Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0695 OLD POST ROAD
.� � - r a ,�. �, . � I F. 1 LAW OFFICES OF PAUL REVERE, III 226 River View Lane Centerville, Massachusetts 02632 (508) 237-1620 revereiii@aol.com April 10, 2020 Brian Florence Barnstable Building-Commissioner 200 Main Street Hyannis, Massachusetts 02601 Via Email and First Class Mail RE: Request for Enforcement Beacon Marine Construction Barge Supplemental Information Mr. Florence: This letter follows up on my-January 1.7; 2020, letter requesting enforcement on behalf.of Charlene and Charles Nickson of 695'Old'Post Road, Cotuit.l Inf particular, my prior"letter explained-that Beacon Marine Construction, LLC ("Beacon") stored a.commercial bii±& and crane off"Cordwood Landing on a,mooring located,in aRF residentially zoned district. I attached photographs of the"barge and"crane and the Town's-zoning map.showing that the RF bistrict and the Town's xegulatory authority extended into the waters of North Bay, and pointed out that the storage�of.commercial vehicles is not,an allowed use within the RF district. On that basis, I requested pursuant to G.L. ch. 40A, Sec. 7, that you as Building Commissioner enforce the Barnstable Zoning Ordinance and prohibit Beacon from storing the barge at this or any other residentially zoned location. On March 4, 2020,you wrote me and asked that I "include a specific citation of the zoning ordinance that you would like enforced." On March 5, 2020,I responded that: Sec. 240-7.A prohibits uses not in conformity with the use regulations of the Barnstable Zoning ordinance. Sec. 240-14.A states that single family dwelling detached is the only allowed principle use in the RF zoning district. After some follow up emails asking for a response to my January 17, 2020,request for enforcement,you 'There is no'requiremeritthat the Nickson's demonstrate that they`ate aggrieved to request enforcement�of the Barnstable 'Zoning Ordinance pursuant.to,G.L.-ch.40A, Sec.7..See Bobrowski,Handbook of Massachusetts Land Use and. lanning, . Law(4�'Edition;2018)at p.;7-15.Regardless,even if they,were required to demonstrate aggrieyement,the Nickson s could readily do so as not only.are they aggrieved by the commercial storage of the.barge in direct contr`avention`to the requirements.of the residential zoriing distrct,i but,further,the Barnstable Zoning Ordinance specifically provides the purpose of the Ordinance includes the regulation of the-location and use of buildings,structures,or land for trades to, promote the public welfare,'Sec. 240-2,and,thus,damages to their property values by the unlawful use are within the interests of the Barnstable Zoning Ordinance. 1 I I emailed on April 2, 2020, stating that the wording of the original request and my follow up were not an "actionable request for enforcement" and that I needed to rephrase my request. While I respectfully disagree that G.L. ch. 40A requires that I specifically designate how the barge violates the Barnstable Zoning Ordinance and, if my request does not properly make such designation, a building commissioner can deny the request on that basis alone, I will rephrase my request consistent with your emails. Rephrased Request It is a fundamental principle of zoning that, to be lawful, a use must conform with the allowed uses in the zoning district. Consistent with this principal, the Sec. 240-7A of Barnstable Zoning Ordinance expressly provides: "No building shall be erected or altered and no building or premises shall be used for any purpose except in conformity with all of the regulations herein specified for the district in which it is located." Sec. 240-14.A(1) of the Barnstable Zoning Ordinance provides that the only "Principal permitted uses . . . in the RC-1 and RF Districts [are] Single-family residential dwellings." As I explained in my January 17, 2020, request, the zoning regulations of towns extend to the marine waters within their jurisdiction, G.L. ch. 40A(codification of 1975 Acts Ch. 808); see also 1975 Acts Ch. 808 Sec. 2A(zoning extends to "uses of bodies of water"). The Barnstable Zoning Map shows that the RF zoning district extends southerly from the Cotuit shoreline into Cotuit Bay at Cordwood Landing until it reaches the RF-1 District which covers Great Island/Oyster Harbors. Thus, the barge and crane are located in the RF zoning district. The barge and crane are commercial construction devices that Beacon uses to construct piers and locate docks within the waters of the Town of Barnstable. No construction operations (excepting perhaps preparatory/staging activities) are performed at Cordwood Landing. Rather, the barge is moved from location to location throughout the Fall and Spring to perform construction at various locations. In the summer, it is simply stored on a mooring off Cordwood Landing near the Nickson's home in the RF District. No provision of the Barnstable Zoning Ordinance allows for the full-time storage of any commercial vehicle such as a barge and crane in the RF district as is being done by Beacon off Cordwood Landing.2 Further, even when a home occupation is allowed in a residential district,the homeowner can only keep one truck and a trailer on the premises.Barnstable Code Sec. 240-46(B)(12):Frankly,if commercial uses like Beacon are allowed by lack of enforcement,then an individual could open up a floating restaurant, bed and breakfast, or lumber storage yard in any mooring field.' The only exemption from conforming with use requirements is when a use existed prior to the zoning change and that use continued through the present. The storage of the barge!cannot meet those requirements for two reasons. First,the area has been zoned residential since at least 1970 and the 2 Obviously,temporary storage is allowed at construction sites while construction is ongoing,but,in this case,Beacon is simply storing its barge and crane on a mooring when it is not being used on dock construction projects elsewhere in Barnstable. 