces 0 deg. from North Conditioned Floor Area: 960 ft2 Glazing Area 9% Climate Zone: 5 (6137 HDD) Permit Date: Permit Number:. Construction Site: Owner/Agent: Designer/Contractor: 1286 Main St Architectural Innovations Colony Insulation, Inc Cotuit, MA PO BOX 2065 ' 28 Jonathan Bourne Drive Cotuit, MA 02635 Pocasset, MA 02559 Compliance: 1.6%Better Than Code Envelope Assemblies Gross Area Cavity Cont. Glazing Assembly or R-Value R-Value or Door UA Perimeter U-Factor Ceiling 1: Cathedral Ceiling 1,160 38.0 0.0 0.027 31 Wall 1: Wood Frame, 16" o.c. 288 20.0 0.0 0.059 14 Orientation: Front Window 1: Wood Frame:Double Pane with Low-E 30 0.290 9 Orientation: Front Door 1: Solid 18 0.290 5 Orientation: Front Wall 2:Wood Frame, 16" o.c. 4 .288 20.0 0.0 0.059 15 Orientation: Back Window 2:Wood Frame:Double Pane with Low-E 30 0.290 9 Orientation: Back Wall 3: Wood Frame, 16" o.c. 288 20.0 0.0 0.059 16 Orientation: Left side Window 3:Wood Frame:Double Pane with Low-E 20 0.290 6 Orientation: Left side Wall 4: Wood Frame, 16" o.c. 288 20.0 0.0 0.059 16 Orientation: Right side Window 4:Wood Frame:Double Pane with Low-E 20 0.290 6 'Orientation: Right side Floor 1: All-Wood Joist/Truss:Over Unconditioned Space 960 30.0 0.0 0.033 32 . Project Title: Architectural Innovations Report date: 08/05/14 Data filename: C:\Users�une\Documents\REScheck\ARCHINN-8-5--14-1286MainSt-Cot.rck Page 1 of 9 t Mechanical Equipment Description Fueltype Efficiency Other(Except Gas-Fired Steam) Gas 88 AFUE Compliance Statement. The proposed building design described here is consistent with the building plans, specifications, and other calculations submitted with the permit application.The proposed building has been designed to meet the 2012 IECC requirements in REScheck Version 4.5.0 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date f Project Title: Architectural Innovations Report date: 08/05/14 . Data filename: C:\Users�une\Documents\REScheck\ARCHINN-8-5--14-1286MainSt-Cot.rck Page 2 of 9 SMOKE DETECTORS REVIEWED I �.aloma...�.b.�, �UUNGDUT. DATE — .:-.- ------ ,-- . ----.----- s•.s• ---------- -- ------- ' �' e. w n --------- -- 'I I I Imo/ 4f- A s o 8 FIRE DPARTMENT DA- `I rol I BOTH SIGNATURES ARE REQUIRED FOR PERMITTING i I -I I •"` - e WINDOW&EXTERIOR DOOR SCHEDULE a i,�e.eromo.•..�ve I S � I•_: F kw g I:I / III re . `bOr. EP- i 4< 0 I':I F. 74wx—, 4, I I ✓� I;. L - J I I k, �a✓ I• I QE L_-__-J O 6©xe• a size . LL_____ L_ J L---J L___J L INTERIOR DOOR SCHEDULE •Il z zc.er J QQ ru.ea za• nr - c•� ra• 1°m•'O` s 4- FOUNDATION PLAN zo. 9 IbP Ib.b A 1u na O Q 0 (D Z li I i c_o i a V•YeAn1 © rTTT - I Z. _-- H BI I I I W O Id < a I 8 LLlltn I I sa•w0000e« v 3r P I 3r O }7 I y F Q 0 QE BEDROOM `S 'I ^ r B 4 ___ O nit3 I: : Q LL- ;? GARAGE 15 u N r----I I LOFT k 0 s._b i Di Is) CAm w 1a 1a 1a a 1e u g ram, ro II•r r.b ns E m _ sum:rs r+oreo SECOND FLOOR PLAN FIRST FLOOR PLAN DRAWINGw NCFI Al - 3 v w>ww<rso.m. D D nm..u1w E B B er a - F .om sraroa.oe II(F)I� LEFT SIDE ELEVATION - FROM ELEVATION 4-(,�.OF;g. - ��c MARK A, - - o CKENZIS.d{Kw` a a w m Way a c m i O B B' Lul mows wp:nR a � � o e 4 Lul wm�n m. V a a z W 4 • > a a o J o J A A A •a mmrz s m i W a F • pepve w0� MTE ro/TIPa. �I REAR ELEVATION RIGHT SIDE ELEVATION �Ho,Eo A2 - 3 9 IW ASJ2O All JOST 2R0 FLOOR JOISTS 0 w O.C. ziz°am ��X�K RLS. wxund-nnv ,.a B a 4.9• V OAJ4RK #. Z cKcNZI a` AN F .. O A LOFT 1° - _ t `�(►p[})/�//� I C. =S ig _____________ - p�,v ENTRY 9—P Imimcv .. SECOND FLOOR FRAMING PLAN St SECTION THRU GARAGE @ side e2 Lry WO ROOF RAFTERS 0 W O.C. 0 12 1 — �_1_L - e.a[°,R� z j i C LOFT BATH LU O z y oly�m Z GARAGE o J e W u) . zry �1N°•• [rn,w,omw..am,WR wMwJ � � 9ia ooaueR � WTE:o°,nlzo,e T S2 typical SECTION THRU GARAGE ROOF FRAMING PLAN A3 w.ra DRAWI Y: A3 - 3 SHEET.. gIL Z 6AP,,A6�- 'INDEX SHEET NO DESCRIPTION 1286 MAIN 5V f , 4 �j A�F�7I fir! SHEARWALL HOLDDOWN SCHEDULE: � C�1"UIJ V A�NS�/ V/✓V MA SECOND FLOOR AND INTERIOR HOLDDOWNS; TW 1L1 . J O.(1)-0516 C0.SMW W/(20)Pd(OJN.2Yf LONG)NN.5 WIHsiRAP Z' MPIED PRECILY fo ZAKm"AEMEER5.FROM KN.F OF Bf N1MR:R or NNS _ U) P� __ - _ :SPELFEO Af EA01ElACf 51P/P.Olf5M0.L AOFNR00R 3EATiP1./W ATf/U1 G�Lj� GENERAL STRUCTURAL NOTES:(CO-D) SHEARWALLSCHEDULE: FRM%a OW.CORLWMaaNUTOTJJO UFLcnRLaysNFaM :v FRAMNGRION.CLMELf R.CYSN(TO i9 J057 WEBS NiMH15412 FA�HANf W IWaR.FROVbE BAOY'Rd.OaNGNTd JOSI NEBFER MNJFALfIA:RS . GENERAL STRUCTURAL NOTES: WALL FRAMING UPLIFT CONNECTIONS: WALL TYPE SCHEDULE ?WUM5' I.NICONSiRC11CN 51OR:NKCOWA"YE VAB71ff µA55A0ELfft55TAfE ..%2"FLYWOOV-(WCE5 mo=) O.(v-CS Ib COL SfRMSW/(76>IOd(OJ4B 5 tCNG)Wd.5WNN 51RM5 r, BLLITJJG CODE FOR 01•E-MUfWK1-FMILY DAkU.NY6.EICNH EDIfION(780 CM. 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FOR ONE-AW iWO-PAMLY VJrPIW6(WFCM).AND a"MMi4MM5M loan Sfl/F)WIMA51PNaxLEWMOF W"+nE atIR 9•N1/017heMWAID.sreasro� _ FOUNDATION HOLDDOWNS: - FORMVW6A"DOBER5IBCNE5(A5LE7-05).4f BA5ICVdW5PEEDFORhE -A I6LCaL srcNSroei/vPI.eD D.fRFLMNAO AEaro� W Q ICOMMON OR GNNPNWD COX NM5s2"O.C.WD:SPW Q w DESAJ WiW551R1C11A:5110 hVI.ES PER F171R WiHEXPOiIF.E C9ECQRi'C'. - 12"OL.FELD.FRA"KtVJONIZFA fVOE59(N1M ®IDIIP-SD52.5W/�"OIA tIA`AA9 RW ANYri7R WLfDFdJEOAW WOO W ' - ' .. 6.EXIF9R WAlSMSONM9:(NIDFLLtlR1lWlit ARNE RM15NfrE FLOa:FRAMN: 5"WMNIL LR WJ)ER aD.W'd.59WA.�5TKLE&D. f07"MN,PMMOMEMW/5Ef IAf5M.Or4(AMR nr mmN T 0 3.1w CowmTOR 15 R:5POf5ME FOR CONIAC"IM LOCAL RUM OFFCML 9PLL�aTA0E9 tt/11ECEAAI YAH(D Lf92 ML`TSMN 916°OL(OR9ANL SLOfNRLtlR- M40a BO..T AND I"niVXD ROD MO FV.VOW. - i• ° FOR 1w 51RC11RAL FRAMNG IfEPECTCA•X 5).F TIf RL.ITNG OFFICIAL WaIRE5 9E9MY.FOR 5IPM).51Pa 5aRiRDBCttYroxFwMAR: -•. - _ (n d iW iIIEPJ.P'' Cfa)(5)0ECOMPLEIWRYf fN2NffROFR:COW.IW Z6MMNOTEONORFLWIOOEV0OXWW1 TtPE51.2, mr). 1W AECAf,Bd _ K 4.MIOIPRNFLLtlR50DroBMWIID NBH(UC5165IP,wan"OL.NDPPf/�/DE(b)IOd COMNAJ LR GN.VMJ�D�i(WV.S-(O.I'A t2Y").OEd Wd.5 MAT09NG NT➢I A525 W/I"DIA 1FfEA0PO PTA aJ010R AA'f0R1AE'DMD WOIED CONNECTOR9W1COWA;fllteW1MOFMCOW241gR5FRaTOTVf Mf Na51O5 -(6)IWM510-00W.and DV:BOIafroFatmaeNsu RaE fpf NA1 VMjeRMDLENGMMAYW LL5EDA5A%V5M=.- --II IOW'AWN,EMIRMWIN/TrAft5K CNN1"CMRERNHBE 91, IME IOFX N 1)tMMCI 5)5To BE PER'OP".H CONIRACfOR 9MLL Mild IHK MH(DwCc1DECrORPERn"OC. JMXW EOVAWI"MA9WRODNfOH7X0ANIM1)*GWWM .' NO.REVISIOWISSl1E DATE .. All 5MXIL Al MA%15AND COWVC11M Aft V6=FOR NSPZW14,FRAPG 1 9rA0W fO 6rb 0griJ6-FR P05T.: IK MSFECIION.ANY PORMN or ifE 51RC11AF 5 MAW NOF VM1 OR 5, 5.CCNErna rmwuOPeINGRen[NI5(OxRrobeta.2i4f> , _ ". .. NNCCE55Ak FOR ISFECION.Fm APPROVAL OF VIEENFIEE 51BY11A:WILL NOF • HEADSRSDE HEADERTOJACKSWD JACK STUD IO SOLE PLATE 5WF50N 5=Ncm5IM4 HXVM 5MW FOR APAPOR%WALL(5M IT40OD) .. W(AVfN INTL iNS COfITBRJSLL CfW A11fE CONRKTOR'SEITEI.15f. -L.P-0'TO w� .. (1)LSTAB r (1)SP4"" .. ' 14 EMMMVWOFOMAIUN:MACHfOFORMWYMMWRfOFGIAWIH L.4•-1•T06A' " (2)LSTAB. - R)Sk ANO10WM1E OR. 4.Al W00VCON5MEWN CONECTOR5 A5 WECFW ON IME CON51RCfCN - • PROJECTADDRESS: - ooaWEN(5toVe51M56N5fRLN&MINACCM*a W1HCATAO6C-2011.If15 L.s-1•TO M-0•" RI LSrAti'. (2)sFHB - IZB6 Mws1�1 - LSTA15 2)SPMB _ fONf.BIEISfM1.MA nf�sPasRLmanfcoPmxroRrowslAu.aLcaNEcrasNAccoB)A.rE Le+•To+aa R> ( SOLE PLATE CONNECTION W1,H MMIfAC1lA'R'5 smcr AMRJS. - - - " CONNECTION TO FLOOR RIM BOARD 5.All ENODWW LWWRR FROVIICf5 TO BE LEVEL Mb J951(OR WLK) •ALTERNATE:RE lLNRCTLRSHOVNPa!BC YO.511Df0 sat Rae ONR9B91ME0 - _ MrA.LWNA000MANCE M MAUKMR'55MCFICA'fIM. NYF R 11E ft SME Na5f0 11E(A f0R9rNN PORIIE1,a 511I/roIEIRFR.�NAL5 fO11E a(AOI(OMEOLR WIHHWW WALLTYPE SOLE PLATE CCNNECnON TO RIM BOARD - �a@D 14X50D MD IIE PPlDaXM - Pi4WAID.CONECa1RfO EE 9(KK9DJfLRYro 2%PENaY.ND DI/HOAfD.MfiDNR ON Q (3)-INN COMMON NAILS PER IT. ROOF FRAMING CONNECTIONS: NO �A f"x1eR5 tlTaE°l�c"sfoF°uoaaNs WW"oR o"�s 9J5. I.A/TAOIOPFO51N6F,"R5ff IWRVCE OVERIH'.10POF11HERVCE W1H(D .Q (4)-I.CONIMONNAILSPERIW. L5TA IB TENSION SIRA°Ar 16"O.C.51RM TO It WALLED OVER ROOF 5VEATNN5 NOTE: - IWORAFTERSW/10d COMMON NN.5 TO RAMR5. (3)-SWSON SDS255120:'1 3h')MOD SCREWS PER IT. 29TAOI THE END OF EACH Ra'IER/MR 5TO 1)t MAE 10F"It OF ffE ARXERS FOR WCFSMDWNXMSrow,VE(1)R5 COO.roR911E TFNDWROM OF AL = I, EXfWOR WA1 W1H(D H2.5ACaWTCR CONNECTOR fO M AZ VIWCiLY 6PeI.E .. CONNECTION TO CONCRETE FOUNDATION T02X10PFLAIES ON0Nf5GEFACEOFWN.L.A•1ERJAIE:IlSf(N H2AFROM EVERY 5,H`IDCR544"WDVRaRH01EE(2)JYR511DSaEAOIEfDa'Trt iPaRR - RA`1ERi0 WN1511D W10W f5P CONFECTOR PER NOIT T 'WALL FRAMNG - FOUNDATION SILL PLATE CONNECTION TO CONCRETE. IFLFfLOPNECTCAS"SNOF R;gEED IMENLEM(D FVAATEVER(RAFIEE CFWVM(DA OFCNBEfMO`UIE/OERsaFA01EImOIENERro11EXNG511D MJtaMroMaFra+c �°0'IAAACA,"JK DOLTi AT�2.O.G. m 5.R,0.TJNG10 PROVUW PA71f iff VOIELE TOP PLAif W of E%1EROR WN.L . roDaB1EroP SRX 9 FEPD aMDF AUO>(W4aJG 5u11D.fDPaFt ftP.RNe LP fH:WILL NIIH(S),IOd Wd.S. .: - _ . NOTE:WC40PW APWETO OCR DUM9'A50f KhFW1NPROF9fM9NGNALED10EROCMN6"O.C, DPOeDW 9TCCAOR OLTSW(IY.D.4" LEGEND:.' 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W ` I,'LAN) (I(ALL PER®) 5"6 91B 12°' S0" (PER DETAIL®) � 55TN6 5/8 12°ipff" � q 5/B I0W " `h(D24 5/8 20s11� C51 551828 7/B 29"'r—— FER55I92B 7/B 29T" 7R"tA 550" 7/B 2B%"gb" FWiL1DOAM SBIa50 I 24" _• �, NOTE:<4¢bM fO&CENIEFED ONFq.DO1fN MDLQ%JED S" L(PPER GENII 'NOTE:a4 FEDIR fOMCENfBfD ONFRADOhN MO LGYATED105"DOWN FROM TOP OF fC"IJRIN WALL HEADED wv TD5"Dom FROM TOP OF FalvKON wtu vy/ PER 1111C)N M111A110R's SFECFICAMMS PER` MNJFKTIIRR's WELFICA710N5. J , (PER GSM 95' (PER GSM IV JLPLJ (A4 �c5 SA("PN IU01 7ICR+(L.,Ad��.T.� < . 55i7aE FIl0.4W R9dMA'�Rp(MP5.EFK Rt YK. : I • . IW ; J.. 55M HXP OM M40 1 W 44 WOAF• DSP(PEFI.W AWN WCA'ER 551DOAVLR ED Aa( mom TO F05F IN WALL WNL Y'10'. 41"AR lONN.NC�ER EDMD�WA IPRIG1D GSM 51. 375" w CNFL 0.T dSECFYA10 . d D6fN0 MBd.Mm0m 39. MIN.ROAR 05 R196WWNAJ,IZ 1 HOLD DOWN AT PLAN VIEW 2 HOLD DOWNAT PLANwEw 5"MM HD WINDOW OR DOOR OPENING HD EXTERIOR BUILDING CORNER U F RR.f9P CGNER 5NJ5 MODEL NO. DIA MIN.EMBED. MIN.REBAR LENGT( ul V (PER DETAI I J.. 51IM6 9/8 12 " 5a' 2X4 WALL _ 2x6 WALL / 55820 5/8 I6 s' 18" 6"O.C. 4"Of b.616111 FR 1011 6"OL, 4"0,1 ' �• O 55TB24 5/5 20° 551828 7 4 1 24T" 79" 'FgADOr1N ,• FOLD DOAN II o d WIMA 7/8 28T B2�� Y` VE " FUIl H7.U0AN 5AA50 I. 4" 96" -NOTE:NFWMRTOFFaM)EDN WALL A1N PIU LOWED S" /�( NO.REVISIOWISSIIE DAT: (FERN �pDEp i f05"DO/M FROM TOP OF FOIADASlM WN.L (PERPWJ) (PER PUN) 111®I PE9%?5GNM*LfACnM'59W MR3. MIN.I WAR _ �fP5 u4 BOAR- PLAN VIEW ELEVATION VIEW PLAN VIEW ELEVATION VIEW PROJECTADDRESS: PEERR NOTES: NOTES:Fi DHb AVM 51�Ef (<c fOIUL oAeur�ec.xf Y'f05'L �i I.MTKN5nV5AfOLLf4FCOFTL fVaI MM(2)WIV50fi6d I.ARA0f 511D5Af Wl.f IP LLtTER 10CL1FER WIMCD WA60FI6d a4 FED/R- n Wa D6f/NCE .., (0.162"A5.5")NN-5Af6"O.C.FOR 2W 5iCRiFF.Ji,WRAS. (OJ62'45.5")NAL5A16"OL.FOR 2W 5FGRf 51f,-W/U5. 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(PEER - MK ( FLM6 FOR MOTE RFD.) __ __ ENGINEERING _____ 2X fM PLATE FAR,LROGFRIFTERFERPLPNA FER10 (PE(PV(M CONSULTANTS 5a&f j%-2 ARatIECnM PLANS FOR0FPA°MRPumm R DIMEK6a6 MD EA(f N2.5A(WAL FRORTOTE:Af AOI OF'OSPL.WfZ N'�AWP 11. -NOTE:AU HU FCR MADE0 RA1f EEMd OR WIZ DOM MH 2.4 DOLiE 2%fOP RATE 5fUOQ N.TEIDV9: T.(JTUD 026'A COLW h AS SU'Vr1J.Wa 5TRAPS NX MKANV FWLLANMD f WMM/ &!Jd FITA TW(NNNL PB(R TD M1YADW SIWINO N1fMD S"A5"A�"FATE WASfR ff.0Jl Y fN16WAcaLARTf. (F 5OMJ ON RAW WC(mfu MORTO WN.L q�,No(Hala[PPIDA50YDUE(Rer ';;a. aDOaE�a fcP ` 5 INTERIOR HOLD DOWN r.< PACK+• Ya RF STRUCTURAL RIDGE BEAM RF RAFTER TO TOP PLATE FWIC5. u90 eEWro HD IN FLOOR FRAMING OY 4 s�FCrS_E�Yb t(r'MQ` JOKE: 711/ . DAT E D&2 W!4 •' , ( SCALE: NONE 'I OPTION#1 HEADER SIZE AQ © © QD QE QF G 0)5T (0 H6 for/EogOM PER Km (U A25 (D A25 L-I'-0"f04'-0" <U LSfA9 (D T4 OF EACH CP.PR.E 511D - L-4'4"706'-0" (2)L51A9 (Z)SP4 (D`hP (U AZS (2)A25 MNOTE:PORFV0lWV.AVM LCCAIFD PCR 5-T (I)L516-(6)�NN.S DPECiLY�WA'DOIAEfAa (D ) 55P EAGi EPD Of 5W RA1E5.51RM LEA=fOTOP ^ L-6'4"f08'-0" (2)L5fAl2 (2)SP4 PER KM PEREAOIKM5W (0 A25 (2)A25 RA1E5W11N(D C516 PERI6"WKH U ME Ngm (4)BP N45 EACHENJ OF 5MW J (1)5W GgFU 5WCMfOP PLMES AS . L-9'-I"f010'-0" (Z)LNAIS (2)'XN5 (U AZ7 CD ATS . PER" 15OIAZED.ALROIAR:MTA01 EACH ttCADD'(/IX PWJ) - 9WlER 10 FEMER WAM(1)N8. , L-10'4"f016'-0" (7)51022 (2)SPNS (I)9y - (1)A21 (2)A25 W V PER KM Q OPTION#2 J HEADER SIZE AO © © QD VE QF © 9 IV WMOOWiDCOR OICNN6 (D-(stl (0 qP (D H9 fOP/ZOROM. D L-r-0^ro 4'-0" vaua� w n25 o nz5 OF EACH ONP E 51W (D-OW- 'NOTE:FORIEAPH5 LOCAW U (✓ Y L-4'4"f06'-0" W/(5)w (1)A25 (2)A25 yD PERK16 (O C516-(6)6vN45 PMILY&LOW MULE fcr � V (D"6K 5m NOIE'S' (D55° EiCLI E1D OF 57RM PLME5.5RIP FEIDER fO10P N L-6'4"fO 8'-0" LLJ W/(6)® RR EAOI Km 511D r(l,)A21 (D A25 RME5 W"H(1)1116 PER I6"N11FI LL O(gE NOIE'4') (4)91 N4.5 V&EW OF 5IRM. �/�(D-CSb (D 5W PEM 5W OVER TOP FA1E5 A5VJ4"TO 10'-O" W/(W® AZS (D A25 �OI!