3 The Town might be concerned as to how to distinguish between this enforcement request and various other commercial ventures on the Town waterways which happen regularly such as sportfishing,tour boats,and ferries.The primary difference is that the barge is fixed in a single location for months off Cordwood Landing. In contrast,the other commercial ventures previously set forth are mobile and are navigating the waterway similar to a taxi cab or tour bus on a roadway within the Town.As such,these mobile operations are not the subject of zoning.Furthermore,the storage location where such boats and ferries are kept are limited to areas which are properly zoned such the Hyannis Harbor District,Barnstable Code Sec.240-24.1.7A(1)(0(allowing"charter fishing,marine sightseeing,and excursion facilities"as principal permitted uses)and the Marine Business Districts,Barnstable Code Sec.240-23 (allowing"commercial fishing"and"whale- watching") 2 barge and crane have not been stored of Cordwood Landing continuously since that time. In particular, the barge was not stored on that mooring when the Nickson's purchase their home in 2000. The barge first appeared on the mooring circa 2012-2013. The Nickson's complained to Harbormaster Horn and the barge was removed for a number of years only to return in 2019. Thus,the barge was not stored for over three years at the Cordwood Landing mooring during the last ten years and cannot qualify as a pre-existing nonconforming use even if it predated zoning.' Finally, I note that the burden of proof is -not on my client to demonstrate an exemption,Hall v. Zoning Board of Appeals ofEdgartown, 28 Mass. App. Ct. 249(1990), and there is no statute of limitations preventing enforcement against a nonconforming use which did not receive a building permit. Lord v. Board of Appeals of Somerset, 30 Mass. App. Ct. 226 (1991). As such,there is no exception that would allow the barge to be stored in the RF District. In summary, the use of a mooring for the storage of a commercial barge in the RF District as Beacon is doing is a violation of the Barnstable Zoning Ordinance.As such,the Nickson's hereby demand that the Barnstable Building Department inform Beacon that it cannot store its barge in a residential district in the Town of Barnstable and require its removal from the RF District. In accordance with G.L. ch. 40A, Sec. 7, please "notify [me], in writing. . . . of any action [which you have taken] or [your] refusal to act, and the reasons therefor, within fourteen days of receipt of this request." If you have any questions, please feel free to contact me. Very truly yours, i Paul Revere, III cc: Nickson, Harbormaster's Office 4 My understanding is that the barge was stored in the Little River area of Cotuit Bay and generated complaints from property owners in that area. 3 � 'a4(a� �� -�� � �� C��,� __ ��� _� ,. ���s �� � TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION : Or Map y Parcel 611. -0 1 Application# 1 Health Division Date Issued. Conservation Division � ' �� - G��� n Application Fee' i Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning BoardG Historic-OKH Preservation/Hyannis Project Street Address o:�7 - �'Village Owner G,� ._ /�% -�a� Address Sa.,� } Telephone 7 Permit Requesth c; - Square feet: I st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑"No 'if yes, attach supporting documentation. Dwelling Type: Single Family &r' Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ' ❑No ;`. On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl YWalkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing .s new Total Room Count(not including baths):existing 7 new First Floor Room Count Heat Type and Fuel: MJ Gas ❑Oil ❑ Electric ❑Other Central Air: dyes ❑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:211"existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑ tg Yes No If yes, site plan review# —Current Use Proposed Use BUILDER INFORMATION Name Telephone Number 7 q 939 / ,Zq Address License# Home Improvement Contractor# ' Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO - SIGNATURE DATE t F f _ FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. J y ADDRESS r VILLAGE ° OWNER 4 0", DATE OF INSPECTION: FOUNDATION '7 0 -7 lb' FRAME 07 .?XM';i- INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING , E//V /ZOPVr— a Y' 4 DATE CLOSED OUT ASSOCIATION PLAN NO. F r , The Commonwealth of Massachusetts .r Department of Industrial Accidents Of lce of Investigations a , 600 Washington Street �< Boston,MA 02111 w0w.mass.gov/dia ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A licant Information Please Print Le gib` Name(Business/Organization/Individual): • •Address: 6,�5= �/ e�oS`7' �� City/State/Zip: ( L -' =3S Phone.#: 7 7 Are you an employer? Check the appropriate bog: .'type of project(required):. 4. [] I am a general contractor and I 1,❑ I am a employer with 6. ❑New construction . employees(full and/or part-time)..* • have hired the sub-contractors listed on the'attached sheet. 7. ❑Remodeling 2:❑ I am a'sole proprietor or partner- These sub-contractors have Demolition: ' ship and have no employees 8. ❑ employees and have workers' 'aworking for me in any capacity. 9. Building addition [No workers' comp.insurance comp,insurance$' 5. [] We are a corporation and its 10.❑Electrical repairs or additions /required.] officers have exercised their 11.[]Plumbing repairs or additions 3.LJ I am a homeowner doing all work . myself.[No workers'comp. . of exemption per MGL 12,❑Roof repairs i insurance.required.]t c. 152, §1(4),and we have no 13.0 Other e Ct employees. [No workers' comp,insurance required.] *Any applicant that checks box K must also fill out the section below showing their workers'compensation policy information• t,Homeowners.who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. . $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is.thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lic,#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK,ORDER and a-fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance covera a verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: � Date: 7 77 y' 4 -41 Phone# � Official use only. Do not write in this area, to.be completed by.city or town offciaf City or Town: . Permit/License It Issuing Authority(circle one): 1.Board of Health 2.Building Department 3,City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.Other Phone Contact Person: #: "VE loh'Y Town•of Barnstable Regulatory Services Thomas F.Geiler,Director .4 MA6s. . 16 � Building iD1VIS10I3 Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax; 608-790-6230 Permitno. Date • AFFIDAY.LT HOME RY PROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction, alterations,renovation,repair,modernization,conversion, -improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. ( ,, Type of Work: ��'M' a,w'cL lS _ Est®ated Cost_v ��,-C ,Address of Work: 1 J oa Owner's Name �- Date of Application: ! �� 7 I hereby certify that: Registration is not required for the following yeas on(s): E]Work excluded by law []Job Under$1,000 E)Building not owner-occupied 269mer.pulling own pemut Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROY.ENIENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply for a,permit as the agent of the owner: Date Contractor Name Registration No. Date Owner's Name f ` �oFTHE r Town of Barnstable Regulatory Services mumirABLE Thomas F. Geiler,Director MASS. 0.39. � Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 ., Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print -. J / 0 - 07 JOB LOCATION •, numb er _ `"`' streeta q village "HOMEOWNER.., L�,•"'Lf _ /" iC.��S '-•—�./6 -- -9a.y� rname home phone# "`�work,�one# r CURRENT MA'LiNG,4D1?RESS: O !�' (>YOV E'✓ /�O. o city/town state r zip code The current exemption for"homeowners"was extended to include owner-occupied:dwellings of'six units or less and to allow homeowners to engagean'individual for hire who does not possess-a`license,,provided that the owner acts as su ervisor. �� N-) Q p DEFINITION OF HOMEOWNER Person(s)who owns a pt'�.el of land on which he/she resides or intends to reside,on which there is;or is in 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 bgsconsidered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to4he Building Official,that he/sheshall be responsible for all such work performed under the uilding 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.- J 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 ,- req/uire nts. L ) Signature of Homeowner cf 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 j 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. . r 7% �6!'k •,I Y 1 * kA i° to it Ei �r T ` I certify that the foundation shown ay on this plan is as it actually exists on ` tkiP ground and; that it oomforms to the °r Town of Barnst'a'ble L in' Regul�,t.3 e�&s" r Ame 18,, 1982 r P,,lot 151an, of Land . 1 Located in: Barnstable,, Cotuit,. ft-. Trapar~ed for: Charlene A119 Scale.. 1 60` Dats: June 180 1982 Cape & I s larjd s A.Urvoyi ng, Jlrh llAWS 4T P.O. Box 334ctt:,ff�y�5 + Teatieket, Mass. 1 ,2PEP i „1ti' � ..�.�'. t*t r:(!F'.�^^'N .tif».-,�:...,.,r �s�141:i.' '-oLus.1v .�.,-1..'d�,. ,ai ' ... ... ,., .. .LJn i Z. « a•'..�,h ... .: - ....�.e � U � W m . r- I � f-tA'Gyf f/ Un �l��� i II I t/ ) -• iL"4''D'G.Sj¢Cf�.. � r � �I � �-. ?ybKG t6,,.c b s- a 5i'sf_".1tiG.-� v I, s- - Wit"= 11-0' }� yD✓M Gf�t T I f S n DIA IN Odom* 4 F �-- "S i` ' (� I Uw)flE7Q I YvRg W,24'b� IIcoast w � r I vy4��✓a`'( — �I�— /LX6 3z tg'S-To Fitt o °. n�70? DC��►.. Pl�� ale I/t°_ i1-o' B FDUIJRAI IO IJ Pl/_�IJ (L-.L- GO Ib S �: C3F/e Ox i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map OSLI Parcel 08 C�P-0 �.., � r Permit# / 1 Health Division Z` 293 io iip3$I y r3L E Date Issued 71 3 Conservation Division y 01aI 03 Application Fee Tax Collector i - r:, Permit Fee '41/3.53 Treasurer Vision p PlanningDept. U1 Date Definitive Plan Approved by Planning Board } Historic-OKH Preservation/Hyannis Project Street Address �� ®S • ..,..Village Owner / ,�-d°�-S a-v�, Address .Telephone Permit Request -F le-;,on A4 f r ` `t- e-o aiy. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed 315' Total new N-57' Zoning District Flood Plain Groundwater Overlay Project Valuations °�' Construction Type Lot Size Grandfathered: ❑Yes iNo If yes, attach supporting documentation. Dwelling Type: Single Family Two Family 0 Multi-Family(#units) / Age of Existing Structure Historic House: ❑Yes I(No , On Old King's Highway: 0 Yes I No Basement Type: ❑Full 0 Crawl VWalkout 0 Other Basement Finished Area(sq.ft.) � ( q. )Basement Unfinished Area s ft a'ZP� Number of Baths: Full: existing _new _ Half:existing / new Number of Bedrooms: existing 3 new Total Room Count(not including baths): existing new 1 First Floor Room Count Heat Type and Fuel: Aas 0 Oil` ❑ Electric 0 Other Central Air: t Yes 0 No Fireplaces: Existing oo�-- New Existing wood/coal stove: ffYes 0 No Detached garage:0 existing 0 new size Pool:0 existing ❑new size; `j Barn:0 existing ❑new size Attached garage:�R(existing O new size Shed:0 existing 0 new size -, - Other: t, Zoning Board of Appeals Authorization ❑ Appeal# Recorded Ll Commercial 0 Yes RrNo If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number Address License# Home Improvement Contractor# R w Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE -?`�c =�--,. ✓`/r /� . 3� *F - _ FOR OFFICIAL USE ONLY i PERMIT NO. -F DATE ISSUED MAP/PARCEL,NO. ADDRESS VILLAGE - yOWNER DATE OF INSPECTION: FOUNDATION FRAME 3/1016q 3/17/4X INSULATION Sgi� 3/1"7161 t FIREPLACE ELECTRICAL: ROUGH FINAL - ? PLUMBING: ROUGH FINAL ~.� GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT ASSOCIATION PLAN NO. r, i _ The Commonwealth of Massachusetts Department of Industrial Accidents r Office affQyestfgatlons -_ -- r ' 600 waslsington Street Boston,Mass. 02111 ` Workers' Com ensation Insurance davit011:111 1/ r / iocatio� n hone# 0 ci C� I am a homeowner performing all Work myself. I am a sole ,et and have no one workin in ca acitp % / %% ///%%%/%%%/%%/%% %%//%//e%/%%/1//%/e////S/// this o/%/r/%%///Gg//%/%b%%////%/%%%%%//////////%%///////%%%%/l/%/%/�%//G% ensation for my plc!y...:.,,. t•.,...• �:` 4 workers' C r-.:r:..,....:},:;>k }>,:{:Y#fi:;`v,4^i3;Y ynyy.�wh3 hY3r:;•r y v.''•ht}t Rt;k vNw43 7;y'bY '}.yvk IOv1 w0 r.. 7.: :d.•Y•{Ry.• {Y,Y•a:Xx,d nl l ern ... t{u- y:••A{$,;+,bf?t%`kyi;<S?•.:.:..:•?'•:+i^ YYi:<;:$ 't' :<i$`}k4;:T'> jam an a �....F . ,:.xqq•:<7};:?k:.2..:::Rx:.}.xt,• b4: :.,:<:;:4:,.-.::•..r::..:+:.i .x3. ?.:,$'}: 44rn:...} : f.;y..y4 }$,. .? • n. ;' ,^h.:,,. . .::r.• ,L;+mf'r,:•f;.:. .:.3t:..R:.,r.•r}.:•::., ::•r{:?%$'•Y:'.t3:•:::......}::.:\:: ::.y,Y ,x}r.'r,','.::.::,r,,:k t;.t.,;yT...r .:?ri•''�'?:5: .,p,t TSB :rY4":t44;y:.} x?{.;{.....:..f.•YTL'•:•xtf:"•,;,�`;. ��22:R:;;•...::. :..i•. ..•:R•::u.•R}Y:,.;.i}.Y•:r...r3,,...1.:,. ,..�};.x: :.. ..::�,:.••: ..}$1x�;;:3•: ;: 4r.}+y.�i}•:.a.u`,tv't$ht,•r:a\;,..: SLSTx^Y•.::t....,.4:•......x• x�4....;f..d:•.y:: ..:L•.�•...:LL.}.iR•T'•... r.$::.r.:fi: {•y}:'i{;••}i::'r'i}ii.$S•v ,r 4•:1.,kv•M. : :,.}{:R' ,•r4}}:'�v4:: ?~N,M{Y?i7x;. rr.:4v;+.}:£'•$$:;,••:T.•..r:•::•:•...,..:,•:•r,::{.:;, ..,,•.:R?i.�.....•.y?$<'••.h.,;Y•r. .::••R•r}r•:-.r}YS,$•{•>• :•.•.:•r•{�.:'•::iC •,^•.:••}L �••:: .•a.:•.,d.:r,i}. ,.b;fi:•;.,`t.:.......:..,.{.±±•.v:•::.••..�.r.i;{•..;.:{.r::vn::•:•„•::?:>r, •a::•:$..,q }'?•:.:t••:RY4:Rd::.:r4.4..:. ,.,..d.x•,>. :R?:+:::?:t::•rY.•:-::}r:.'!:i:•;{::1:•}:.`.•.•x!•:•.,4>..$r::.:,r.r.r.,...t r'::•}.. ?4 i-xv.r.,y�•:•.r. .+ r•.:v:.•{r;..;:{:+..�}'}{;}j:{3'}h..,•.v:•:. .;.?.... .. ..r:�.:::{•;.;••..... ..r.:. r...k.. ....:..;$r:',$'R•:+v�..:.:..v:•:i4'.4}:}".:•Y::••:,};:.q'q.•..v::1'?,w:::.::::.v:v:h•..:....h.....r :.: .R•:•.r::•:::r..,.,,.:. r•7.{,...r x,.r :•. n,•. ....:rr.?•.:.,,♦{•..}r,. ..{v:...{...Y Y.,•.. .. .. .. •. :• .. Y vvyy�� ..v..., .. .v.:}....•.. .,+•.s:.... •7.v:rv.... :...:... .,:;••,.,;; :a ' ?'v w;?(Y�'{'!+•;.(:?4';•:; ;✓,::•.R.//......,::R4x,.,:•::••..{.:•.,•.•.:� .:.:••..,.:..}.a•.:a:Y-rr..:.....:.,..,.... .... .r::rR:•�.x.: {. w!•v< ?;$.{TY::::'r.'•,r;:iv:..;, .5r.{'9YY.:?�.r; :r ;�k,�'•'.�::.;x$�i .h;.Y:iY].;::;;.,7.........../{:?i..}.;,7,.;}.:n{•..n,..r::,•:xS.•::.::..',v: , , il,.:,vvriS�,• 'Y';L; }.:Y.r..... .. ;,:....,•:{:. .r..::f;.:.,... ... gum: ...:..::v.•:,,....;.. : .t,•.`:kc}.';;Ra{.:;:+:•'•�,.' ,4: ..�xy..:i}4+q }3?�;,x{fi?:.,; :.:G... .•,L.......:s7•::4Y;v,}Y:;a„r;};.��:?:{a.?}�$${:{{;?;;:.::,.:tas,. .:.a .{.. ..a'?:•o •}� :w�4r}8'? -, HQI@�•.: ;}ir•r :......:LR•.r.{; }}.4:q}:;•::}:•:,v4•;:r.';; 3J.. •. y 4 y �r.•iT.{:,fi •. 4;ox5\rk v-r''' ? 4r};;}:Y.. fiat $II1d:•Tt ? :,,..,xY::•+,.Y•:fi::•'.`.<;Y}3Y:.{.;; ,,L.aw:..,{ {. .b : a. ,txr#a# :•.e•t �':,y..4"•• •;:%t';{:rdif,.,:.s:.r:. T:fi. r:7.h,. RY ;3; Y:C., A.r ,.v,•,:..Ei;`'f•.+., . ...._ :.,.•::::::!::r Y'3•.'•:'yS;:{a,.,:r.:. r°�,. '+:a+..,:..:..:. :••: .•Y•.?3.: 4R r..., :.v:.y.. ... .y .,.,vrr .r.n...i..::.....x. '+, ,i.{:.: �Y.}. .,f,+ rY. •:?.3;,; :..f•:..q'•:r,.;.ti::v,Y';S ••:...., }i $; YiS}}6^•.n. ...Y.•:7.:•.?•. v.: .3 ..r;.....,.,{..;• 7f.:4,•}:•:r::'?&Y;;;:;i;eY•• .•>:}ch Y:c;.{ .wr?d'RIMhr r Yc ,:}•::..r.,} :t:{.•;rY;?4::•rr.::::+,•a:frx.}•... ..:$;:..:}r,fi•?;••x::+•:$L' 2:.:•: {7.;?}..;y,�, ..7r.:.:.;ti..,. : .,::::q}:,'.,.q {„}}:L. r ;,..?r:r:,:.;....:S.,:f4 d•x;.,.4r::lY ?::,: ,rz} :,. YY.. f ,.,,.rr,w..•.,, :1,Y{t+::?n,.3. : .K•� ..rS h:.:.,•{:.:...:v J 4.4. 4•.. ' r f.fr..\dY•i•', x;q-.:k•+:+ }Y1:?''+u4i4it};S•.7,'T':•$�.:: ... n..r.... ::7::..:.. i:;^1q: �:.,f,.:x'd'Yi.,.,.bEr:•r•$3•C .. f.. X{!a} f£RY4'.:r$t+$a•;:.r,. YR'?4 :t%f .•yam',." vf; ..: CSS;Yv$•?•ix.h:£<:YS':•5::;}r?f.,.:v:•4':a. }r,.. .. .r. -• �£C . . : .,t ro.:.....+.,•4......:,:::3. :42.i.,4:..r}...,'.•#4'•,.... .,..::•:.,}L•?•}::•:Y:Y:${?£.?•:;rr.,,!rk{p:4•;•,•w3:'{•w}•}4;,,.y:...ft4x t••R.;•i;fir:4'•?h .�3;¢;,,4),�;:'-y`q?� •�}':k;••L: .uv: ..,•{d3:7,:.•.}7:.r•: ..,•}:..,.:..:•:::.. ..... .. >v. $':k?.a,,.•:i.::::::.::7:•,k';K:{.!}};;: :A..•..4q :::c.x`•::, w. •:µ;;;;{;•q { �. ., ...;...Y:}. .,!•}r,.t!•;r:;+Y},+y;,•.•:••$$:!..:td}3•'?.;'...•s.:.:..3...::::3,+., :: n. .}? .y . ;: .,k f; Z�x:$T„•yy� gSr•},. :t{wTf••:$••L:! :.Y. :...'Y:.:::::•:rvc.:};..C}:•:,•:.•r.,• ••T.h;.}:':•r,.;; ;.f'/ ..rR:..; ::••,•q£Sd�fE:>:�;fia}.:i•}.n.'•an? '• ;:k •¢%Y.fi$i'r'',': : (L xK<••:?d:..?.•.v :•;::•YRr•Td?:,.Y,•q:•.i>•.:y;;•..;•i:::•••..v•., :?•:$:a�•d+';.:,h•.:rT .^.dq' .4rn q},L}^'q.;:q,a..q...: .•:.: 3,:; . .. ::.. .,:•r:.•::%:4y.{:i,}Y 1', h..3., ,vl•{}:.•3'}• : w::•'{:...;.,,.Aa n,•4•••.:4r.{•.•n$::?3''•x:•i:v Yv:.G.\;.,.+.^:.:kv::,Ri: •.4 :LY... ,r.4.Y''?:. $'Y1"•aU:va.:.4w.....`L,.. •�. aCq,:v* `�+: ;.;7:4'•}R•r.•:;r,.,q:•.d'•:7 f':k}uq•a .:{$'u.N''•:.