&tlALTERNATE:AfV01EA01 L-10'4".TO 16'-0" (D 51922 ( A25 (2)A21 RM¢Rf01&DERWIM(D H5. - NEVI810.ssue DATE d 12=a 4'4"NDLIF![R EOJff tD.NQ5nD5KPXH W"W MiP#L j� 2.rartaaes r�eoiaD.Eawxainnw(>o-rcnr 5MV'OLCJff waEcrADDnEss: S.IWJ.FlIA IEYlK•NRS(IDS fO WG 511D5NM(1)46RNNS RR 6"OL(JtQ.511Df050.[M1NK SRN NO(Ri4160) V66 W!l51Rr 4.5RN NO(8QE0 YAER•AEN WNL IPIA(NN 6/VJ�2N(10 ORMY S.IRTN.PORWIDOW/fC WORPRAWY.ON.Y.01l65RIP5 ANi R5N0(90M�PLR O.IRIY. GJIII(,NC6fIa2.AW 2 FRAMING AT WINDOW AND DOOR OPENINGS WF OAaub Elevaum - -�-� F- yy.,.bya II Ibd gala�an2rwsa5"x I ars�ae4uw`� ,...+nmm.)1 II II I I _ VEN ZiE.. I I 11 II 1 I ENGINEERING bdF adn d CONSULTANTS ........a.•• 11 II I I r T.b(ew N 1/16"w*A—v J 1 1 n..+"�+"r.6na.(• Pa�,�a., 11 II I I Yo/ MAfe3C P�� 1 14 .(va,>o. 11 II I ] tic✓,E n)_L£ ... wr.+rarrrawu(ua -ll Ada6W P:R405.Ib Tiq. �- ' I I I W a,/r•.s,/t.a/u••.a.,.e. Ndfo arse - JOB/:14 1 SHEET. DATE: W24-201. 5/,2 ' > APA PORTAL WALL(FOR EXAMPLE ONLY-SEE TT-100D FOR DETAILS) scALE: NONE Telephone: 508/563-6049 COLONY INSULATION, INC. 28 Jonathan Bourne Drive, Pocasset, MA 02559 CLOSED-CELL FOAM INSULATION SPEC SHEET CONTRACTOR: A-1, JOB SITE ADDRESS: t-X 'r(w Sd- Loc/j"i DATE: Cho Lly AREA THICKNESS R-VALUE Ceiling Cathedral Ceiling Garage+,Ceiling Basement Ceiling Slopes A.4 Exterior W all � i Garage Hse. Wall W alkout W all Cathedral W all Blockers Overhang Stair/Risers All R-values and thickness measurements are deemed to be accurate by the following installers: TECHNICAL DATA FOR MATERIALS IS ATTACHED TO THIS FORA Arnthane' ' ThermalGuard CC2 r A TECHNICAL.DATA SHEET appropriate PPE as required by OSHA, intended for use by nonprofessional i ThermalGuard CC2 demonstrates NIOSH,and state/local safety applicators,or those Who do not excellent adhesion to various substrates regulatory agencies. purchase or utilize this.product in the when installed according to normal course of their business.-,The. ' manufacturer specifications. It,is the applicator's responsibility to potential user must perform any, comply with all job site safety pertinent tests in order to detemune the ThermalGuard CC2 resin(B)does not requirements set forth by OSHA, product's performances d suitability in require agitation. Do not pre-heat or NIOSH,and state/local safety the intended application,since final recirculate resin(B)as doing so will regulatory agencies. determination of fitness of the product result in the"boiling off'of the 245fa ':. for any particular use is the. blowing agent which will result in poor LIMIATATIONS responsibility of the buyer.. yield and poor foam performance. . ThermalGuard CC2 should not be left All guarantees and warranties as to the ThermalGuard CC2 should be installed. exposed to sunlight,as UV light will products supplied.by Amthane shall at a maximum thickness of 4 inches per rapidly degrade foam. Do not use near have only those guarantees and 4 ' pass with a minimum of 30 minutes high heat or open flame. warranties expressed by the between passes. It is the applicator's manufacturer. The buyer's sole remedy responsibility to test lift thickness'for a ThermalGuard CC2 must'b'e covered', as to the material claims will be against particular application prior to with an approved 15-minute thermal the manufacturer of the product. The commencing installation to ensure that barrier when used as insulation for aforementioned data on this product is the product can be installed safely at the residential or commercial buildings. to be used as a guide and is subject to desired thickness: Installation must comply with all change Without notice. The information applicable building codes. herein is believed to be reliable,but SAFETY&ENVIRONMENT unknown risks may be present. Do not install ThermalGuard CC2 at a ThermalGuard CC2 is installed by thickness exceeding 3 inches per pass NO WARRANTIES,EXPRESSED OR independent SPF contractors: It is: and do not apply subsequent passes: IMPLIED,.INCLUDING PATENT recommended that building owners within 30 minutes of the previous pass. WARRANTIES OR WARRANTIES verify that the SPF insulation contractor In rare cases doing so may cause OF MERCHANTABILITY OR maintains proper credentials,insurance, charring and combustion. FITNESS FOR USE,ARE MADE BY and licenses and is properly trained to ARNTHANE INC.WITH RESPECT safely install SPF insulation products. It is the applicator's responsibility to TO PRODUCTS OR INFORMATION test lift thickness for a particular. SET FORTH HEREIN. ThermalGuard CC2 achieves a Class I application prior to commencing =� Fire retardancy rating and meets or installation to ensure that the product Nothing contained herein shall exceeds minimum building code can be installed safely at-the desired constitute a permit or recommendation.. requirements for fire safety. thickness. to practice any invention covered by a patent without a license form the owner ThermalGuard CC2 has low odor during Please contact your technical sales of the patent. Accordingly,buyer ; application and produces no toxic representative for recommended assumes all risks whatsoever as to the vapors after application.. equipment configurations and for use of these materials,and buyer's " recommendations for your particular exclusive remedy as to anybreach of Always read and follow,all Material application. warranty,negligence,or other claim Safety Data Sheets provided with all shall be limited to the purchase price of shipments.Additional copies are . DISPOSAL&CLEAN UP the materials. Failure to adhere to any available upon request from Amthane recommended procedures shall relieve. Inc.or your technical sales Cured/reacted product may be disposed Amthane Inc.,and the manufacturer of representative. of without restriction.Excess liquid W all liability with respect to the materials and'B'material should be mixed and their use thereof. .' Basic PPE safety equipment is required. together and allowed to cure,then for personal protection including,but disposed of in the normal manner. not limited to-long-sleeve chemically Product containers that are"drip,free resistant overalls,rubber,nitrile,or may disposed of according to local, latex gloves,splash shield or safety state and federal laws glasses with splash guards,rubber or leather boots w/covers,full-face air- WARRANTY&DISCLAIMER' -purifying respiratory(APR)with appropriate cartridges or full-face The data presented herein is subject to A rn#Mane supplied-air-respirator(SAR),and other change.without notice and is not Amthane inc. 1002 W Main Street Richmond,NO 64085 P 816.776.3015 F 816.776.3215 6. 76.3215 www.arnthane.com A Arnthane ThermalGuard CC2 TECHNICAL DATA.SHEET PRODUCT NAME I PHYSICAL CHARACTERISTICS Property Value Test Method I �� ���� Density(nominal): .2.0 lb/ft3 ASTM D-1622 R-value: 7/inch ASTM C-518 ThermalGuard CC2 Compressive Strength: 35 PSI ASTM D1621-94 Tensile Strength: 70 PSI ASTM D1623-78 PRODUCT DESCRIPTION j Dimensional Stability: <4%A ASTM D 2126. Closed Cell Content: 96% ASTM D 2856 ThermalGuard CC2 is a fast set,closed- Air.Permeability: .002 L/sm2(@ 75 Pa @ I") ASTM E283 celled,245fa-blown spray polyurethane Vapor Permeability: .8 Perms @ 2". ASTM E96 foam(SPF)insulation designed for use Fungus Growth: None ASTM G21 in residential&commercial structures, Service Temperature: 2507(120-C)* exterior foundation or perimeter insulation,below grade applications, *Service temperatures will vary depending on application. Contact your Arnthane Technical Represemativefor recommendations and limitations. Always test ThermalGuard CC2 for suitability for your particular application in exterior tank/pipe.insulation and etc. a safe manner. ThermalGuard CC2 is applied as a LIQUID PROPERTIES liquid and expands 25x in seconds to fill Property Value Test Method and seal building cavities of any shape Viscosity(A) 200-250 CPS ASTM D-2196 and size. It exhibits superior thermal Viscosity(B) 1100-1300 CPS' ASTM D-2196 insulation,air-barrier.,and sound Weight Per Gallon(A) 10.251bs/gal ASTM D-1475 attenuation properties compared to Weight Per Gallon(B): .9.4 lbs/gal ASTM D-1475 conventional insulation materials. REACTIVITY PROFILE Once fully cured ThermalGuard CC2 Property Value ' remains rigid maintaining significant Cream Time:. 2-3 seconds @ 25°C(77°F) structural strength and thermal Rise Time: 12-16 seconds @ 25°C(77°F): insulation properties in adverse conditions across a wide variety of COMBUSTION PROPERTIES applications. Property Value Test Method Flame Spread Index: 525 ASTM E-84 MANUFACTURER. Smoke Development: <450 ASTM E-84 ThermalGuard CC2 is manufactured PACKAGING&STORAGE r exclusively by Drum Weight(A) 551 ibs Drum Weight(B) 5001bs Arnthane Inc. Total Set Weight 1051 lbs 1002 West Main Street Storage Temperature Range(STR) 60—80°F Richmond;MO 64085 Shelf Life at STR 6 months P.816.776.3015 F.816.776.3215 *Do not allow material to freeze.'Do not pre-heat or recirculate(B)material as it will cause frothing and loss of , www.arnthane.com blowing agent. Storage at temperatures above or below STR may shorten shelf life and cause degradation or loss of blowing agent. Cold material will develop higher viscosity which can cause during processing such as pump cavitation and poor mixture of(A)and(B)components. For best processingperformance during Application(A) CORROSION and(B)drum temperatures should be between 60 F—801F ThermalGuard CC2 is chemically& PROCESSING PARAMETERS physically compatible with all common Processing Pressure Range: '900-1400 PSI* building materials including electrical Processing Temperature Range: 115—145*F* wiring,wood,metal,concrete,plastic Substrate Temperature Range: 35 7105 OF (PVC),copper,vinyl;and glass. Ambient Temperaturei 35-105°F` Substrate Moisture Content: <19% . INSTALLATION Yield: 3800-5060 Board Fpef'Per Set* Maximum Lift Thickness: 4 inches** ThermalGuard CC2 must be spray applied using approved equipment.Use *Processing parameters&yields can vary widely depending on substrate temperature,type&condition,ambient . 1:1 ratio proportioning system that can temperature,elevation,humidity,-equipment and other factors. During installation the applicator must observe the quality and characteristics of the foam and adjust equipment temperature&pressure settings as needed to .achieve the specified temperature and accommodate these variables in order to ensure optimum yield proper adhesion,propercell structure,and pressure,requirements. ' performance of the foam: **ALWAYS test Then lGuard CC2 at desired thickness in a safe manner prior to insulating structure to ensure that it can be safely iiutalled at the desired lift thickness without risk of charring or combustion. It is the exclusive responsibility of the applicator to achieve proper lift thickness for safe application. Safe lift thickness may vary. from application to application. ® _ 1002 W Main Street Richmond,MO 64085 P 816.776.3015 f 8,16,776,3215 ® , _ www.arnthane.com rn ane Spray Foam Insulation Products jF ff H, A jt V ZJTY F, ThermalGuard ThermalGuard Therma/Guard QC2C 1`, 01C.5 & OC.5RCC Nominal_Density.