+•:4yT;..R,.,`k,;.c.:. :.:>a:..?y,•:: ...,t,?Y.: fY c:y,:•x:;"}•..r:.Y.f,;£':•{;w4•$k'2}`?;{S;i;3C..fi.r fi., },'J'�':•J.::? :��••A•v:•'x,:.N. );, {..�Y::.:....,+nK :r• r. r ...;,y,, .rv',.,. .rf:' .r.,, ...:.t....r:. .d.,.• ,. q,q?;.':y.,•r. :..•:.;,•:r,Y. •9Y..'t'3;r"•' L\.. ..Y::rrn•, ? „ .: ';;v::�: �p.: etrr.:G.:.:..WY.t:..... ..,r,. Y':. f;:.,•.,.:Y... •d: hyi.;•:' }w;ti:•'':::;f}:'':'' •,,: ....3 .:.:. ,:.... ...:.:.:f•Y?•:•• r..,.•r:+....:a}:•.,•:3•:r{r.:sf.:^•4}.k:r•rrYN;:;.�..:,};,q{?4£. '.::::.,.::.:::•:. r •?• }. f,....t:??•.....r..;:+. Lt:,. .''!'.. :.. ,; r;••r•, •+w ..Y{:�+Y:.+ J:}r' {•,.r-:,Y•. .vr r}^,•..r Ri.f3!rv:R y,•...:.}Y,:�.•,,.. :.{ � t:i.,r. ♦;r,d•'3,`;dC.a,4::jt " f: �'.Y2 'fir fh y:r2%Y.''• ;a'ti Sh!•:4,: ii•::.v:...r.:••.;::+.•.•:..v..g4..,F:. :•Y,,. ,. ... •.,.. . :.:...y;•..:4:,•.,.,; ::i'L•x?$3},af'.'+,4''•8•'(•.';• ..}.rf,•;�;:v..•`•S:ir''''�,•:+rt. :."'i• .,•,{$; a.Yb ,f•• +;;.haYY.$ f•. :.:•vYr:+•.?,S,•:•:•:vr.•r.t,:{:{.'�•:r}...4�t r,....u.:::......... .....,r., :n•,:. {.t:. q.•R�...:y:r.•..f:;••YyS •;C,.,;:Y) ,.:,t• ,+.• K ':a:':.t,,...t..,Rk .:.:. •,:.:r;r•:xr:...}...,...:T7 •:7::Rd,}v d?o:•>:;4 n.4:: yk•K:7r.,'.{•yd+b •.a;}fin^r{s.•: ,.}ryq,y:t'+,:fG''.••,•: ?ky;•'•:'i'7 •'f,? Y„}.v 8:s,2::?;K':Q,.;^''•�.'�?•n , ?Q r:•i4:r::.:•?•:::.f; 2 ••,, ; .%i,••r:$, r �Y,4'�:Wr.';,:;...{4S.v�"r•,L.:;y'fi'..: S .r,xf4'^:t•.d'M'%�fv}Y•,{.}Yi•'v;4;+nT•{�� 2+ ..w4'..> atv y'; s$3? .r}.. v.4::• \i ... ......:::.:.r.•x,•:r:•r ni+.+'R. ...:.£•ME }: .fr.•.. .v:,:.:,fY ,;.;;. ,.:..., Y; • ... ..: � ...,..... .....i SY•r.,:....}}. O. �. : .r... .43Y::.:v.}r,.ahr:;q.?v:4:•fri;+:.i•:t•::.r}.,:Y{{.y};Y+..4; .r��' pr}•:{•x:r; •{$T r•.v I,•.?2• ::+W,::^ v.Y.Yv.}},r{r..r f.R;::••. .r.J..•,v :ti•'y?'a.•:f}:Y:r/.•.. S{,• }•t '6 `Y .•.A.Y:a{h,$Y.U^•..)l:h.h, •yY:,' Y•?3x\YYf;{:y}.L,:$'$fk::v;x.:.}':::.J••f. {.. 4f }.: :.n:.y••r. r •1 �f, �3,.`,?d':{ err:..• ...:+'.v :,{..K ....,4,,.}b:. kKy}wr.., 7y,y..}Ry?T>.,v?,'r::•?f•.•q:..•;•7,iy;:.y:$Y;:i;f:;?i<,:?L';:}:fi.f•T}.;}...:..:.•. •tr1�L��•ttr'�r....: 3R',: k :.,r..,•},s,•rt�,;�,?�.}.<3,.,Y,,,,.;, .5..,,w,:.,;.:wl•'>t:a,.,r{q:::n°47{;5�3 g ,.,.,^,;{.y;,,y.::. :.:h,.ra.:•er.•a+.'�L:S ?:x;ar.<.." �� yyJ?S+# :?$•{ f1,. '•<•:{{2.':}},$.,,v:4:N'C�k<Yew %'vkf:YY.Y•7Y;Y:;•{•:4<fY.y,k:•'.?rfiy7...h>vT.'•.k.'•:$:r.:'ti}i.;.;fr....#•£•:.t:47•{•: :.; nsura`1c c'6:r' ' fisted below who •,• ' cle one and have'hired the contractors f � I am a sole proprietor,general contractor, r homeowner � have ' ensation olices: U° :• rw:;;{w%:•x33$:?.::{•7.;La4"R3:,'2f;5+x.Sh, g,.o-yrs: $;4ar~yR;4l-•'y:%�::;s�... <•sa}34^•,?r ':c •;;::: ; wOrkerS COIIlp.. w}r..,:y,},Y<;<; }.:.,^•}:;;;>;:.fgY,{... }:•44.;:},`r!;:}f55$;;x;..t<R 3 2 q•> x- .$t 6* Y:; ;; :. :ri e following ;;;;;;;} ,•. }, . ,{::Y3{.:i::k':..:; x.r �,r .. :}. d{r.{3:cY . rr ?rr: :y s�<7 <: tE.: }, ,the P.:.,• :?r:'•k;'r,}::'•:i<$:SY:$}i•kY::v'•:$kr•:....., :..t3,.: .f. C:.;r: k'22�b.:. i ;`::. R4Yl.•$^.• :?y2i7;• k.{i,...,.:,. r• •}:?;+•:..i:...f..........,t .,k.>}y::.y:3:::.:t:.$i.:;;:v;j•t::...;„ x.{,x. w f: '34 •. k?',•''} ry.:y;{rwY •:::.,�t•.,4••.„•. .t:d%:;.;:.Y;£1}�•. :7.•,:• ';•f4r7•.. ..,{.'r'.•'4.vt{,w{ yh, 3 ,e.4•a.t?•}:•R:.: ...r.::•::...,{;r,,..f r r.{,. . v:a•. , ?Y>!'•i?+t;...: :t,..i..: i•rK3::•:..•, R. r ...?!a• � % "•?•. •.5.X r:•,r.:wr r•:y?.•:•::L...,;.,,:•x..:,:;:.y;r .•.;,. .:"YS,•:.+.�.:,.,;r,..i;>ri.@Y:�•. .. ....: ...q:.:R....::4 ,.v..fr>;,.. f'?}•:.....: b.Y•x,.;}:v. :•+'•f.;,}:}.;•:a5:•,c:f}:r.}:r. ,`r,.;:$}':%f:\:}.•.; .?.;.v:prl r:i:r . :;�.4$ },H::.•:r!:�:•::.:fi.••;:•:f-,r.ds y.}•r.:,b}{.y,.; . ,w Y.R:<'; '•.9.•r.•••}.•T••w3$.d3..yy 7.}:a::...!Y;f:}rr...,....:t..f:.,.r:Y..,•.;•L.rr.,.w:r:£,Ya.4.v:6.'.y::5$fi•: z•,. ...,... „}>;•µ..";: ;.{�;..rY:•...:::•r.d,4R•v::.>.:{•;{.,. }i rt• .r .. :........r ,. ��: ..,: ....,..: .:y:.L...,,?r,/•fid?.,wd,4.•, ,rxsa;s•:,?{.x•{.}L::xrx`.•a:Y�•.,.,;,�,3,.,r..:.k.''•...r.;{#,•:Y:::•... ,..yy.,.,..Y,r.y,�,v..i..i4: r< '"s; >•};f:.:.;sj ::fyfir4fi } i. / T' .S, y^} 4q{xx{ '.Si:sr.'t4>:,,{t4?•.:{,x. .•':<4'td;;'rY'•.,7:;.':e:f`•SY.i?. ...ky;y^�iy'•Sk:•'r•Yi't• ?{C' y' ? .?•� t^yh•': '' yry #car 3,4fv7'`v4'� , 'v< } Q ;:game. a.+:f'4'f'S,.•{:?..;{{'.: f,R;.y:: �UQ2 ;}::;R$. ::2}•?k:R^.t/y?y,i;SUr/!3.;•:.,•r.:ry s.Y: :?:?:iS.v:•:.•J. 4:#s3�'!•{• }cyy'it� uffrr }44 4r ::i ::;:;.$:,:-..4f},td 3.:;'r,{+.,,:. •r:?;^..r.,^,.;:n.,Y,r. •.:•.aY.:•Y$w�`3•::},y•.::fJ4;4•:4:.it+};>;c;..ls;'.i: fLr.�� .a..rY.:3r .> a „�fu '"C+1•. :? ''. R.�}.teJ:r r;: 4:,ij.>T$^.vr,{+",$ N•r.,,f .yxvy,><::, ':?"xC:r:.••}3�:•...:•.w Yr..;:}:.r{•...:x ,.a.};•:.t.: :;•i>:•::•. •:•t}.r r:^Y? ? 4 •£a.,}:a. :.:Y,,.i'^' ':y�<'t';'$:?:ki .r.,G. �.Y•.;{.Y•.ke'+�,3'3r•' ,. ,.•b.>�',.., , i�#4Yu: .,�,;,,;.y!?•.•;.a ;..;64•}.,••cif:,,;.:r.?,•,$:{.::,.i.}, i,. ""�' t�3a�ty,».•2:,•.4+�# ,:3;..3if... ff.,••.•v,.'vY..:..;?4q ,-?,..:.:.;G+.:c,:.,r.... ).. ''•: L;•R::'••?•::{4Y,?},K.r y{ }4•t. x • :r. .,t....:......r.,:ra : ...� .r £?d. w}Y•}•�R}•.::a,.v,.};f{tr'n,;gc�4k.:•.y£�;•r,G++S:' :r.}..y:}d7'z•` >:�'c;}+'...t,:{r.;•:.,:•:5<,•c:4•fi.;'::�.? #•...,:t6{#�,. t �r,.4ry'••4•r.;t:}4"•,.t7:.,y:..y;<yq:., h.,7�tf:f:4C.yd .+:,.....;;L,;. ..>.?.tn,} •.y£<.£:,gyr.a£;::.{.S.!....... },:.;,. ;..:r.:,::•.,.7•a:7:!.,i~..:,•..i..::.a.,:, , .}.�TYY+\}}. ).r{F.'�.Ra...,},frr;R:?',.y:•. ...:..n;.•t:;r•x 4 4wf,•Y,4;4"r•ftk'•4;�i¢''yr'ts,•,�•r; ..Yfr..r}:r;:{r.?;.}<. . }err••.}::•' ''}$'.�'3.ff.?L' ,•w t•:..t ..v r:,, ••:• + •.,f G •?i• ;2'• .. •s• f !A,..:_ '• ti{.. } k•{::.,}U...r.:.4 ;hx::+;.:{t$ r ,S:a;•`.a:' :;c�` 'r-',t3r s,•..y(;; l•,_• YY���{ .,atY•'•::•r.Yr R. 'y..'. .Y4 •il�IIT.EtS.:: r++.'t:Lyd'br.:<x7•gx?;ir•`�"+?4<:$:..�•`}a,:.Lryrifc•:;?Y-r`.,;�:{:3f;,•,'i:f�';�v'::•}r;;Hr3.'+'+ 2.�'w''••4 r ...,., .........,:::••:::.}• a'},•;x.•;;:{;• ,}.:?rRyiy.•r+:$4?j. ..?7 f{.f!;5; •?:yi.;..t,}:•:.fah}t5 ....:::•,,,.wr r.•...::.::.,u$.3 ?.{•rr`:Y. ,,.:•?f{{ .• ,:R^+ r4.�{..,.K;:+•{r�•:::..4.<...,x�;{#;;.R..., /,•,•�'.,•a.�..... �.%�' {:�t'`�.se��yr:,�.'.. '' rfL�"�..•�� � .} ':. 4x.dr•'+i{•'{'^{:•2w.} ?•} .. �h .. {?.h , ?.?YhR yY, > :.# ,:}. Y...< ,r•. : .. . r ,r. .} .. r ,:.#;.. .:•:••.,}3: f. M. •:kr•..'wY.n.Y:::,,r}}'ttdl••':2•.t•.•q�^rt;?i$ ":':y�'Y`fi• h{)QC�' v}f. �4 ,3 d•Y4.dY.+q:.-rk•t: .r•::., r.y'Y:.•. •rrr.,r.{t,:,., .;.}.:.�:: ••.•:.:}:>r.,:t:.. ........ .. o:,w •%.�• ,w K. �; ,+¢v r444r:.krq?••}x;u„{,/{.,..: ?•<}n :U.p .3R$}'};i;•;r+f.;Yf,Y:yi.f.v+f.••N�f.{;::X{''.:i1U'Yr}•�$fS.i:f.4;.•.,4.r.y:k,.,{..,.. . ,•::ra-.. •,,.- ., r•3••''::4'>:{<;:u;•iw';}ww'� ...�Y;•`rr,CY KY.°�+� 4.,.}' J-.••;Ya=:i:}•r.,:,Y.:::;^.<,,.Sw,,.x.,:v G.C},;.<. .Y}.K:L:k.}.{.,;Y•.+45.t:.4.•r..4Y,. :.;v,2{.:R u.••r•:.: .,j•''. i6Rh/fy4Kr.}o,•y•.1faYj;S,$:sk+; }ft3,:it.. 'L\ •i ^�Y�T'`SRr r}.qrR:.;..;:q.:r:::Y.: {..t.t:.#,f,.r,•rR•: . :,;C.. }:r,{;::7,.,...}•,:.:.L,{ ,•;,•3,{x. 4,r .,;•r4 u•..�'•k•r C e•rL:tk,. ..{rd +.y }` •.v.,'Y:. :,:.'{,:•/.G::,x.:..:.L.Y;'+, ..'•:4'•T+'df$.{$':li:::;v,':Y:i<;'tii:}+.'':>ti$::'n:•}.v:4{'vif•Y.:,:}Lr. ;;�`,{n44Lkq., NINE, :ttL ..d .},.'•.$�:t�? ,L "x{W,{23.;:,• •:,$.,t..k;k}x..,. v {+Y ky�u}<•;.;i4'Yi%4v :':: ,;{.•$},�,L:q •,•<'"� :•.•Yf•>?^.aY:$•x>4:t•:;^:}i;•.;.r;'7•••4;i:ir4 ?: ¢c: d w; .},... r4:R•rks: "Y"v., / $f '',d','3G,� b°G;,; •. J'; ,$•'t.:�.•w. �'d�,yrd'+::,vf$3 ;N.$: .yY:•:: $;�h v d,30wr; ,,.Y..,LR'Yr C •>}Y?•47..•,r,;} 4.�5T: "j Y4"•'ry F•rt•, S,'y:r �k•Z'�S. $,. r{•• ..�:ML'3'`:•rfrr::••.:r rr;r Y:Y';;••%i Miry' ,. {{ 'Y } iw:'+ ;p:,r fi.:;'!. :;;/I/,.}3{;?.'<'••?ryK;.; 1!.:Si;, frr F ,{,?•}f,,r� '• ::{L•w +R•' n }4+::x:••..}�••dR.4}L.:;..;., , MINN f•��->"y?SS"•.`." 4..'4.Si y:r;,?#''tk?;:�3�.} OIiCQ.4• ��'rd:4:?6•%i$}Yy4{f.,r.'!•t?:r.•aYw:}?+.:2;,7{i ? .,:?•: •fv?.i' 4::.Tt!nGR4+,{:: '�S:`k.:7:S.�`.:}k• 1d�:+:fiY3}:;::'R ?3',.�;'ri•�{:k•r?fx:::;?,; •f4::.:•:.iyn y....4. >.•... ..4,•f.,..:.fiv,:+• f:?,'7.,.../.!.. ,; },-:• .4YY'ty• ;�'+;'r<+..r ,,"'{. •L3: �'�` '<�'`;h' }l:t`t13iE��Q• :;dkq>}a:3+3';{y.. Y,?�•... �,?hvi .,4',L.'o Y.v�`Y: �.: rho„ :� >f '{•:d22}h;Y' ,y�4S�'(•,q4.:6�.. •d{"�! E•r'�•.L�:,�3 '�+•i. �r;'Y;•. k;r :;;s,}•y:i2fi{:{:f'{ $.$i7f.Y:'vh•r:.f;•{::{.ny''.}''L,.rr,3::'..'h,''• r. }'{7'':SY:'�'•'k 5:?S:ti:•• i$v{'c 'Y.;:'`••.'vi}:. xY7Yr'.,'{yr,; t :(;34:•Yd,}:. 4.4••i a4 .:,/''t•'•b'Y?dr.3; . ,4•.: r?S {.; C:+,x+','' ,ir�,,'�'':.•:,,? }u' ?kt$ q,y;•, +':;;•;'q?r�:i$'s��Y•'9'} +:•f?.•.,,;x4:•Y4•.}, i`: .Y }.T::ti+.rr}:d:;:';: }.t: 'i? ..;' t :'xaf, .RY; rR:$$44w.:.a, :,>. S 4.•. .:; d:'•`•�;ve r.. �•.xr:r:•:::.�;•:.•,:••.•; ,�': ,d:{,:•>,,•.•::34•r.•:•$:- ?,•}R•Sr4. <•4:4::y:i£.1::.:.}::+;.}>•:•}.:Y;fxrvey"$'a,,•:4•{n• >v. £ 3r M;•Y:.•f ki�',3•.:'�.':y4£ r.. ..............; !:d.,. ;.; >-.0}.,f,;h;;3r^'r'rS•,•3?01.1r,.•?,?,}�•y:••:{, .','i:k�.`:...,v..,{�{:,•.::Y.Y�42::{; .£ b::.v.,4Yo,4%::.: �}?tx.jy. ?:.}., .:. .; .. ..{:.Y:. :...r.r..,..,.. ,.,V>. '�.;,4,• r'.3. ?'`'f}rF::}k:!h.,t4 ��t,R• }:.vr.:.::. .R.::.Y.. {...:1.Lv .,.f. .t.:{:..'yi+:•:G:. ,.,.,.2•:..:L.`..Y:r;{q•;!Y•rr}:^•?fr:?} •:Y•;T:'}i:;•i ti :�:}4,k:n,;?,,3; w. k, ? .;fr.,,..;?..:.•:,.;+':.x5::•.r. /..t,?vrf.•,.::%.4::•:.rt;'?::•..•..,,.,..,:S, £.�::••::•.......w:::......� .,.•x•:,..R•.'... .w:J.4{;r,:{•.{•... }rl• ti•ddh2:r:•/�3.. •:.,, f.. •,::•h+t:::•Y;r:;:••n:y'$?$h+?.;Y•.,•c r3r".4x..,.:.... r.:•. g}',t;K" •''t*c?2 :. f.{'•:.t'?;.x,r.:..:•.:• r$: �; :.,u:.,a. .,, ,..,.:.r.,:xY:n{•.:.i..:....... ,.,•:L:•{'YK.{?T3'4 3 a3�. ..•f:i.¢:i' :}^}sa''•r::':r}+ $fct,.N:•:,2•:3 ;h s'•f.•.'.:24 :td:},::':•};:; ., -R•:.:::,YT.}t•:•».::• ..:>.:t,;?v y •To4•V33 .r?;}.:,.h`::•L. is q?.,, T"J'<? ,•3:} R f+',3T.. 'fin: r•..}},. '2 -fi,,,:., :qf..:;:"';S<^"iY•i�t`icy:;4•',;:.7.:<;:.;f.}y{,,.4y,ry .,.}}3:•;S:•3r•?ra q.r :1.vr.:fi ftik,,r,Y.#•�;Y,;.i'}k:^;'�v,,p'q£;4••r," ,4}?'T7 .}y4:yy 8IL�318YtI :::,y; :.•Yd•; CGiiv:;r' }•.::$:{:,�},7y.;,;.}fy;{: ;.'TYa:tnf�:''YSF{ }y y,.r, ..:y: r�•T > •,t.` •t'YY Y?'•`•?.%}:•'rf•:+:..,..;; ;.4,.;?: .};.... .,4:.:•;?{.Y}•7:.i•;'x>�?}x:3rrz''€Y %r$•• .:hh i:$:::?`L"'�,.. {r.14. rt>+•f:tl,3".'••'•L�:::C:?:{4 {::4•,::•{:$:;::Wit,.r?,tY.r:R{r't•}r:•r:�' •$y!rr..:w;.hY•• .},rd;,r{:c't•}.+,L '{a•h.••:;;:.,L ?.h4..,•• r.7•.. +{uxYaf.�'•'r,':f,r:.�SR,.4�rrt3;{far,,dh,yaT�±4r..4� :. ';;f Y,ixt'''^f?.'df:k?;?:. :.`.^�:.,•�.:, .r4;,,. .::f.•: :•k43.:;:nR•.•r : .:.t?ka;%};;:$...r ,:{";}}. xh T.,• :•x{•: .,r,,:. ,•/£�rt $'•t2?{fi:•q},:4:}•}; {,•.;,y}L,: ..,Y••Y •a., ..S..,d:;;.3wi,.: r.;{}'{;:f4�:•' }..+•'`wRw}:.}, ;'i,:"' :•i.{.{ :•}Yx•• .3 d�t4}+,•'x,':,e;,. {,•'f'.r.}.,..R$:? .,.t'+:4 .?:.; L3:;{J.'.&•,.{a. ..fie ,v?r,+?1...,::• •.�,,Yr ..:f}};•:::: a.h.,,.?:.i{.kt, .'•}e�f:t y .,:..;,,d<+• .'?a`.':4,v, :{{.d>;:,�•'::'•: '.•'••.32�::•.. -:.K,'L> :'•$ 4.r..;r,....r }} ,F?±:>ft••: ..C;;o ::..+r, :.%:'R;tk3f:• .{.:.:k°'•:•L•3.:. :r.,F.:r$3''•'•+•����••• .,''4;•$rr•.a4i::.:..... ?:a!Y,.K�•,::r..Y•d${'`•• ;.`•'•f•,'.+q,;{•SyL:dr.4:,:,.::.•:7.k:.::.,}::kr.:Y.qK•;..:....$.•!rk'';?xt}•y•::3:. ;+�:••w.2•??;eY•;Sy:}'. ;w`•{ ...{.}•4::::.,:�{:>.,:;$•.'•::+fi;t..Y. �:,r' :S:•-.i.t,,.l d.. Y'•^ :•Y 9.:r:'Cf'?'�:ky.•,??�:,{}$,-. \�. ',Yr 3y,ftwy;.:.,}:.<`:: t{•q.' :.Y:.•..:.:.:?:-?;irrx;h..:d. . c{ta'rA`'. •�^:•'•r�'?4.,••....�ry";y�� h•r%':n�.•7<t%'••:;•:"'�.. 4n v ''; ..{ .,�, .,l:,b;.:{;. ..Y •Lr. 4Y.ri:,;'a S ;r34:•. fi.h •'•L'+`r,.:.'r.Y'v??r:•'i:y,Y:•:$f}Y,3:;::.;::r3$S:.Y;.:'.•:;.^v�Si' ..;4"•S .,.A:A.f W.. n.4. ISS.: ,S>Y k•:4.3:iYx•}u?77:;r{:?'<{,. ::�$?$;•:. .4:?.. •. ..{�.. ,f t:r„> .,fi •adds :,£. ....�., .� •t,...�Ts�� ;sr r.�,y: {;., •.h•.