-.2.Orlb/ft3 Nominal Density: 1.01b/ft3 Nominal Density. .5 1b/ft3 C2 R_value: 7.0/in R-value 5.24/in OC.5 R-value:3.8/in Compressive Strength: 45 PSI Compressive Strength: 7 PSI OC.5R R-value: 4.3/in Vapor Permeability: 0.8 Perms @ 2" Vapor Permeability.3.6 Penns @ 5" Compressive Strength: 0.6 PSI Vapor Permeability: 4.2 Perms @ 2" Product Description Product Description Product Description ThermalGuard CC2 is a semi-rigid,fast set, ThermalGuard OC1 is a `soft, fast-set, ThermalGuard OC.5 &> OUR 'are soft, low-densi o en celled, 100%'water-blown Spray { closed-celled, spray ..polyurethane foam open-celled, 100/o water-blown spray tY. P. - foam' SPF insulations stem polyurethane foam (SPF) insulation systems (SPF)insulation system designed for use as polyurethane ( ) Y desi ned for use in'residential & commercial designed for use in residential&commercial wall, a high performance thermal insulation.. g 1 attic, and roof-deck applications. Both.products • wall,attic,-and roof-deck applications. i can reduce energy consumption by up to 50%and ThermalGuard CC2 is a spray-applied insulate & air-seaL..the structure in a single step. system suitable for a variety of insulation ThermalGuard OC1 can reduce .energy ThermalGuard OUR is a bio-renewable product consumption in structures by up to 50% that exhibitssu eriorfire-resistance properties applications including in-plant, ._tank & p p per6es and � compared to conventional insulation systems increased R-value... ThermalGuard OC.5 can be pipeline,- residential &,- commercial because it insulates&air-seals in a ste single construction, foundation and below grade g P optimized for installation in cold temperatures down to 15 F. - applications where compressive strength or ThermalGuard OC1 is{applied as a liquid and impact resistance are desired. expands over 40x in,approximately 8 seconds to ThermalGuard OC.5 & 005R are applied as:a fill and seal building cavities of any shape and liquid and expand over 100x in approximately 4 ThermalGuard CC2 is applied as a.liquid size. It exhibits.superior'thermal insulation, seconds,'to fill and seal building cavities of any and expand 25x in a approximately 12 air-barrier, and sound attenuation properties shape or size.. They deliver superior thermal over conventional insulation materials and has insulation, "air-barrier, and sound attenuation seconds t0 forma smooth,durable surface perfec properties compared to conventional insulationt for the application of primers or, been proven to improve indoor air quality & comfort, materials and contribute to a healthy indoor, and finish coatings. )utdoorenvironment. $l24 Email: Commonwealth of Massachusetts SheetMetal Permit MapAL3 Parcel Date: -l y Permit# Estimated Job Cost: $ dlJ Permit Fee: $ � Plans Submitted: YES NO APR 18 2014 Plans'Reviewed: YES NO Az Business License# - �3 Spc1nse# y Tow O Business Information: Property Owner/Job Location Information: Name: Name: SC67,41 661,j- Street:,.-o/ C� 7 S' 7i�;; 1 Street. Z2 kG City/Town: Iz-&nls-t1—�je City(rown: C y) Telephone: 7` S�'G� Telephone: Photo I.D.required/Copy of Photo I.D. attached: YES staffrilinj J 1/ unrestricted license' J-2/M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. fL/2-stories or less Residential: 1-2 family - Multi-family Condo/Townhouses Other Commercial: Office Retail Industrial Educational Fire Dept Approval Institutional_ Other Square Footage: under 10,000 sq. ft. fiver 10,000 sq. ft. Number of Stories: Sheet metal work to be completed: New'Work: Renovation: HVAC Metal Watershed Roofing Kitchen Exhaust System Metal Chimney L Vents Air Balancing Provide detailed description of work to be done: . t r NSURANCE COVERAGE: have a current i il insurance policy or its equivalent which meets the requirements of M.G.L.Ch.112 Yes[PNo El f you have*checked Yes• indicate the'type of coverage by checidng the appropriate box below: k liability insurance policy �� Other type of indemnity ❑ Bond ❑ )WNER'S INSURANCE WAIVER:1 am aware that the licensee does not have the insurance coverage required by Chapter 112 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement Check One Only OwnerC----m, Agent ❑ Signature of Owner or Owner's Agent y checking this bo hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and ccurate to the best of my knowledge and that all sheet metal work and installations performed under the permit Issued for this application will be i compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws. Duct inspection required prior to insulation installation:YES NO Progress Inspections Date Comments Final Inspection Date Comments Type of License: aster le ❑ Master-Restricted yfTown j]Joumeyperson Signature of Licensee, rmd# ❑Joumeyperson-Restricted License Number �$ Check at www,rnass.goy1dP1 . The Commanwealth of Massachusetts Departmerst ofTrtduswd A dderzfs Office ofIn-pa iaadorrs- -600 MashnNgeon StreeP Boston,M,4 02M www:mamgavldia ' P4'orkers' Compensation Tncrrt n ce Affidavit;B:aB i rslContrastorsMectidans/Plumbers Applicant Information Please Print L Mb Name city/stwzip.1"Affl- Are you an employer?Check the appropriate bay 7r[] 'ect r e C � d)::1.L�'1 am a emplflper with � •4. [] I am a general conactor and.Iemployees(fuIl and/or pazt time).* have hired the snl:-cotxact�s onsft;��2.❑ I am a sale gioprietor or pa dim fisted on ihe'atfaubed sheet' de)ing sb p andhave no employees These sub-c�is have S. [[Demolifion warkmg for me fir any capacitT employees and have worla=3 [No worbc p, comp.insurance courp.Ius rrmce.# 9• []BatZciing addition . reqrded J are z ccnpdratinn amd'its 10.[f Elecizcaj,repairs or additions '3.❑ I am a homeowner doing all-work officers have eaemised their 11.Q Plumbing repairs or additions myself [No worms' comp. fgbt df eon per MGM a[]Rnafrepairs insurance requred have no t c.152, §1(4), and we h no employees. [No wa±=' 13.❑Other cow.fimm=ce reg6 red.] 'AMY applicrost fh2t checks bowl amst also fill art fho section below showing fhrawvrkas'co]up—alien pobelr iceM t H--w—who subaIItfhis affidavit mdic ng they are doing aII work and thra hire nafside rani I ffiat r Est submit a $C new aEdavitindicaimg such oatcacfnrs l+r^ir this baz Est attached an additional sheaf showing the aurae of the sub-cantract=and s{atc wheel•ornot Vase catffi,hv, employers' if fl-sub-cmntn-n have emPlaYe ILT=3styrmd'e their wow'coap.po&cynambec I am an eacplvyer that is providing7Porkers''cam pecstdiun insurance for my employees Below is the policy and job site irrfarmation. Insmmce Company Name: 114 rA rd Policy#or Self-ins.Lic.#k ( ' ? B Dafe- ,Job Site Attach a cafe of workers' ca ensatinn policy-derF=-flan paga(showing the Policy mummer and expiration date). FaRure,to.sec=coverage as regaired tmdar Secti m 25A of MCE;c. 152 can lead to the impasitiaa of coal penalties of a fine tip to$1,500.00 and/or one-year imprisn— as well as civfl penalfies in the f33=of a STOP WORK ORDER anti a free of Bp to$250.00 a day agahast the violator Be advised that a caPF of this stat==it may be forwarded to the Office of Favegti of the MIA fin fizm=e coverage yedfrcation I'do hereby cc#yr under the pains-and penalties of perjury that the vrforma x prmlided alive is Prue and correct S�miafure• - Dad �� G PhDne# D Of fficiat use oydy..Do not write in this area, to be completed by c.*or town official ' C by or Town: . Permi+IT.irgnse ,Issuing Ardhority(ch-de one): •1.Board of Health 2.Bm3ding Department 3.C jt rMown C3erk 4.Zkcftical Inspect., S.6. Other Plumbing Inspector Caafact Person; - Phone#: Town. of Barnstable tRegulatory Services MASS t asarrsreara, • Thomas F.Ge$er,Director. BuiIding.Division Tom Perry,%Hd Ing Commissioner 200 Maas Sheet Hyannis,MA 02601 Www.town.barnstable.ma.ns Office; 508-862-4038 Fax: 508-790-6230 Propetty Owner Must Complete and Sign This Section If Us' A.Buildet as Ownet of the subject ptgpetty heteb7 authorize l�/�jL� �Y to act on my behalf, in all mattEts telat'tve to work authorized by this bmlding,p=:, t (Address'of Job) _ *'Pool fences and alatms are the tes onsibili of p ty _• the apphcant. Pools are not-to be filled before fence is-installed and pools are not to be Utilized until all final inspections are petfotmed and accepted. Signatate o Signature of Applicant R6 Print Natae Print Name Date �.FoxMs:owr�,�s�or�oors f e THE Town of Barnstable 1 Regulatory Services asaMcrxary, : Thomas F.Geiler,Director Rua ��' a�u►�c"'�� Building Division Tom Perry,Bulling Commissioner 200 Main Street; Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-7904230 HOMEOWNER LICENSE EXEMPTION PIease Print DATE JOB LOCATION: number sheet village. "HOMF.OWNBR": ' name home phone# work phone# CURRENT MAII WG ADDRESS: city/bown state zip code The current exemption for"homeowners"was extended to include owner-occmied dwellinss of sic mots 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. DEFIlITITION 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"assures respensnbility 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 mmi mnm inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner i Approval of Building Official f 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 Cade states that Airy homeowner perfnraang work fur which a building p6mit is required shall be exempt from the provisions of this section(Section 109.1.1-licensing of construction Supervisors);provided that if the homeowner engages a persons)for hire to do such work,'drat such Ha neowner shall act as supervisor." Maury homeowners who use this exemption arc unaware that they are amnning the responsilnlities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15).This lack of awareness often exults 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 folly away of his/her responsibilities,many conarrumties require,as part of the permit application, that the homeowner certify that he/she understands the responmbrlities of a Supervisor. On the last page of this issue is a form currently aced by several towns. You may rye t amend and adopt such a fonn/certification for use in your corarinnity, Qtibrrnshameexempt Client#:281696 TAVANOMECH. 'QATE(MM1DDfYYYY) i4C®r`Dr.r CERTiFiCA`TE ®F LIA�IL[TY INSURANCE 1/1712014 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( must be endorsed.if SUBROGATION!S WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statementon this certificate does not confer rights to the . certificate holder in lieu of such endorsement(s)- Anne SanzO PRODUCER CO 'CFAX HUB international New England PHONE 508-945.7863 No: 508.945-9136 NC No,Ez1 265 Orleans Road ADDRESS, anne.sanzo@liubinternationai-Com. ADDRESS: N Chatham MA 02650 ^___ INSURER(S)AFFORDING COVERAGE NAICt► 508-945-7863 wsuxERA:Hartford Insurance Co INSURED INSURERS.Safety Indemnity Insurance Co ' Tavano Mechanical Systems 11C` INSURER C 201 Capes Trail INSURER0: W Barnstable,MA 02668 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 M 1ED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO,WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN'REDUCED BY PAID CLAIMS. LIMITS ADDLSUBR POLICY - POLICY EXP - ITSR TYPE OF INSURANCE INSR N�YD_ POLICY NUMBER 8114 MM/14/20Y A GENERAL LIABILITY 085BMZQ6456 08/14/2013 08/14/201 EACH OCCURRENCE S1 OOOOOO 0gql1AGEE TO a�ENTED $300 000 PRE'IdISES Eaoccurtenca) X COldhdERCIAL GENERAL LIABILITY CLAIMS-MADE Q OCCUR ; MEDEXP(Anyonaperson) $1O OQO PERSOhlAL B AOV INJURY $1,000,000 GENERALAGGREGATE $21000 000 - - PRODUCTS-COh1PIOPAGG 52,000 00O GENL AGGREGATE LIMIT APPLIES PER: $ �1 POLICY n JEC 1 1 LOC COP dBIN`cDSINGLE LIl.11T B AUTOMOBILE LIABILITY 6210665 B12812013 08/2812014'tEa ectadentl 80DILY INJURY(Per person) $250,000 ANY AUTO - BODILY INJURY(PersocidenQ 5$0O,000 BX SCHEDULED rAUTOS PROPERTY DAMAGE $500,000 NON•OWNEO Par a cidentX AUTOS OCCUR EACH OCCURRENCECLAL\IS-MADE AGGREGATERETENTIONS -- - VIC STATU• OTH- A WORKERSAND COMPENSATION 08WECLG5272 811412013 OB/141201FR ANY PROPRIETORIPARTNERIEXECUTNE YIN N E.L.EACH ACCIDENT S1OO OOO OFFICERiMEMBEREXCLUDEO? N!A E.L.DISEASE-EA EMPLOYEE $100000 (Mandatory In NH) If yas,describe undat E.L.DISEASE-POLICY LIMIT 000,000 DESCRIPTION OF OPERATIONS b--:o;v DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD40t,Additional Remarks Schedule,it more space is required) CERTIFICATE HOLDER CANCELLATION Town Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN t 200 Main St, ACCORDANCE WITH THE, POLICY PROVISIONS. ( , Hyannis,MA'02601 r AUTHORIZED REPRESENTATIVE 71 ©1988-2010 ACORD CORPORATION,All rights reserved. ACORD 25(2010/06) 1 011 The ACORD name and logo are registered marks of ACORD #S10616841M978046 AS004' i j x - f /Z( : �l £L£I 99zo a '19111SNatlB M y l i tfal3d11� 1.OZ z' ONmVi N A3d'oa ' r Cl. d 03.1�i a1���t�n �31sea .. '3SN3�Ll Sit9NLMOl.: r ; lOj 3H1 'Sn$$i • sa�xao It 1 1V. :w33Hs SS1�W�O Hllb'3MNOWW03 �. ., ®P mAssAGtiu--' fl'® CO��oAWEALTH •a . SHEET METAL WORKERS 1 AIIS`SRi�, 1�ESS:. T V: RODNEY. N TAVANO �. TAVAMQ- MECHANICAL SYSTEMS � N. 201 CAPES. .TRAIL �. W BARNSTABLE MA 02668 ao'oo N 3 8 5 342339 1 EXISTING 2x RIDGE BO?PLYWOOD NEW 2x4 COLLAR TIES @ EA. R. RAFTER NEW 5/8"x PLYWOOD HANGERS @ EA. R. RAFTER/CLNG JOIST EXISTING 2xG ROOF RAFTERS @ 24" - 32" O.C. SUBFLOOP, CEILING HT. NEW// / ATTACHED TO EXIST O. R RAFTES CEILING I T \\ \\ r , WINDOW HDR. HT. / EXIST. 