•w;y�'`{::.::?Y . ..:.;:....;,,q.,y{•:::� rL::::Y'h`Y:,•,:5:::.:.#'.h:r...;{,.}••,:r. ... .. :.+.;•.,..:::: r2tE:, .3f4'•;F;••,: 4 } `,£ .k3..,,w.,: ..:......:...r4.•'rx..r..,.}:•.?•:r!•:.}; ....•:::... .R;r•iii$:•'.':}x.•• .:.. :;YY}:v£}: •:�3-c,,.,•. !'•:•:$R:•7.•: r.•. i;3Y: ..~.S:? } .{Y•i• •............: .:�:•.. ...r.{r. :q .:...:•.. ,Y...fcff.,..:R•:.:••:...,-:.R ,-.•rR•:�r• .:x::•. :::•,{.,.?,f.+...:.:}}.:: :,r. �:x.:. •2:•��'yxv::•4:• >:r.:?.t#•:. ;z; ::.,.{,.. :x•r.;f:a•,}x;:{:..$}:::{?::�•3.,:+•.}•:.:�•:l,.• 4.,yY:;. }}Y};h'•',�,,`{,r.:Y:.,.x :::•.:•,•:•:^•.v.v; ...}}.Rf,.f.• .}.:4..r•.•:::rr.•.:r•.{::rr h:Y•:.4:::::: q..,...tv:vry.4,Y.,;.:.,•�a:..>?::}t:':$::}$:y?>$:7?4 SlUne: i...4... {yf.,;.. �?,•:.R•:.R.:.:.:r.,;;,. ..,,}.:...... :•.:.v+. r... .<.::.;,.....?.:.. .,•.:,,ac•.,,Y.,.:R::•Y..t.:.x•:::•:7•r:;.,::...};,.:.....,. ...� ..;.,..;Y•x•:w:•L'tt;:.•:•{.•Y.'}Chr.�;:rr'47{Ycy�x.?�,4'y::a: :.; .:.?•::{.:/f.},.:rf:'f.,.;r':{t::r•;.•:q.. ....s.;r.;h{.y. ..R�: wi::.:.•.r..:.:::L:Y.;.... k �t ,r, ...c:...:?r Y•:::....f .:{ ..).4:•....:.,•::3:r.•.,:::.:•kT:;;;r:;• ;�r.}iY^'dr't$••r,:,gY•$4v•rn.?{{ri•m:ywdrF r?R,�.:il:;;.{.;;r��r. ?'•7hfi'$• .�+•3•.}i•fy. :.... :•}.•... 4'} .:.... .. ....:x.r•.riY:•LY .;?rF:}}+;,L.•r.i:•:•r::-$:4ySy,,:...}{gxS,A.,.,R,.;,.dwg;�.-}.,.L;,r,.}4,?.::,.:..{........ '#;.t;,•,.:f{e,.,:.{;.. .f., ....,Y.....:....:...{.w,,.:., .•.. ..r:..:.x....,., :...r:MINIM,r.•.:;.}}•7:•}:• •`•::k{?Lyy:.,r,:Y,•:.?:,::{::!••.4.;,? f,.}£•f�f;:. ;:,•; ,;3. a•? •::.....::^.v.. ::......::.• Y..:....... .....:•:r::•::••i.:::.}Y.r. :.?.,.3:,:..R..,,Y...•:•:?y4:..:::•.;:..K;.:r: \{•ra .$•..• .;a,:+.d �tL;i:' h±34n;•.•rr,:7•r.. .. ::ox:K•'q.,.a;:},:!?....... ......,..;,.:...., .»•:..•: r.rn....:.:..Y:..r.; ::..+::::4:.,'•:•:::..,.,}.;:::•:.4, :.:wtr4•.+.-r.r: ;}{. : .axfr.,..., V . ....... .:r,. .:.r...,,., t Y,ri.r•„?{•.YYx:`•.,4/•:�:.{{r,f{•a f+:<t•:.; .,•,:..,4...t,..:,Y•:..:.,y.4.;,•;T� fh};r�•.q.�Yaiu:i: '•}Lf'{;`'r';;.~} .,;;k�$rS.x.:�^•r:•: ,u 'x••�``�AC.•..R•:<:2>,<S:f;.,Y ; .: .•.:. v: ;{x... k;•. ).r;.;....,4 r..,. .; .,:+„- •}::•.{.T::,r>:• :$LLB, Y• :.r q...,:,{f..,..{•r•,:N .;i•. ?,r,:h. V ;h?: x a•.... .;:tcr:;;;r ,:•:};t£{;? a,.,G}t•:::r:::r:.•y'•t£S•,r,;A,tu.if.•:.g., 4:;t•}r:.y•35., l'•,': S '`':'' ;'35 ,�F"o,.Ys r• �a`.fin,:;• 4.f£.,.,,ek:... .{..�{.• •?:£rr,.::.t:CtY$ :}•::... .:r.,.f.r:r.•.,r,..,. ai:.R•.; .,,tr a,••:...:.;t:.: R•};.., .! ..4..,,:.k?.:�..,SY;,..'r. .,• '•:::y.....}:.i}:;•::?•:•.,Y:",;::•Ry, .}::•;•Y•::7;T}:;•Y$f?'?'.^•:{,:,•:.2: w.r:R4f:':,•rb:;,,k;;•.;, T.q '+' •t;}?.r.::r:..{.;•k:•' ?.h•£. L;, }k{ r:}• f? ?.a•.•;:4.f{;o-:{: :0:4:•.}Yat ?t?:7w:!;t•°a •.a•.::{.. sc:;•!?:�{�:$•%'.� '..$:•;}Y: :�•;•.:•. Q�fiY'# '''.'t•};;cr:f:Y:':j%:,{:f{Y:S:t:}i{Y�S Q:.ri'?::q: £• m•. i,•'rr./ww v f4?d';{<:; }:• ::2;Ya:aR{{4;':�;••:t:a.'?+::..:r}Tx4.:4.:..{. :;a7:<�.:.. IS3II$AllGP:C'0.;•:r,'.,y^'{•>;<:q'Sa.}nr?ac ya`•aC'}.c»!,'..•i4";•:'':} ositinn of'esi�minal penal@es of a ft a ttp to S1,500.00�md/ar Bye eecore coverage us quized under Section 25A of MGL 152 can lend to ° P a>Zne of$100.00 a day against me• Iundatst�d that a one years'imprisonment as WEU as civil.penalties in the form of a STOP WORK ORDER and copy of this statement may b the forwarded to the Office of Investigations of the DIA for coverage veziiicatiotL under the airs and penalties ofFeTJ y that the inform�anprov<�d above is inw and carrcd I do hereby certify P Date signature Phone# ,`'SOB'Yq L 2 •Print name omc al use only do not write in this area to be completed by city or town official C2Bui1dlng Department perndt/ifcense# � ceJ�ingBoard city or town: []Sdectmen's Office checkif immediate response is required ' ❑Health Deponent r ❑Other phone#; contact person: 4rili+ed 9/95 PJ? Information and Instructions - Massachusetts General Laws chapter section 25 rewires all employers to provide workers' compensation for their employees. As quoted from the `law", an employee is defined as every person in the service of another under -any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or'renewal of a license or permit to operate a business or to construct.buildings in the commonwealth for any applicant who has evidence of compliance with the insurance coverage required. Additionally,neither the not produced acceptableublic work until pter into an contract for the performance of p commonwealth nor any of its political subdivisions shall en y P acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation,-and numbers along with a certificate ins,„mince as all affidavits maybe supplying company names, address and phone 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 ortown that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the pi imitnicense number which will be used as a reference number. The affidavits may be retuiae*tn the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to give us a call. T Oxx The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents amce at Invesugauans 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406, 409 or 375 1 1 oFtHE,�, Town of Barnstable Regulatory Services _ snnxsTi+H , ' Thomas F.Geiler,Director 9� 16 9• ��� Building Division '�rED MAI a Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862 40 38 Fax: 508-790-6230 Permit no. Date - I AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW t SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. j ) Estimated Cost 90, Type.of Work �C!