2x4 PLATES - TYP. \ W / NEW I x3 STRAPPING @ I G" O.C. \ EXIST. 2x4 TYP. / \\ \ Z 'existing/renovated 1 \ W H. EXIST. WINDOW R.O. / / SECOND FLOOR SPACE 1 1 0 / 1 crf ,0\ H W _ _KNEE WALL / 1 p EXIST. 2x4 BEARING WALLS -TYP. = W IIIIIIA SECOND FLOOR 0 19 EXISTING SECOND FLOOR JOISTS t~A y Z C Q 0 w N existing FIRST FLOOR SPACE 0 MJ o0 Jp r i z 14 114 M EXISTING ROOF/CEILING REINFORCEMENT- TYPICAL CROSS SECTION o w 1/411 = 1'-019 Z Q w co Telephone:508/563-6049 COLONY INSULATION, INC. 28 Jonathan Bourne Drive, Pt5casset, MA .02559 CLOSED-CELL FOAM INSULATION SPEC SHEET CONTRACTOR: JOB SITE ADDRESS: 1 a 1?& • DATE: AREA THICKNESS R-VALUE / Ceiling Cathedral Ceiling Garage Ceiling Basement Ceiling S l o p e`a,� k 3 Exterior W all Garage Hse. Wall W alkouI W all. Cathedral W all f— B lockers Overhang Stair/Risers All R-values and thickness measurements are deemed to be accurate by the following installers: 1n TECHNICAL DATA FOR MATERIALS IS ATTACHED TO THIS FORM Arnm-a a" UL-ane ThermalGuard CC2 TECHNICAL DATA SHEET PRODUCTNAME PHYSICAL CHARACTERISTICS Property Value Test Method rn thane fDensity(nominal):-- 2.0 Ib/ft3 ---.-ASTM D-1622 ti R-value:,_ nch1 ASTM C-518 ThermalGuard CC2 : compressive Strength: 35 PSI ASTM D1621-94 Tensile Strength: 70 PSI ASTM D 1623-78 PRODUCT DESCRIPTION. I Dimensional Stability: <4%A ASTM D 2126 Closed Cell Content: 96% ASTM D 2856 ThermalGuard CC2 is a fast set,closed- Air Permeability: .002,L/sm2(@ 75 Pa @ 1"). ASTM E283 celled,245fa-blown spray.polyurethane Vapor Permeability: .8 Perms @ 2" ASTM E96 foam(SPF)insulation designed for use Fungus Growth: None ASTM G21 in residential&commercial structures, Service Temperature: 250 OF(120°C)* exterior foundation or perimeter I insulation,belowgrade applications, *Service temperatures will vary depending on application. Contact yourArnthane Technical Representativefor iI recommendations and limitations.Always test ThermalGuard CC2 for suitabilityforyourparticular application in exterior tank/pipe insulation and etc. a safe manner. ThermalGuard CC2 is applied as a pP . LIQUID PROPERTIES liquid and.expands 25x in seconds to fill Property Value Test Method and seal building cavities of any shape Viscosity(A) 200-250 CPS ASTM D-219.6 and size. It exhibits superior thermal Viscosity(B) 1100-1300 CPS ASTM D-2196 insulation,air-barrier,and sound Weight Per Gallon(A) 10.25 lbs/gal ASTM D4475 attenuation properties compared to Weight Per Gallon(B) 9.4 lbs/gal ASTM D-1475 conventional insulation materials. REACTIVITY PROFILE Once fully cured ThermalGuard CC2 Property Value remains rigid maintaining significant Cream Time: 2-3 seconds @ 25°C(77°F) structural strength and thermal Rise Time: ¢- 12-16 seconds @ 25°C(77°F): insulation properties in adverse q conditions across a wide variety of COMBUSTION PROPERTIES applications. Property Value Tes Method Flame Spread Index: <25 ASTM E-84 MANUFACTURER Smoke Development: <450 ASTM E-84 ThermalGuard CC2 is manufactured PACKAGING&STORAGE exclusively by Drum Weight(A) 551 Ibs Drum Weight(B) 500 Ibs i Arnthane Inc. Total Set Weight, 1051 Ibs 1002 West Main Street Storage Temperature Range(STR) 60—80°F Richmond,MO 64085 Shelf Life at STR 6 months P.816.776.3015 F.816.776.3215 *Do not allow material to freeze.Do not preheat or recirculate(B)material as it will cause frothing and loss of www.arnthane.com blowing agent. Storage at temperatures above or below STR may shorten shelf life and cause degradation or loss of blowing agent. Cold material will develop higher viscosity which can cause duringprocessing such as pump CORROSION cavitation and poor mixture of(A)and(B)components.For best processing performance curing application(A) and(B)drum temperatures should be between 60 F—80 F: ThermalGuard CC2 is"chemically& PROCESSING PARAMETERS physically compatible with all common Processing Pressure Range: 900-1400 PSI* building materials including electrical Processing Temperature Range: 115—145°F* wiring;wood,metal,concrete,plastic Substrate Temperature Range: 35—105 IF (PVC),copper,vinyl,and glass. Ambient Temperature: 35—105 OF Substrate Moisture Content: <19% INSTALLATION Yield: 3800'-5000 Board Feet Per Set* Maximum Lift Thickness. 4 inches** ThermalGuard.CC2 must be spray applied using approved equipment.Use *Processingparameters&yields can vary widely depending on substrate temperature,type&condition,ambient 1:1 ratio proportioning system that can temperature,elevation,humidity,equipment and other factors: During installation the applicator must,observe the achieve the Specified temperature and qualityand characteristics of the foam and adjust equipment temperature&prgs#a settings as needed to accommodate these variables in order to ensure optimum yield,proper adhesion,proper cell structure,and .pressure.requirements. performance ofthefoam. r� "ALWAYS test ThermalGuard CC2 at desired thickness in a safe manner prior to insulating structure to ensure that it can be safely installed at the desired lift thickness without risk of charring or combustion. It is the exclusive responsibility of the applicator to achieve proper lift thickness for safe application. Safe 1 thickness may vary from application to application. r , rnfhane TherimalGuard CC2 TECHNICAL DATA SHEET appropriate PPE as required by OSHA, intended for use by nonprofessional. ThermalGuard CC2 demonstrates NIOSH,and.state/local safety applicators,or those who do not excellent adhesion to various substrates regulatory agencies. purchase or utilize this,product in the when installed according to * normal course of their business. The. manufacturer specifications. It is the applicator's responsibility to potential user must perfsrm any,. comply with all job site safety pertinent tests in order to determine the ThermalGuard CC2 resin(B)does not requirements set forth by OSHA, product's performance and suitability in require agitation. Do not pre-heat or. NIOSH,and state/local safety the intended application,since final recirculate resin(B)as doing so will regulatory agencies. determination of fitness of the product result in the"boiling off'of the 245fa for any particular use is the blowing agent which will result in poor LIMIATATIONS responsibility of the buyer. yield and poor foam performance. ThermalGuard CC2.should not be left All guarantees and warranties as to the ThermalGuard CC2 should be installed exposed to sunlight,as UV light will products supplied by Amthane shall at a maximum thickness of 4 inches per rapidly degrade foam: Do not use near have only those guarantees and pass with a minimum of 30 minutes high heat'or open flame. warranties expressed by the between passes. It is the applicator's manufacturer..The buyer's sole remedy responsibility to test lift thickness for a ThermalGuard CC2 must be covered as to the material claims will be against particular app ication prior to with an approved 15-minute thermal the manufacturer of the product. The commencing installation to ensure that barrier when used as insulation for aforementioned data on this product is the product can be installed safely at the residential or commercial buildings: to be used as a guide and is subject to desired thickness. Installation must comply with all change without notice. The information . applicable building codes. herein is believed to be reliable,but SAFETY&ENVIRONMENT unknown risks may be present. Do not install ThermalGuard CC2 at a ThermalGuard CC2 is installed by thickness exceeding 3 inches per pass NO WARRANTIES;EXPRESSED OR independent SPF contractors: It is and do not apply subsequent passes IMPLIED,INCLUDING PATENT recommended that building owners within 30 minutes of the previous pass. WARRANTIES OR WARRANTIES verify that the SPF insulation contractor In rare cases doing sa may cause OF MERCHANTABILITY OR , maintains proper credentials,insurance, charring and combustion., FITNESS FOR USE,ARE MADE BY. and licenses and is properly trained to ARNTHANE.INC.WITH RESPECT safely install SPF insulation products. It is the applicator's responsibility to TO PRODUCTS OR TNFORMATION test lift thickness for a particular SET FORTH HEREIN.. ThermalGuard CC2 achieves a Class I application prior to commencing Fire retardancy rating and meets or installation to ensure that the product Nothing contained herein shall exceeds minimum building code can be installed safely at the desired, constitute a permit or recommendation.. requirements for fire safety. thickness.. to practice any invention covered by a patent without a license form the owner ThermalGuard CC2 has low odor during Please contact your technical sales . of the patent. Accordingly,buyer application and produces no toxic representative for recommended assumes all risks whatsoever as to the vapors after application. equipment configurations and for use of these materials,and buyer's r recommendations for your particular exclusive remedy as to any breach of Always read and follow all Material application. warranty,negligence,or other claim Safety Data Sheets provided with all shall be limited to the purchase price of shipments.Additional copies are_ DISPOSAL&CLEAN UP the materials. Failure to.adhere to any available upon-request from Amthane recommended procedures shall relieve Inc.or your technical-sales Cured/reacted product may be disposed Amthane Inc.,and the manufacturer of representative. of without restriction.Excess liquid W all liability with respect to the materials and'B'material should be mixed and their use thereof Basic PPE safety equipment is required together and allowed to cure,then for personal protection including,but disposed of in the normal manner. not limited to:long-sleeve chemically,- Product containers that are"drip free" resistant overalls,rubber,nitrile,or, may be disposed.of according to local, latex gloves,splash shield or safety state and federal laws glasses with splash guards,rubber or leather boots.w/covers,full-face air- WARRANTY&DISCLAIMER purifying respiratory(APR)with ' appropriate cartridges or full-face The data presented herein is subject to * Amthane supplied-air-respirator(SAR),and other change without notice and is not ® Amthane inyi" 1002 W Main Street Richmond,MO 64085 P 816.776.3015 F 816.776.3215 www.amthane.corn 1 _ „ 1 1002 W Main Street Richmond,MO 64085 P 8116.776.3015 —� F.816.776.3215 ® wwwamthane.com rn ne . . Spray Foam Insulation .Products 1 J ff v ThermalGuard ThermalGuard ThermalGuard CC2 01101 00.5 & OC.5R Nominal Density:2.0 Iblft3 Nominal Density: 1.0 ffi ft3 Nominal Density. .5 lb/ft3 CC2 R-value: 7.Olin R-value: 5.241in OC.5 R-value:3.8/in Compressive Strength: 45 PSI Compressive Strength: 7 PSI OC.5R R-value 4.3/in Vapor Permeability., 0.8 Perms @ 2" Vapor Permeability. 3.6 Perms @ 5" Compressive Strength: 0.6 PSI Vapor Permeability.4.2 Perms @ 2": Product Description Product Description Product Description ThermalGuard CC2 is a semi-rigid,fast set, ThermalGuard OC1 is a soft, fast-set, ThermalGuard OC.5 & OUR are soft, closed-celled, spray polyurethane foam open-celled, 100% water-blown spray low-density,open-celled;1.00%water-blown spray (SPF)insulation system designed for use as polyurethane foam (SPF) insulation system polyurethane foam (SPF) insulation systems designed for use in residential & commercial designed for use in.residential&commercial wall, a high performance thermal insulation. attic, and roof-deck applications. Both products wall,attic,and roof-deck applications. can reduce energy consumption by up to 50%and ThermalGuard CC2 is a . spray-applied insulate & air-seal the structure in a single step. ThermalGuard OC1 can reduce energy ThermalGuard OUR is a bio-renewable system suitable for a variety of insulation product consumption in structures by up to 50% that exhibits superior fire-resistance properties and applications including ~in-plant, tank &' compared to conventional insulation systems increased R-value. ThermalGuard OU can be pipeline, residential & commercial because it insulates.&air-seals in a single step. optimized for in allation in cold temperatures construction, .foundation and below grade down to 150 F. applications where compressive strength or ThermalGuard OC1 is applied as a liquid and impact resistance are desired. expands over 40x in approximately 8 seconds to ThermalGuard OC.5 & MR are applied as a fill and seal building cavities of any shape and liquid and expand over 100x in approximately 4 ThermalGuard CC2 is applied as a liquid size. It exhibits superior thermal insulation, seconds to fill and seal building cavities of any and expand 25x :in a approximately 12 air-barrier, and sound attenuation properties shape or size. They deliver superior thermal seconds to form.a smooth durable surface dur bl rf over conventional insulation materials and has insulation, air-barrier, and .sound attenuation been proven to improve indoor air quality & properties compared to conventional insulation perfect for the application of primers or comfort. materials and contribute to a healthy indoor, and. . finish coatings. )utdoor environment. TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map.- �3`3 Parcel � Application #r.261 61415 Health Division Date Issued Conservation Division d Application Fee Planning Dept. Permit Fee �i ,�` CID Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address Village Owner ,077'/� �urv& /✓� Address �s /�i7i,,i�,q��i C'OTc✓ii; �- Telephone Permit Request A(-)6 X116 / 2 yc✓i `7 �� iivt!c:;- ✓ 7�c �Z CX/�577�,/� /�/� z-z�'� 'Square feet: 1st floor: existingl�proposed,;Z70 2nd floor: existing/3V proposed 959 Total new b;�v Zoning District Flood Plain Groundwater Overlay Project Valuation O ©001 c Construction Type/ 1116 `.;Lot Size /�����S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure f'W° Historic House: Yes ❑ No On Old King's Highway: ❑Yes "o Basement Type: Full A Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: �� existing I new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and. Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: AYes ❑ 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 ❑ €A �� pry W .N C) Commercial ❑Yes _ ❑,No If yes, site plan review# Current Use - Proposed Use APPLICANT INFORMATION '�► ~� (BUILDER OR HOMEOWNER) AFZ_�$t Name � Telephone Number Address ?© License # CS e.2�0�57 Home Improvement Contractor Email •,��s��a�i`�X-' c - ��� Worker's Compensation # %v -e1.-1Ao1'17Y-2 -73 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO CZ SIGNATURE DATE �� r FOR OFFICIAL USE ONLY i . APPLICATION# DATE ISSUED MAP/PARCEL NO. p ADDRESS VILLAGE OWNER f DATE OF INSPECTION: FOUNDATION FRAME INSULATION f litdiY Joe, •` FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING o DAT,&CLOSED OUT A _SOjATION PLAN NO. ate�r�m�agc�rsarar3Ldt a�'.N�asscrcF,�rtsetts ' ���arf rx,�'�u�sh�d�Icude�r . 690 Trashingtm Street wti.�:r�asxgmlrlr� Witrker.e CampensafiuuInsm-;iuceAffiday.it BuMers/CaafractorsMectricmns/Mumbers scan#Tifarmatian Please hint IAebly Na=(Bdisineasldon/fndividnal7: �' G��72�,2,/�Z� ,t,�C . dress: CityfSlat MP: Phone 4-7 ff oZ Are you air employer?Check Me appropriate bo= T of o ect r I I am a employer with 4. ❑ I cut s dal contractor cad I 3 pe e i €w6ca employees CE311 andlorpaz�* havehiredthe'sub��coufra�tors. fr- ❑ItTesv oo rctitgt X❑ I am a soIe proprietor or partner- listed an the attached sheet; +7- X emdeS ing ship and have no employees These sdih-contractors have g- ❑DemolitiorL wor#cing ivr me in any capactjr efl�pmYees and have wo&2rs' g-j'Building addition [No rma coinp_invxarrg Comp.insm me 1 5. ❑ Ale are a corporatic nand its 10: ]Electrical repairs cr additions I❑ I am a homeowner doing a1I ways officers have exercised their 11E Plumbing repairs or additiems myset€[No worToers ocmzp_ right afesetupfiongerh+fGL 1 Roof � nee -I q C-152.§1(4} andwehmmno employees_[No workers' �-0 Other comp.msmance rsgture:d_j r } YaPFH�aEBW checks box#1 '-1 fMo-atthesecd=beIDvrslwvcia56�eawa�ceis�comprasaflaaperTic3 Sermp�urners ode suborn ibis afdrvd=ff=tmg fty am daig Rn,=is siren hive ou'w&corrtxac= sndL tC.amtmctaa flat c5eclr this bax merit sttecbed m sdditiansl shed sbavcmd theaame of ffre s�Is xt and sty Rheth�xnatSuzse e��iiies bane morph ees. Ifthe sabca%d mct=have enepIagees.dheg worst provide t'IHW WMITss'comp.pal-tcjruumbec �`am an�srrdglnyer ihrcf is pm►�idfag tvorkers'r-ortinn arrsnrrracs for rn}�eiriptnyeas Betotr is SEega£ic}•artd job site Ikformatiom Insarance GompanyName: Lw/��✓�•1/ ,� `' '�'���✓�l �c•�`"`l���� I�olicy:g ar Seif-iris•_uc-&(:/'U1J`e5Z76p-1 71 ��' aTimtion73ate: / � "/�,I Io12 art Address- City/StatelZtg: jQ'?/%I-o 02-&as- A##acb a.wpy of the workers'compeasati m poHc fr declaratiou page(showing the policy number and expiration date). Far-lure to secarecoverage as regairedun&x Section:?5A o€MGL r- 152—lead to the imposition ofcriminal pemdfies of a fine up to SL.50Q D and/or onL-yeariut ,as well as civil penalties iu the form of a STOP WORK ORDEK and a fine of up.to$250.00 a day apinst the violator. Be advised that a cogg of this statement maybe farwarded to the Office of Iuvestagatims of the DIA fur in=m=coverage vaiEca#ion_ Ido£aareb ,cal the ' s rlpstrnI€ess�F�1rr3'ffiet8ss artjormrr4ion pratu��£ahas�eis true untF.cnrxget Nignatam- Bate: /i Q, ciiri use mi£} Da rtat trr/irt in Ellis area,to big caxcpie#erI by City^Of toWn ofjieia£ City or Town: PermWLicenso 9 Issuing Authardy{rode one}: L Ba2md of$ems 2.EmWing Ilepartm ent I City/£awn Clerk 4 Electrical Inspector 5.Plumbing htspector 6.Other Contact Person: Phone t#: 6 Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. PmTuant-to this statute,a i mrpkyee is defined as'`.-every person in the service of another under any contract ofhire, 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 ofthe 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 o• -who employs persons to do maintenance construction or repair o on such d -e �P 3's P � p work ch vt IIrng house or on the grounds or budding 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 shaIl withhold the issuance or renewal of a Hcense 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 performanee ofpublie 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 numbers)along with their cer-ficatc-(s)of insurance. Limited Liability Companies(LLC)or LhnitedLiability Partnerships(LLP)with.no employees other than the members or pariners,'ard not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required_ Be advised that this affidavit maybe submitted to the Department of 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 VA 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 complets and printed legibly. The Department has provided a space at ibe 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 permitllieease number which will be used as a reference number. In addition;an applicant that must submit multiple permitlIicense applications in any given year,need only submit one affidavit indurating 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 oa 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 ventm-e (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 hlce 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. Tha CoMMan 1&Of Massachusl2tts Depaztamt cif Industrial Accldmts Office of kvmtiptiom 60()washinatm Street Basta.IAA 02111 Tel,#617 727 4900 Qxt 406 or 1.4 MA, Revised 4-2"7 Fax#617-727-' 49 WWw.UMs _9nV/dia Rightfax C3-1 8/28/2013 9:02:35 AM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCEnATElMiwaomrrn =CERTIFICATI.�OOES ISSUED AS F 1NFORMA L D N RS NO RIG T5 UPON E CERTIFICATE OT AFFIRMATNELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAG AFFORDED BY THE POLICIES 6ELCW. INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSU S),AUTHORIZED uC D THficate holder is an ADDITIONAL INSURED,the policyaw)must be endorsed. N SIJ ROQATION IS WANED,subjod to atarms and conditions or the pollex certain poUc(m nmy r"vire and endorsement A aIalelrtent on this cwtIficate does not confer riphls to s csrlfficM holder In Hsu of such endorsem s). PRODUCER CONTACT NA6E: HOROAN INS ACiCY INC PHONE' FAX PO BOX 250 (AM.No.Est): (AICti NO); HYANNIS,MA 02601 ADDRESS; 283®F WWREMS)AFFOROW COVHiAOE NAIG1� INSURED INSURER A: CON DMMAL TY CMDANY A I ENTERPRISES INC INSURER s: INSURER C: INSURER D: FO BCX 2056 INSURER COTIAT,MA 02635 INWRETt F: COVERAOE� CERYMCATE NLRdSM AEVISWN NUMl�t: INDICATED. MOTWri1STAlmeKi ANY REQVd%ImmW,IMM OR COMMON OFANY CONTRACTOR OTHER DOMFIA IT WRH VURU CT TO WHEN C6RrVCATE MAY BE 03UW OR MAY F" tTAlli TNEIa3ORAMM AFFORDED BY THE POUCIR41325CRISED HEREIN 0 MUECT TO ALL TNa TMMS.E1tMMMSAND CON NS OF SVCJt PGL cm LYI m Emom MAY HAVE DON R BYPPMCL^MM. MR ADD POUCYEFFDATE EXPDATE LTR TYPE OF INSURANCE L R POLICYNUMRR onfm5YYYr1 (lommyYYY) Lam GIENERALL1ABiLITY IOCCURRENCE S - COMMERCIAL 0ENERAL UABILITY AGE TO RE1(7ED ! ` CLAMS MADE a OCCUR. ISE$(Ea u=m vm) E w wee am oxsa,) s &ADV INJURY S NJL AG RELATE LIMIT APPLES PER AGGREGATE S POLICY PROJECT LOC S-COMP1OPAGG S AUTOMOBAEUARKM SINGLE s ANY AUTO IM (Ea acddWO ALL OWNED AUTOS ILY INJU9iY S SCHEDULE AUTOS Par N FILLED AUTOS YINJURY S NO"WHED ALIT08 TY DAMAGE s :r UMBRELUI L OCCUR OCCURRENCE S EXCEtIAS CWMS-MADE EGATE S REIES S A WORKER'S COMPOMMON AND WC STATUTORY OTHER 9WLOYERsI-MILITY YIN U&M78M742.13 07P&=3 D711&W4 Uwm AW PRCPMff0RJPARTNWZ4 % OFFXERIMEMBE!E]4' DEM ®MIA E L EACH ACCIOENT S 500.000 Do-mmy la NN) E:L NSEASE-EA EMPLOYEE S 500.WO r r s.dnffft unar OFBCRFrM OF OPERATIONS b1k?w EL 18FJ4SE-POLICY LIMrf S 500.000 DESCRIPTION OF OPERATIONSA.00ATIONSfVUMCLESfR83TMCTIDNSWgCIAL.IT m T=RMLACE3ANY PR=CBRTLEICATE MWW TO TBE CHRTMCA?8 ROI:.DEB AFFBCITNO WORKM COW COVMLACW- CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLE SHOULD ANY OF THE ABOVE BIED POLICIES BE CANCELLED 20D MAIN ST BEFORE THIUMMRATM OATE .NOTICE WILL BE DaJVEREO IN ACCO EVINTHTMPOLIC JAUTI"� TATnIH RYANNIS,1AA 02WI 1*Vb) The ACORD name and Roam registered marks of All Oq eN Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supenisor License: CS-050457v" . PETER M POMEr'TI PO BOX 2056 s Cotuit MA 02635 �,,G, . ,11 • " "'�` Expiration Commissioner 04/1912016 , 1J itf� (./"O')ltlTLll)LC113000f11(+��'%' I�(.Q:u'CfCiILISC��1 , Office of Consumer Affairs&Busidess Regulation OME IMPROVEMENT CONTRACTOR c y� .egistration: 109606 Type.: € xpiration ,,.9l21l2014., Private Corporatio ; A I ENTERPRISES INCH f u PETER POMETTI { 140 LITTLE RIVER RD.'' g COTUIT,MA 02635 a Undersecretary oFTME Town of Bainstable RegWatory Services �g -.Richard V.Scali,Interim Director 1639. Building Division Tom Perry,Building Commissioner 200 Main Street;Hyammnis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete.and Sign.This Section If Using A Builder L-A U P—/c 7::--7L1 7,A P—D , as Owner of the subject property hereby authorize ;L2-7a?Z- 7 T7 to act on ray b ehal� in all matters relative to work authorized by this building permit /l /417t/ <57 (Address of Job) **Pool fences and alarms ate the responsibility of the applicant. Pools are not to be filled ot.utilized before fence is installed and all final inspections are performed and accepted. Sb atme of Owner Signature of Applicant Print Name Print Name Date Town of Barnstable Regulatory Services - pG Richard V.Scali,Interim Director °-� Building.Division - s RARxcrARf.F_ - Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax7 508-790-6250 HOMEOWNER LICENSE EXEMPTION ; Please Mnt DATE: JOB.LOCATION- mmmber street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: cityhown 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 mdividual for hire who does not possess a license,provided that the owner acts M supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. -Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersi ed"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection . i� procedures and;equirements and that he/she will comply with said procedures and requirements. Signature ofHomeovmer �.. . Appioval of Bw7ding Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors); provided that if the homeowner engages a person(i)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 responsiibUities,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 e�_�trmr.rr r_nttytr�t sett.�.i:......:.,..:►�..'.nc1FYDRRCC ri.v: - - TOY,"ll OF BP:RNSTAFL R 0 r,, r- 57 a F Oils - - = ExisnNCHous PRO SED IV CRAWL SPACE _ i W s , PRDP.ADDRIDN � �`� mrzi�vM �H F a u � Z m O eta FOUNDATION PLAN Z o LL >: F 7'o srxe AS RotEo ��t3 . DRAWING O: Al - 5 II BEDROOM 02 -- I LMNG ROOM EXlST/Np Hp f US PROPpSEp 1 ADD/T BEDROOM#1 ur II � �o-""r ./ ! q''ve,�4tG�c /°N • CO rd PATIO rxrrw - ` °jN/NG BATH O KITCHEN ❑ /p ,� @ 1rz BATH cOrw �O�`ey,Vra a7 O a4s a. zo I o•3 .., � m.,w�r., � � `MNG ROpM \ �=A I moe FOYER o-er �wm.'n�w- FAMILY ROOM I �m rwuo-wca¢w.vs '^raryFP�` / / W hmm 1 !1 COVERED PORCH II II nsnwi..nw - SC, II II �ENfD/N P W ' °RCM V W`s z - PROP.ADDRKIN - ucuuwma°^n"v'm.° `y h g. Ix It o INTERIOR DOOR SCHEDULE - 2 f ON OP2NixD wnN rsuErd AuiEAul PROPOsm LL FIRST FLOOR PLAN z xr za.er 3 marr aardv'�j �_ : a ePa6Y rasa _ _ 4./T`S` (1fl�:'<k k. s x+?ne.w Ix}x�:a aaae wwu A `l t�/N4v �./�� BCALE:AS NOTED 5%O?rAl�' ii A2 - 5 m z NO r PROppS l l J fD qpD/i/ON R . s' r__________ l l/ ST'ut• ro 'Aary�" • l� it wp°°�'e "a.."^m __,-`O u zzy / - ---- ----- -- —I------- - ROOF i r W <•+F PROPOSED W SECOND FLOOR PLAN mmNo/ousE __ �ms.awwc« ve•-ro W 2 o � I O I =G m LL m ow) t:::, W/,5,- .e.. nw PROPOSED AODRION PROPOSED �J.O%'A`GNG\ YxE.A9 NOTED ', RIGHT SIDE ELEVATION oRAw NG r. A .•e,� A3 - 5 • w 0 PROPOSED ADDRION ' - I R Q n I — � •iA 8 --_ - _ =aroma o x �anxo N� ID m ❑ LJEJI EEO ❑ ❑ ❑ y TINoHONSE ❑ �d�d ox.o I 9 em N rouse o' 'o6 -- r PROPOSED - FRONT ELEVATION • PROPOSED ADDITION DUSTING MOUSE I - Q Z F- - M P[P]IM] ytLLJ W w oC LT i s edrodaro w,ra dmnw � ❑ I I -J m LL usmr.wxxdo�x .. • —__ Dmnxo rouse w o' F duvc _ OAn::d �a/1011 PROPOSED .-NOTED REAR ELEVATION DRWNcx A4 . 5 PROPOSED ADORION muses �/ �Iv1gR rW wa,ar.m�w ,� 11BB Oawe.auo z�oO 'm. 1, O,C �R F mmw•aus � _ g �� >Y FOYER wa,v rNu I LFX,g TIN Sh �'EgO. ,0 /i � O ��•� nn — • E%I ITING ROOFTO REMRIN // �' 'ly 2 S2 SECTION GQ FOYER CONNECTOR �� _ • •• J N__________ G 5 ROOF FRAMING PLAN --- III au•..•Ia / BATH %IIt �oe..a,..o,r P•p,..e ~� � �t Z OFRCE LL MiARK /I� a.j m rs,»Naw euwnon F1ILL BASEMENT ,ev.onsr.noumr»o aaewmrtw« �'a "` 1Ke 8 b +%' IT'1 go m »>. N.�onxo.,•�o�.�,mou»,.. FSS:OtdAL F'lh 3 ,wee s•.v.�. «•m,«. � � wre m S7 TYPICAL CROSS SECTION SECOND FLOOR FRAMING PLAN Ga A G., ® A5 - 5 SHEET INDEX A 13L I Zff SHEET NO. DESCRIPTION 1286 MAIN 5 P,G f SHEARWALL HOLDDOWN SCHEDULE: SECOND FLOOR AND INTERIOR HOLDDOWNS WCO Ulf, VAyN5M/I,VJ MA IF't(o-0516CL%mW/(20)84(OJN.M"La"NN.5 WIM5W '2^ APFLWVWCILYfOZ(FRAA"MEH1iLR5.MOVIE Wa OF M NIM"R C4 WL5 v/ WeCFED Af EADI EW OF 5MW.OX5MAU AO(N FLO0R AfAMY.MD XTAOI GENERAL STRUCTURAL NOTES:(CONrD) SHEARWALL SCHEDULE: 5WfoLW IMAM ORLWo a mN"mTj mm Jo&5NFLOM W FENMMMOW'.CCMECTAO"fOfJJO5fWED5V MK6412FAa MGM HMOR PPOVDEDIOERWOOWNfJJ 9r WE MMW ACaW'S GENERAL STRUCTURAL NOTES: WALL FRAMING UPLIFT CONNECTIONS: WALL TYPE SCHEDULE: 5FEarAll". 0 IV 1.ALL CON15T ON 5 fO 9f N ACCORDANCE VMH 1W MA55r r�n551AFE - N."PLYYVOCV-(=5 MO=) FOUNDATION HOLDDOWNS: (,) �E gLPM COLS FOR OW-AM fWTY FA/LY MAVILN0.Wn EDITCN(780CMW, I.MAO(ECf9(RWAL 5905roMI7aIL1E mF HATE A,IEI NIM(D,SPfOMe00RA Q Bd COMMON OR CAVAEEP 001 NAL5a 6"OC.EDGES AW AND AL MOVAU15,MfOI 5 BAW ON TIE 2009 NTERNMIOWL P<StENR°L Yl"OG FeTY£(9)-K,IX WLS0 5110/tn16)-DdW M"OG IV, 12"OC.FEW, /� FOD9 Ai25 W/%iBZB�"DW.£IERMIOYX M'-fW/OM'�(LiPIEE J CLUE. flM.ip4ECT(RroeEA910 f43CRYro2(frAWN4 !�.j NOTE:FD(@G6D w[NWY.IaAWM4fCR RYFRAE'T."CAFIRAMW.ILMF01LT5", N9�INSNSS1B10AW�"7FiFJDEa D)D MOiCIDOAN FOWON. J w "R-1WOOV-(Wa5flzow) %IMW/ANOWAAfef0FOWWORKMOR11000NDIMmIEFOR Q 2.TWWEDDE9G4GMMFORMSMLM5NKCG137AYUWIHAkMCNJ BA COMMON OR 4NNANEW 00(N(15s 5"OL.ED(E5AN1 CORRiLTFLACCAM: FOM5fMV PAPER AYAMION(MePA),'VOOP FRAME COMMOTION MANYI 5<WDRaRDIe W/(D[sl6fGa5 w/(H)uw1.s(INWK _or 12"OL FEW. - FOR ONE-AND%V-FAML-Y Dh9.LN'6(WFLW.AND 1E'MM4IW DESIGN LOMS sw»Wm(nsrvxarclarnx616'r MaF.R`RAJ/OP!/b llll Dorm.S(RNSroR FCRWLVNr6AD0(F 5 M5(A6al-O5).TKQA` V4NV5FWFORhE `-E/�AFYL"OG<MYf011eR 511D).NDISNXRZM9M AEARVNLHUWMN Q 6/eFLYGov-avers PLoo ) LavEFS.C5I6ta 5aM5roRAN1RDOWRFLYAU1DafA191G 5 ,8J COMMON OR OLVAJIZEP 00(NNS a T'OC.EVT5 AND DESIGN Of M5510CTI�6110 MLES PER FgRWiM EIO'09Jf CA9ECORY'C'. 7 S.ODE90¢wAi S)ID50N(K SECRDft00R1WAE NO)E(FlM15NMFLCG¢FRIAwY 12"OG.FELO WVeR N ANALS%PMEt A409. BE 5.IM CONTRACTOR 6"5PON5W FOR COWAC"TIE LOCA WLVM OZCK SINL OE MVWW"IIMM(D LIA2,W5r5RNMw"OG(OIf SM/LL AO(NFLM¢ 5"NDF'7IWL OR WSER AND P14.55WLL�SiPG6 D. - = Q FORIHE5fl CIIRA.FRA9NONSPELfm5).F1EN2ONaoFfCi&mai ES AFA9NDPCR5IP/P).5RA 5MRED IntCnYro 2xFRNNY. X TIW11EN5T,CXW57�CONP.EIEO BViFf ENOFEERCF RECOD),1FE - NOTE:FORfLYWOCV9MWALM'Es 1,2,AND 5LMVAIIO9,Bd v v/ (L CONRKTOR 99LL COWKTi)E ENGFEER Of RECORD 24 FVL15PMOPTO a TIRE PRSrNroRS WWPOAmW1 WC5 N 5IEWK5T'04ADFROVm(6)Od COMMONOROA-VANI2WWANAL5-(O.ISI.2Y29.GNNW5MARHNG _ NM5f0%DMD(6)IOJWL5m&APOAm.M/OIDM BOImmFGMMM5LL PIM 1f NWWX=ADLEWAH MAYDE LLfVA5A51 6M=. ALL 5TZ NSPEL110N(5)5 f0 a PE�ORMED.E VWLfCa4HK N5PEC L N`IF WI W1MW DSPfPIeLrORFER ST'OG . ALL 5T9CiW1FkM!'ZRS/N7 LOMEC110W A&VSELE FOR N9fCNM.IF WIZ .. - NO.REVI6)ON456UE DATE IFE NWZIEN'L AM PORTION OF 1E 5T9CM 6 VEEMED NOf V15M OR 15 5.G0NE[1G5PIXWa WENWELEMNO(aPEPf00EDL2_W) - , NACa55W FOR WECMN.FNA.AYPWV#-CF TIE ENBR%RIrM Wu NO( HEADER 512E HEADER To JACK 51UD JACK SiL,D TD 601E PLATE OE CdVEN IN(L MSCOWIT17F15CO CfFDA11E CON(RKfOR'SE%PENSI:. - L-V TOW (1)LSTA9 (1)SP4. - - 4.AL WOOD CONS CTON COFAECTOZ A65PECFED ON TW5F COPSIDCTION L-V-1•TO ca (2)LSTA9 (2)SW _ PROJECTADDNESS: Pcap&m5 rom 5WP50N 51FZWIE N ACCCEI WiM(MM-0O C-201.Ifs L-6-1•TO Ira (2)LSTA 12 (2)SP4'A - nfW5FawELIttOFIKCONTRACIORTO WALL ALCOIMCIO15NACGCW*a L-c-I.To,ar mLSTA15 MWHO' SOLE PLATE CONNECTION SCHEDULE• rDIm.IMacasE.Mn Will MWACII R'59WICAli W. ureIRNnTE.M FOR OR JAxsnvro�sFwE mm SDs w CONNECTION TO FLOOR RIM BOARD S.A IfVIN CCONA'a PROV WFACWLEY5.f9IFICAI OR EOIYL.) W,MMSA(E(CNEOOe9DYN rmR J'a 59D ro)EMfe WAOlfaNtLfORWmI wa PJSFN.IEVNKflJ'9ANCE Win,MANFKI&R'S SPECFEA710W, WLsfO11E J'QSMNDI9FF 0FM Tr0,®HN.Sro1e PG2DAIW WALLTYPE soIE PLATE CONNECPON TO RIM BOARD aMODAm.faxcroe ro�MnoeP D,Ernr ro n FRAM Y.Arn IfA'PD/m.A1Ffl1,2 Ow ROOF FRAMING CONNECTIONS' " ��°WHNwsR"re5"n°F°aFErnrrorarvaDNsreMwuoRwr�re Q (S)-'�CON9AONNWLSPERiC. sro. .. I.A1TA010PPO5J(RA'IMMlIEWa OVWKTOFOFIFEWCE W1IH(I) Q (4)-,m COMNONNNLSPERIC. _ L5fA 10 IEWCN 9TRM N 16"O.C.51FAP fO&WALED OVER ROOF 5FEAP" NOTE: IWO Z/M15W/IOd COMMON WL5110 MM15. Q (3)-SIMPSON SDUS312 d'x 3h")WOOD SCREWS PER IF. 2.AITAOI FIE END OF EACH VMV IX65101E VOLW TOP PLATE OF TIE Aw m rmDOMMD WNXJASTO w(u 15WIN, ff"rOPrFD PDnoMaAu EXTEROR WALL WIN(I)NZ5ACOMECfOR. CON�ECfORTOOEAFPLEDV�CIY 01RE SPD5. TO 2KTOP R.A25 ON OIJ 51VE FA fP 0'WILL,ALfERMfi�IE'f<N NIA FROM EVF.RV CONNECTION TO CONCRETE FOUNDATION R/mfOWALL sw VaDw T5P LONFECfOR PER NOIE'I'."WALL FRAMNO P.IEMER54'-I"MLWERftaR(2)Aa5nD5Kmmw R ff WAVE. FMNDATON SILL PLATE CONNECTION TO CONCRETE IPLFiCOMELIM"5No(FELi W W&,N INNG(1)FDAAf EVERY WrM GPROADE<U XOCLIF m11E f01,a XL IfJDFF5ArA01Em(F IfA2Ew"RFY.5IID m.,N2WroM QN9Y I mAVLIFOI'DOa.9 Ari.oL. S.EY.OLCPYfo oe PP.l VM A)Oe M:D'OMRE Zr MIE OP M:EI(R WR ma D.WND4(u SSPrBW.1DOlRND S11Dro OGRE roP PtAR 61E WNL,W6N(5)IOd NNS � -_� ASMFROOF WIMROOF 9fAMNG FWED f01E5.aK9YAf6"OC.PROVDE'V' NOTE:AAG00RLo1T3RflCRO.CN9nATr[TO O[�•A'METLT.Ab2 $:. +'£,�...: 401701 N ROOM fO PWVM ADf V9 WNMAWN A5 WD"."9M fO OWFE LAOi"%CN401W EM TNG SAD.rce NOtF CFLOOP- s.M7AR(U 9F¢mr, or Gov9 wira�•.7'. PJ WA'wmC wro r nP9f9Jr'F LEGEND: C516 POJ)A PIOIOL'S11t w Ich MDMro"a r,00t:fF5fROLR (1 SOW. gTDCDf1CNFPTOCOATRLTG y ivieK-ENDE, CONWCIED D�C1Y f0 DGREfOP PLATE Lf TIE E%MBOR WAN.W/(N RDC rORC5N5RN 5@EtERroNO2^r ADO.E.rOeFRSTft00efF.'LFPSFFOemm CSN _ .COIDELf(X. W eANMDSIIDroM PRNPLGXDMPOA9.f0[6 N mMslE DFERmNOTE•4° ENGINEERING MOE. SHEARWALL CONSTRUCTION: Q 9fPRWALME FLOOR FRAMING CONNECTIONS: e.FND511DmdW0Im(DNECIYM 9E6murDa•D';eD.'eSNxeeDJ9FPWFFBn I.NL9EMWALST0 N4VE DOIRE IOPPWES MD DOIAE 7J 571DS AfEPOi CONSULTAmN nWTS 9P.IDY,IN.M2DOIN5MM2WroMLPFNY. EW OF IIf WALL. O 5FEARWALaM9M I.PROM 5I/T'WDE PPRALMI PAS MJDfR NL CNIERIORFL'5FFLG7R 9EM.WA,5W&N11f9fARWAL S PARALLEL 101E FLOOR J05TFIVA" r.%L$FOR OPEF9Yble%HYN4'4a'woe lEOlfR CD ADDPAMPOa0Ma M 5LL 2.FAa WLVGAEfOPMIE5W/16d NN.5ATI6"OC.IEf(12)-I6JWL5 �CTCN.PROdLE(2)I 'WVR LWS W7ER SELOW FLOOR MD AT(IL RMrone eGN6 SIIDAPJOIem GF�EALRNE.POROPEF91O+4'-0"MDlM2R,PEOVDe O %fARWALL F OLVVOVIM TYPE D Svc. �' (D A250PSAPJOIEm WMSLL PILE.(GE ONMiW ND ON:ON TIE OOITOMQH'. Af EACH 5M OF LIP 5FLa5 N fOP MIE5.5FLa LEW11 f0 DE A MINIMUM OF . 9EA9WAL5 Oft PARALLEL TOTE FLOOR FRA9N0 POCIM 6C516 COL 54 RM) 4'-0"LLNG 5TEW5 ARE 9TaEO A5 FIG. 046 Af 1FE EW OF 1M 5FEAFWALL.MR lit %fAMALL WAV00AN 5iRM(5>AROJJ2M:(2)1 WOE LWS,AND FROM FWkWilf lOfN. S.NMJFY.FOR RI30RATED 9fARMJN.L510&CONTPJED A90VE PMD BELOWNL NAME OF NNS 5PECFED NrO IM W. OPENNC6 N 9EARIWAL. SFEPR/JA-L 2.PROVIDE 51/2"WOE PA"A.AW PSI.R09M OR(2)11"WOE LW%09JZ 5%aW FOR F MfFLOOR 9 FM 4(2).MV&POLM 2X 9W5 AND OW4F COW 51ID5 AT%fARWA.L DV5 WITH I P PERFORATE%01 WAL.CONFINE PLYWOOD A30Vf IPL ER AND%[O FLOOR FD MD AM 5FE.W'AL5 MIEN J0155 AM T6d WLL5M6"OG.FOR MC/5ECOW FLOOR 9EARNAL5 AND 16d PAID MLOW OPEMN6 WIN NALING ALCOUZ f0 . O.�S'itcu FMWCLA T09EARWALL5. Wd.5 Af4"Of- fARWAL5. 5.f' EV5tMVAL VK. aq VJ` ® mAANO WALL 5.REFER f0 FIG.DDOWN 50fRLE FOR IE POM45 Af 9EARWAL EW5. yy,,)(-J #OF PJNG PT.H7,lAL(SFIIY AT OPEWNC6 IW%O(1E POLBU K%FLOP MIEOFIE FRSF/9:C,OFDFIC'0(EI(I24" ACL TO "_•:.ti)�..a 6Fjs M:#COW/NIIC FLOOR BA1 BOLA/W11FI(N LiP5 f.ONECI0RAT24"OL.OR W/(2)IOd TOE NVS PEE I2". JOLN[1LO71� 6F�EC DATE: 90-I2-29,. 51,0 $ONE NONE ipµyER 5{Myj KPU'` MODEL NO. DIA MIN.E.18ED. MIN.RESAR LENGTH E1Lf9P CORNER 5W5 MODEL NO. OIA MIN.EMBED. MIN RESAR ROTHIE (PER P(AN) �MARPER�) 55016 5/8 125" 10., (PER DETAIL®1 %mb 51B 12°., 50" %fe20 5/5 Ib s" 5B" 551820 CPU" �'' 551824 5/5 66" 551024 5/B 205" 66" ' 551B28 7/8 24t" 74" (� 55B2B f7/6 7/8 24t 79" "•1' 39 7/8 28 28 t". 82" 53T 54 7/5 B2" . 51B50 I 4' 96" N7J FGLDOYM 5BIt50 1 96" NN HOWOWN 71 I -NOTE:*4 REDAR TO K�MEH90N)RALbIM MD(OWED Y'_ ((PER GSM I 'NOTE:*4 REBPR TO R CENTT9 ON HaVOMJ AND LCGVED 5" r ROD, TO9"DOM FROM fOF OF fawKm ma 7$NEO ROD 705"DOM FROM TOP OF FC)"XI)NWµI ' PER%f5ON MWACNER55PEC CAfl 5. PB:`AANSON MA)JFACIIPER'S SPECFYlItIORs. N Ti,•-<5"Nc7O y' n - < �5�5e7'E.NA7aL,D_O•,W,�µTPhV O,GsK_ i- %,NYOLDL(POEA6R1 G^M DSPP( RG.- .BAR d 45 ANCHOR S(ER GS � SESOM0 N0.DO6N MC 1 R ' LJIQ/— ANCHORJA/JCOWFk I 0 Y E1N ON TOP OF ANCHOR P05111RNWL PR �5'F tW DVCORNC(W dc .1 J'yr vLNt 0NE AA BOLT. 00B0.1 (PE GSA SEFGDR. ER SM fMJ. 1.75"275"RMCWN ] , LL 1 HOLD DOWN AT PLAN VIEW 2 HOLD DOWN AT PLAN VEW -5"MPr HD WINDOW OR DOOR OPENING HD EXTERIOR BUILDING CORNER U U ALf4P CORNER 5TLL75 MODNO. DW MIN EMBED. MIN.REBARLENG (PER DETAIL) J 55ELTO16 9/8 g'12 Sa' 2x4 WALL 2z6 WALL N w / 55w20 5/B I Ibs 58" 6"OO. 4" W'F O.C. l6.6 DOIX F05T 6"O.L 4"OL. LL�L O I 551024 5/B 20% 66" / r of 55DY18 7/B 24° iq" �-1 - CIO D_ N711NGl.DOVR) 50160 24" 96" l�_..�. `-(, F:_::., I NO.REVISIONASSIE DATE �5I�51R/7 I I -NOTE:*4 REDAR 1011 IEFfA ON N100YAJ AN7 LOLA1FA 5" �•M (PER f6W )Rptl ..� R75"OOIMJ FROM fA'LF FAN/A7IONWNI (PER PLAM '• ryER PLANT - y + I . PER 9AF5%Mµ4 KIMR'55PECF"OP5. J.J.,-� J.. }}pp55 M&N.CD/R <PER C6W 1J1 OZ NOTES• NOTES PLAN VIEW ELEVATION VIEW - PLAN VIEW ELEVATION VIEW PROJECTADDRESS: • DW C' 1706 ALW 51�f --L. T---TPER C6PD' ..7C,5••.'L _ ' aE' I.ATTACK"175MOLLT-WCOMT0a11£RLWM(2)POA5LF16d I.A1TA015W5AfVLLTAPCOMTCanUMM(2)WA5CF16d . *9 PiBµ:.a A FACE mma (0.162".55")N4.5Af6"OL.FOR2AD5TORY51t"ALL5. (0.16245.5")NAL5M6"OO.FOR2W5TORY5PARWA.Ls. 5{.L pI,ME d o CNNCCIRER 175"FOR ZI(9 WN1 �F 00.T d. - �.75" 2Rb WNL 2AftI01511D'SAf0LLr�1PC0MTOa1KRWiM(7)ROA5CF 16d 2.ATTACK SW59 KILf-W COPPER TOa1W WITH(7)ROAS OF 16d (PER GSM 551E HCAAOIWd A"NO 55THav"ANOOK • J_ (0.162"05")R45Ar4"OZ.5TACk2=FOR 15f5TORY 9EARWALL5. (0.162'55.5")N4.5 AT 4"OL,5A62=FOR 15f 5TORY 9EARWA15. (RACE 55TO ARM 1 ,A-3 HOLD DOWN AT °NOF 1 BUILT-UP CORNER AT INTERIOR BUILDING CORNER A°PP GDMMOW"CORNER PLAN VIEW W F END OF SHEARWALL RAF 5fEA1NN6 EDGE N4.RI6 ROOF'.IEAD@`Y 'JF.'R Wµ.L EW POST ' LSTASiRAP c I6"OL. I I RAFTER MAR PER t 1 (PER GSM 2(V OO"RIWEEN I PER PLPN RA°1FF5(NOTOIFOR ROOF SEASHN6 { WNTL M IF REMO EC11PJ1. I.) EPCE N4.NG kW NO-DOWN { (PER PLAN) [y�I (7)-1017 NN.5 I Pi.MSPOR MORE NO.) J II'YS} •fi'1 n ~fi e EALNEN7 f F'v •" i I I � ---- - --- McK'ENZI'E I - - ---- 11 --- - . 1+,. PARNLNA � ENGINEERING" '/ wwER r4RP LAu(REFERro (P°' ROOF CONSULTANTS LSE WUNAJR ARCHUTWA RMIS FOR A �ROOF RAPIER PER PL N R DWENMOMAN7 MEN2 •"��.I.ti.o.ae.®.®I D R/FIE M 5A PS( Tµ.L PRIOR TO ALTERNATE:ATTACH CPPOSMG RAPIERS M.9MY AW RWOOOD I 1 *NOTE;NU Na.E FOR THRRAPW RC9 OCLIXZ 2R TOP PLALF FEAffa N.IERNA1E; - z.(STiID _ PILOW RDCE RAM OR RIDCR BOLA?WIM 2,4 fIk01YAI PPRAI.lM1 AV7 ATTACH W/ ' CQLAR 9E A5%VM.ROCS 5IRMS NOT RAM 19PRIN KlRTO NITPFD S" jj"MIEWAAER MONI'EDW4 U15MACOLIATE. (If WINN ON PLALD ROG(MSTALL PRbRTOW t5"LT96) f. W—STRUCTURAL rwcFDaaE2 or "°E`"°T °E"2A5 5 NINTERIORHOLDDOWNf RIDGE BEAM RAFTER TO TOP PLATE Plms.PROvVE90 RNDro DA1 PHD I FLOOR FRAMING a=' JOB/:t"7/'• SIEE/P.. DATE O 12-M,I 51.� SLUE: NONE OPTION#1 HEADER SIZE AO © © QD QE QF I I1 (1)55P' - (U BfOF/EOTTOM (U LS1A9 (1)SP4 (PER KM ((1)AD CD A27 H LF EADI D'8PLE 571D ` L{ ( f4 (2)L5(A9 (2)`R4. (1) (1)(U A25 (2)A25 NOTE:FOR FEAM15 LOCAfEO L.q�4��i06�.0, t PER fJNG (D C516-(6)Q5 WJ.5 In�cnY�LOWvaaE for (V --__ _ '�I; EI61 ETD CF SiR/P PLATES.STRIP FEAGkR fOtCR IIILLL I (D SSP '^ I I 1 I L-6'4'TOB'-0" (D L5fA 12 (D SP4 pER f.PJG PER EADIKM 5TIIJ (O A25 (2)A" RAIE5WhH(D C516 FERI6"W11H v/ ME NOIE'4') (4)�NN.S EAOIEN)OF 57RM. J _�_.. I (1)SSP READ SRN OvE-FLA1ES Al L-84"1D 10'0" (D L5fA 15 '(7)`XFI6 FD- (Z)A27PERKEJC RE016fD.AIERNA7E:A1T/OI EACHRIP1ERfo FE/LER WNH(1)W.2)5T2122 {2)SPFI6 (PER KMG (2)A25 W . p IV --- - OPTION#2 J I HEADER SIZE AO © © 0 QE QF wavowirwozorrWa (u-isN _ 9, (1)55P W/(5) CO AZS (D AZS (D NB for/ j EAO1Na MR rm OF EACH COME511D (1)55P 'NOTE:FOR!EIDERS LOXW U - L-44"T06'-O" W/(5)m (1)AZ (Z)AZS ela B-v PPRDW' (1)C516-(6)8P NAL5 DIP MY MLON DOIA.E TOP � W - (v-616 gE NOIE'S' (O SA' EACH NW Of 5TRAF Mft YID 5.5TRMIMXF LLLL L-64"T0B'-0' W/<6)A, PER KM FEREAO,KM511D (1)A25 (2)A25 FLNE5 WIM(1)C516 PER 16"W11N O �I � (Y#Noff'4') (4)8 RN)NVS EAOIEW CF S . r__—___ SSP LEW5TMC1ERTOPFWE5A5 '^ C maw RRRfYJG 1)Ka (2)A25 R v, d ALTERNATE:AftACHEACH _ qq I L-104"T016'-0' (v 5fAT1 ( (D A25 (2)A25 R/MF01r=WITN(1)FIB. No. REV151oNASSUE DALE V D D F�(��v"nawa¢aaee(a vasnvsawaDoanerewee 2 fONYC10R5 SPFQi9 MT4 SiWl RArt.'OW DPRCiLY3)9(F1'NNIG L2L�R5. PROJEOfAODRE53: 5,WL RLL w10TYQ 511O5 tt/1NG5MSWJX(2)16V NYSP@b"DL(YQSTIDfOSQEflNESTPA°IDf�BNDIn �y�,� _____ --- 4.SiW ID(ELICPDWSLRARNNLN]Il4JW.J 5/D116NTf0014N)Y. , (ONT.S/HbfWAf.LN RfAL PLQ WTDONA`DOOG¢5P/WtY.({1Y.CIIFYNPA SNDffiNOf AINMWR6/df/. - v F FRAMING AT WINDOW AND DOOR OPENINGS ' � McK'ENZfE ENGINEERING CONSULTANTS • ,z t MAR Co. JOSI:,40T,`r v SHEET. SI.Z SCALE NONE R4 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 3 Parcel Application # Health Division Date Issued -k' ,3 0 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address /A94 A4*- V Village Owner SG07 7"', vim Address Telephone 7AI _ ef ZA/— ` A6-7 Permit Request /fie"o,6G-2 �� � �� � � S6 AT• Z Square feet: 1st floor: existingX11) proposed ® 2nd floor: existing/�K proposed Total new , Zoning District A� Flood Plain Groundwater Overlay Project Valuation ��Q Qom° Construction Type JG Lot Size A O�, 461W Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family wr" Two Family ' ❑ Multi-Family (# units) Age of Existing Structure .�� Historic House: Wes ❑ No On Old King's Highway: ❑Yes W40 Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) ® Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new . Half: existing new Number of Bedrooms: S existing 0 new Total Room Count (not including baths): existing /62 new ® First Floor Room Count Heat Type and Fuel: 9 Gas ❑ Oil ❑ Electric ❑ Other Central Air: 'VYes ❑ No Fireplaces: Existing 7i 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 j (BUILDER OR HOMEOWNER)_ _ Name z!Sy7e S; Z/e Telephone Number ✓�� a31 Address AO 7,3z)X 2667., License # 6�S_0(75^7 cc/morT X-0 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE U Y DATE f ��/3 a FOR OFFICIAL USE ONLY P APPLICATION# " _DATE ISSUED "13 t t. MAP/PARCEL NO. ADDRESS VILLAGE it 4 OWNER t i• 'j DATE OF INSPECTION: ff, — FRAME _ 3 �O"9 p�I�yvx h , • INSULQTION,l ' FIREPLACE ELECTRICAL: ROUGH FINAL . PLUMBING: ROUGH FINAL GAS: ROUGH FINAL t FINAL BUILDING K1501104811Y DATE CLOSED OUT ASSOCIATION PLAN NO. ;• The Commonwealth ofMassachuse& {� Department of IndustriafAccidents 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 Lee ibly Name(Business/Organization/Individual): *z Address: City/State/Zip: Phone Are you an employer?Check the appropriate box: Type of project(required): 1.JM I am a employer with 6 4. I am a general contractor and I employees(full and/or part-time).* have"hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet:. 7. ZRemodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers' comp.insurance comp.insur nce J required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.0 I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑Roof repair insurance required.]t c. 152, §1(4),and we have no employees.[No workers' 13. Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. /7 Insurance Company Name: ��C�T�/ Tq'C� �c ev ' Policy#or Self-ins.Lic..#: 6S6UI3 _d-171 '``17V iration Date: Job Site Address: ' �'�(e 67 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,asmell 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 the and penalties of perjury that the information provided above is true and correct. Signature: Date: Phone#: �.Lea _`7 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 Lr' Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto 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 of 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 Jnvestigatians 600 Washington Street Boston,MA 02111 Tel.#617-727-4900 W 406 or 1-877 MASWE Revised 4-24-07 Fax#617-727-7749 www.mass_gov/dia PA 'Right£ax N2-1 12/12/2013 5:37:51 AM PAGE 2/002 Fax Server CERTIFICATE OF LIABILITY INSURANCE DATE VII:V 11111 TNLSAEFMRCATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPONTHE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMA71VELY 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 INSUR ER(S),AUTHORIZED REPRESENTATIVE P OD ATEHOLDEFL 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 polWea may require and endorsement. A statement an this certificate does not confer rights to the certificate holder In lieu of such endorsement(*). PRODUCER CONTACT NAME: H02Cx4N INS AGCY CVC PHONE FAX PO BOX 250 (AEG No,Etna: (A/C,No): EMAIL HYANNIS,MA 02WI ADDRESS: 26XBF INSURERS)AFFORDING COVERAGE NAI C 11 INSURED INSURER A. COMMRCCAL CASUALTY COMPANY A I ENTERPRISES LAIC INSURER B: INSURER C: INSURER 0: PO BOX 2056 INSURER E: COnAT,N A 02635 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: NDG4 MVRE(AR04M.WNORCCi BIMCFANYCONTPACrORO MMDDM&IEWWI1H TOWKQ7IHSCEWFMTENkYSE1SSLADORVAYPERTAK THENSIRNICE AFFORDEDBYTHEPOLId6DE9MOMWADNISSUBJECTTOALLT1ETEMIS6 EXCLU90MA DCOtASraSOFSWIPOLICES LMiSSI CIM4MAYHAVESSIMIREDUCEDBY PAID CLAIMS NSR ADD SUB POLCY E1FOATE POLI LTR TYPECFNSUlt4hCE L R POIIGYNJMBER (MIl.DDYYYY) (MCYALDDYDY1NVjDATE LMS GENERAL LIABILITY EACH OCCURRENCE $ COMMERCIAL GENERAL LWBILITY AMAGE TO RENTED $ C.AIMS MADE r7 OCCUR. PREMISES(Ea occurrence) ED EXP(Any one person) $ ERSONAL 3 AOV WJURY $ GEN'L AGGREGATE LIMIT APPLIES PER; ENERAL AGGREGATE $ POLICY 0 PROJECT[:]LOG ROWCTS-coMProPAGG i AUTOMOBILE UABIUTV COMBINEASINGLE S ANY AUTO IMIT(Ea acdderA} ALLOWNEDAUTOS BODILY INJURY $ SCHEDULEAUTOS Per pe—) HIRED AUTCS BODILY IWURY $ Per ece'dem) NON-OWNED ALTOS PROPERTY DAMAGE $ + ` Per accidert) UMBRELLA LIAR OCCUR EACH OCCURRENCE $ EXCESS UAB Lj CLAIMS-MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A WORKER'S COMPENSATION AND X VX STAnJCRY Of1-EA EMPLOYER'S LIABILITY YIN UB•0276M742.13 07rIBR013 07111UM14 UkM ANY PROPERTOR'PARTAEFTD(BCUTIVE NO WA EL EACH ACCIDENT $ 500,000 CFRCERTAbW 001MED? Raddoryint'M E.L.DISEASE-EA EMPLOYEE $ 50D.000 DE9CAIp—T1U�l OF OOFERATION,Sbelon E.LDISEASE-POLICYUdAT $ 500,000 DESCRIPTION OF OPERATIONSILOCATIONSYENCLE"ESTMCTIONSrSPECIAL ITEMS TICS REPLACES ANY PRIOR CERTIFICATE ISSUED TUTHE CFRTIFICATEHOLDER AFFECTING WORKERS COMP COVERAGE. RE:1286 MAIN ST OOnAT CERTIFICATE HOLDER CANCELLATION TOWN OF BARNSTABLF SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BUILDING Dom• BEFORE RRATI ON DATE THEREOF,NOTICE WILL BE DELIVERED 9d ACCORD E WITH THE POLIO/PRO ?AG NIAL'V ST AUTOO E� HY.4NNIS,NL4 M601 k.— • ACORD 25(2010/05) The ACORD name and logo are registered marks of ACORD 1988.2010 ACORD CORPORATION. All ri served. i Town of Barnstable s Regulatory Services Buss- g Thomas F.Geiler,Director 659. $ Building Division Tom Perry,Building Commissioner 200 Main_Street,Hyannis,MA 02601 — www.town.barnstable.maus Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, tL077-- "'-% , as Owner of the subject property l p Perty hereby authorize Z 1 c// to act on my beha.If, in all matters relative to work authorized by this building pe=*t (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. `Signature_of et *nature of Applicant Print Name Print Name /e;7 0)-3 Date QFORMS-OWNERPERIMSIONPOOL'S 62012 r C �THE� Town of Barnstable Regulatory Services ""'°`-'"IX Thomas F.Geiler,Director MA s639. .• BuildiIl Division ��l,�pt► g Tom Perry,Budding Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us " c Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE F)ENfMON Please Print DATE: JOB LOCATION: nimiher sheet village ..HOMEOwNER": _ � name borne 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- DEFINTITON OFHOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two- family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building,Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner uildin Approval of B g Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor (see Appendix Q,Rules&Regulations for Licensing Construction Supervisors,Section 2.1S) 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. C:\Users\dxolal,kppData\LocaAty =soft\WmdowskTemporaryInternetFiles\Content0udook\QRE6ZUBN\EiCPRESS-doc Revised 053012. Massachusetts Department of Public Safety Board of Building Regulations and Standards Con ist.ruction,Supery isor - License: CS-050457 PETER MPOME�-TT 'PO BOX 2056 COTUIT MA 0205 i Jr.�J �rj51�A Expiration Commissioner 04/19/2014 I x , T /eor��,� 2caea�G1 o�C� Jaa�c�el License or registration valid for mdivrdul use only Office of Consumer Affairs&Business Regulation OME IMPROVEMENT-CONTRACTOR before the expiration date. If found return to. egistration. `,109606 Type: Office of Consumer Affairs and Business Regulation. ` xpiration 9121/2014 Private Corporatio i.. 10 Park Plaza-Suite 5170 . Boston,MA 02116 A I E ERPRISE$INC a ° PETER POMETTI } 140 LITTLE RIVER RD g« � j COTUIT, MA 02635 " Undersecretary Not valid without signature t ads M1 x 300 N GTOt�c REVIEWED �l — p -- d; lc BUf t,NC•--I- -OWE a BEDROOM#2 O it ) 8�7,8 I Til S RF r-!!• Cggh�i PJG _ w LMNG ROOM•. I I BEDROOM#1 IIgo �J t AA 14 .. , DINING BATH O gTCHEN ` # i II I I C C Nr'ROOM II i II II FAMILY ROOM - i :. C7 r 4 z a ct! 0 F KEENED I ;,� rZ s O .. N NCH r0 t OJ r LL ..# i V csa � FIRST FLOOR PLAN A m n Oy,NnNoc Al - 2 V BEDROOM#4 n$ I „ BEDROOM#3 �_A I BA DI ____-__ BBDRO - o 1 ROOF DECK BAT l l - I / H a Ix Ul a J -----------------�.. - _r---=- �� - - in t LL ---- .. 19 / b U a o SECOND FLOOR PLAN G S-PS NO,ED DRAAWNNGG#: J 0,ie Assessor's moo and lot number ... ��d—e.. *11"Ae Permit number �/ J, 1SEF'IC SYSTEM AqU THE ............. �STa ALED-w copw,p 12 STLBLL House number ....... 2-cq ....... -WITH TITLE NASL 5 639- JT' ENVIRONMENTAL CODF Ar L TOWN 'OF BARNS J- Qk--�T 10 N S BUILDING ...11SPECTOR PERMIT TO ....... ..9 10.Id. ......7.0........49 APPLICATION FOR .44-/AV 6 .............................................. .......... TYPEOF CONSTRUCTION ....... ............................................................................... .............I.......... .......... ZP...........19.(62-- . ...... ....... ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ..................... Z .......... Co 7-4,t ' 7 1444 . 626. ......... ......... .......................;r.... .................................... ............................... ProposedUse .......... .............................................................. Zoning District ..........................................................................Fire District ........ �.Z............................................ Name of Owner ......V.., Wit. !. ....... .......................Address ... ....... .... .. ..................................Address ......Pe......Name of Builder' Addre' .... ............................ .. ....... ...... Nameof Architect .......... w.af.R......:...... Addre ss ........... ..... ....... ..... ................ ............................................................................. Number of Rooms ...................... ................... .......................Foundation ... �v. .. ...................................................... .... .. Exterior ................... .........................................Roofing ......... ............................................................... Floors -Woo d -............. ................................Interior .................................................................................... Heating .............................................................. ................... Plumbing ........4 ..................................jp ............. A/'O X/ Fireplace ...................................................... ...........................Approximate Cost ............... !��qR........ - Definitive Plan Approved by Planning Board 1619 202 Area Diagram of Lot and Building with Dimensions Fee .....e��.67 ............... SUBJECT TO APPROVAL OF BOARD OF HEALTH •OCCUPANCY Y PERMITS NtW'DWELLINGS I hereby agree to conform to all th'i Rules and Regulations of the Town of Barnstable regarding the above construction. Name ... .............&............................................... PEE, VIRGINIA n ]NO X42j� Build Addition ... ..... Permit for .................................... ......... x�J].. ..k ztt7.ly...l welli..n.g. .......... Location ....1286.............Main...................Street ............................ Cotuit .................. ........................................................... 1� , t Owner ..Virginia .Dee..........::................... t,!f J Frame Type.of Construction ,+ 7 e` .................�f-................. ...................................... Plot Lot .. August 16,` 82 mit Granted .. 19 Di~"te of Inspection - .!!'l9 .Date Completed ...`.......... . ......1+9 �g f� Vk s / wq l 11 1 4 { s d Assessor's, map and lot number,... .... .....-.............. �I�.�{:.. �oF THE rot ,st-WAe-Permit number ... -..�j. .G�.............................. .. •' U...• ....r 68d9TAD i House number ...... g..� 4.......M .!J.,1...�.7,�.0r....... .. f k i / , 'I 06 & 1 t,B ,ems 39. \0� 'F0 MAY a' TOWN ` OF BARNSTABLE BUILDING INSPECTOR - F APPLICATION FOR PERMIT TO .��........ .:.:...:� .r`1 L.L/�'2/G ` S� �� ........ ................. .......l. .......... TYPE OF CONSTRUCTION .2 �wf7. ...................................................... ....:................ ............. h...........19. 2. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /. E�-. ?..&'..........C. { /rV.... 7.......�v....�..... .....N..... ........................................................ ..................... Proposed Use ....... + .' ...... ...# . Gt �.... :................................................... A Zoning District `..... ........................................... ...... ire `D'istrict�................... ..f............................................ Name of Owner. Vo/L 61 All 4.........Of..F.................... Address .��".G'.... ...............r......................... �.. Name of Builder" ... ! Address ..................................................C� � .. 0�G 31 !��!!............................................. V... ........................ Name of Architect ............15�wIvrf�........ . ddress .................................................................................... s/ Number of Rooms ......................l .................... . ..... ..... .Foundation ..... `........................................................ t 1r Exterior t s ,! £ Roofin 1 t! so........................................................ x Floors .. ... !Q�......................................interior ................: # ..../................................................. p fw e , Heating ....;..Plumbing ........4 !3. 011. 7`"-.�................................................ ' Fireplace ..................a.... ........ ......... ... ........... .. . Approximate Cost �.f,UUO.................. w ro. C Definitive Plan Approved by Planning Board ____ ______ __ � 1,9 __ »;. Area ��� ........................... a Diagram of Loot-6.d Building with Dimensions �„ Fee y` ....Z.e.............................. "SUBJECT TO APPROVAL OF BOARD OF HEALTH "' w ' ."io t Ld ; �.,• � = OCCUPANCY PERMITS REQUIR ,F R NEW ELLIIN I hereby agree to conform to'al,l the_ Rule'sand Regulations of the Town of Barnstable regarding the above construction. L/� Name ..... .......................................... ` �ingle Family Dwelling Location —l3.8S..Main_St��e`�t______ , ` ______{�/�toit_________.. Virginia Dee Owner -- ^^----~---'-------~—^—'—'' ��anze - Type of Construction -------------- . -.---.---....-----------.----- ' . Plot ............................ Lot ................................ � ' . } ' August lG, 82 Permit Granted -------------]9 � ~ � Date of |nopoction ------------lV / � � Dote Completed -------------lA " . ' ' � ' ' . ' N ^ ' of THE rqk The Town of Barnstable &AR\SrAAIE. ' MAC. 01/ De P r-tfilent of health Safely and Environtnental Services � � - I�►u�" ' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph(rossen Fax: 508-775-3344 Building Commissioner For office use only Permit no. ; Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the-reconstruction,alterations,renovation,repair,modernization,conversion, improvement, removal, demolition, or construction of an addition to arty pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: � � � St. Cost , , Ere "- Address of Work: Owner Name: WA t Date of Permit Application: I herebv certify that: Registration is not required for the foll;,:.:ng;..asents). Work excluded by law Job under S 1,000 Building not owner-oocupied 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 TIE 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: �/_x/X�7 A-t1wtI 0 J� Date Con ctor name Aegistration No. OR Date Owner's name 1811(1 A.sc�, s iQ Office(1st floor) Man) Lot i �' Permit# Conservation Office Oth floor) 1 z ��qt Date Issued 9 2 6 9 4 Board of Health Ord floor) 47 Y- Engineering Dept. Ord floor) House# Planning Dept. 1st floor/School Admin.Bldg.): Definitive Plan Approved by Planning Board w 19 �:� ���® r ,A�.°��, ® oMd (Applications processed 8:30-9:30 a.m.& 1:00-2:009.mJ TOWN OF BARNSTABLE � �� �� Building Permit Application Proiect Street Address Villag Fire District Owner � 9/G�l� �� Address S}f� Telephone r Permit Rc uest: Zoning District Flood Plain Water Protection Lot Size 1/�,�3y �� — Grandfathered Zoning Board of Anneals Authorization Recorded Current Use Amll I /A4 -- Proposed Use Construction Type Existing Information Dwelling Type: Single Family Two family Multi-family Age of structure Basement type a",yd'-1z , ' Historic House A117 Finished Old Kings Highway Ile ' Unfinished Number of Baths No.of Bedrooms Total Room Count not including baths First Floor Heat Type and Fuel Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Telephone number Addre � '�'a License# Home Improvement Contractor# 4/0 Worker's Compensation # 1 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO 31 7-2 a '- �14 /- Project Cost ��•� J Fee SIGNATURE DATE � ��� BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) /� BPERM T DFE, VIRGINIA FOR OFFICE USE ONLY 1286 MAIN STREET, HYANNIS VII.LAGE HYANNIS ' ADDRESS OWNER Virginia Dee DATE OF INSPECTION: �;. i ;•� / r' , _ FOUNDATION FRAME INSULAT16N FIREPLACE /, •'� tl ELECTRICAL: ROUGH FINAL f `PLUMBING: ROUGH FINAL GAS: ROUGH FINAL +4 FINAL BUILDING: DATE CLOSED OUT:, ASSOCIATE PLAN NO. c, A rxo Pesf,o Alnwnc/v0 ED g4gorr/o,V - /28G M411/ Si, w Tm _ L _0 R/ ,fvA 4- 4 Intniwded- ° sf - /8 *Po Real !0 `G ��� am baztirt� a-4- //{4de 47�DGdt GJaRi�.�s2vYtGlcv7�ayt OZAvJ!L 5P4 L 1- VAPA lSpXrwrz- ALCtssro 4uM6jrJ6, CL-`,AtN 01 -4- , 3` �Q v -- 4 C __ A iD D I T I O^J - 12 0 :5TRe t 7 32 Q W, Y ".Jc IC Y 9' /a` i r w 01 a Z 3 S � Fo u i dA T S '- �loc6G c'C�Si"/2 7ivr�/ 1 a- VAPv2 ISA2R r,Foz an, PbOo✓z . � 12�� 23 � SLoP� 3 ° $ an µerr( Scis5om TRu55 ArJ4 Co L-L An- r ��5 (w2c i r i CoMmoNTWEALTH OF MASSACHUSETTS D EI'A 1`>ET�'T OF I.NTD USTRIAL ACCI DENTS. 600 ��%ASHINGT0N STREET fames J Camaoel' BOSTON, )viASSACHUS=S 02111 �c--a ss�one WORKERS' COMPENSATION INSURANCE AFFIDAVIT I, (liccnsccJpermin with a principal place of business/residence at: Par C� (Ciry tatc/Zip) do hereby certify, under the pains and penalties of perjury,that: am an employer providing the following workers' compcnsation coverage for my employees working on this. job. /fry 42�9Z242 Insurance Company", ompan Policy Number [) I am a sole proprietor and have no one working for mc. [) I am a sole proprietor, general contractor or homeowner (circle one) and have hired the contractors listed below who have the following workers' compensation insurance policies: Name of Contractor Insurance Company/Police Number h:a„ c of C,onrmcior Insurance Company/Policy Number Name of Contractor Insurance Company/Policy Number 0 I am a homeowner performing all the work myself. NOTE.: Plcasc be ax•arc that while homeowners who employ persons to do maintenance,construction or repair work on dwelling of not more than three units in which the bomcowncr also resides or on the grounds appunenant thereto arc not generally considered to be employers under the Workers' Compensation Act(GL C. 152,sect. 1(5)), application by a homeowner for a license or permit may evidence the legal status of an employer under the Workers' Compensation Act. l understand that a copy of this statement will be forwzrdcd to the Department of Industrial Accidents'Ofiiee of lnsuranec for.eoverne verification and that failure to secure coverage as required under Secuon 25A of MGL]52 can lead to the imposition of_r,6minal penalties cons sang of a fine of up to S1500.00 and/or imprisonment of up to one year and civil penalues in the form of a Stop Work Order and a fine of SI00.00.,i day against me. Signed this 3.,,W/ day of . 19 Liccnscc/Pcr tree Licensor/Permirtor