/i�-�� �'1 Address of Work:- �✓ Pc,5 Owner's Name: Date of Application:* AL______ I hereby certify that: �. t Registration is not required for the following reason(s):, []Work excluded by law []Job Under$1,000 Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORD DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c,142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. n, P Owner's Na e ' RESIDENTIAL BUILDING PERMIT' + {ES ' APPLICATION FEE New Buildings,Additions $SOAO Alterations/Renovations S25.00 Building Permit Amendment S25.00 FEE VALUE WORKSIiEET nW LIVING'SPACE — a _square feet x$96/sq.foot= ( gg0 x.0031— plus from below(if applicable) ALTERATIONSIRENOVATIONS OF EXISTING SPACE square feet x$64/sq•foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq.ft� >120 sf-500 sf $35.00 50 >500 sf-750 sf .00 75 >750 sf-1000 sf . >1000 sf-1500 sf 100.00 >1500 sf-Same as new building permit: x.0031= square feet x$961sq.foot= STAND ALONE PERMITS , x$3Q.00= � Open Porch (numhe1) �_x$30.00= Deck (number) Fireplace/Chimney (number) ' $60.00 mi Enground Swimng Pool Above Ground Swimming Pool $25.00 5150.00 - � _ • gelocationlMoving 113,33 (plus above if applicable) pe•Init Fee f -t Town of Barnstable �FTME Tq,_ Regulatory Services 13ARNSTMM ; Thomas F.Geiler,Director MASS 0 9, p.0� Building Division rEDr Tom Perry,Building Commissioner 200 Main Street,`Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION:. I � number street village . '�IOMEowrIER': Chuck �v,�S� 8' `���=�P/,:;, _511'G8'-560 -07V name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with.the State Building Code and other applicable codes,bylaws,rules-and regulations. The-undersigned"homeowner"certifies that he/she understands.the Town-of Barnstable Building Department:.. minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements./J 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 ladk 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. *. 15 P "I certify that the foundation shown on this plan is as it actually exists on . the ground and that it conforms to the Town of Barnstable Z inl Regulkti Grip" June 1 8, 19 32 " -' - -' = --- 'Plot Plan of Land Located in: Barnstable, Cotuit, NTeB. Prepared for: Charlene Allen " - Scale: 111 = 60' Date: Jude 180 1482 ' Cape & Islands Surveying, Inc. -av0 P.O. Box 334 t �R ` Teaticket, Kass. p-ST4.4'4� ;i .3 e Permit Number MECcheck Compliance Report Checked By/Date Massachusetts Energy Code MECcheckSoftware Version 3.4 Release la Data filename:C:\Program Files\Check\MECcheck\Grover-695""O1d Postµlroadcck TITLE:Nickson 2nd floor addition CITY:Barnstable STATE:Massachusetts HDD:6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) „ DATE: 10/15/03 DATE OF PLANS:9/26/2003 PROJECT INFORMATION: 695 Old Post Road Cotuit,MA 02635 F COMPANY INFORMATION: Tracie Grover Box 991 Cotuit,MA 02635 COMPLIANCE:Passes Maximum UA=59 Your Home=58 1.7%Better Than Code Gross Glazing Area or Cavity Cont. or Door Perimeter R Value R-Value U-Factor UA Ceiling 1:Flat Ceiling or Scissor Truss 224 38.0 0.0 7 Ceiling 2:Cathedral Ceiling(no attic) 160 30.0 0.0 5 Wall 1:Wood Frame, 16"o.c. 280 13.0 0.0 19 Window 1:Metal Frame:Double Pane with Low-E 11 0.340 4 Door l:Glass 40 0.340 14 Wall 2:Wood Frame, 16"o.c. 104 13.0 0.0' 9 Furnace 1:Forced Hot Air,80 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 Massachusetts Energy Code requirements in MECcheckVersion 3.4 Release 1 a and to comply with the mandatory requirements listed in,the MECchecklnspection Checklist. . The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions'fouiid in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and RA Builder/Designer Date t l MEC'check Inspection Checklist Massachusetts Energy Code MECcheckSoftware Version 3.4 Release la DATE: 10/15/03 TITLE:Nickson 2nd floor addition Bldg. Dept. Use I Ceilings: [ ] I 1. Ceiling 1:Flat Ceiling or Scissor Truss,R 38.0 cavity insulation Comments: [ ] I 2. Ceiling 2:Cathedral Ceiling(no attic),R-30.0 cavity insulation Comments: I Above-Grade Walls: [ ] 1. Wall 1:Wood Frame, 16"o.c.,R-13.0 cavity insulation Comments: [ ] I 2. Wall 2:Wood Frame, 16"o.c.,R 13.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] I 1. Furnace 1:Forced Hot Air,80 AFUE or higher Make and Model Number Air Leakage: [ ] I Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ ] I When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: 1. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 Us)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] I Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ ] Materials and equipment must be identified so that compliance can be determined. . [ ] I Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment must be provided. [ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] I Ducts shall be insulated per Table J4.4.7.1. I .. Duct Construction: [ ] I All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation Instrdctions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted... The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I , Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and MA Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1." ; I , Swimming Pools: [ J I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% I of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120 T or chilled fluids below 55 OF must be insulated to the levels in Table 2. Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipe Insulation Thickness in Inches by Pipe Sizes Heated Water Non-Circulating Runouts Circulating Mains and Runouts Temperature(F) Up to 1„ Up to 1.25" 1.5"to 2.0" Over 2" 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130' 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes Fluid Temp. Insulation Thickness in Inches by Pipe Sizes Piping System Types Range F 2"Runouts 1"and Less 1.25"to 2" 2.5"to 4" Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) . T i The Town of Barnstable Department of Health Safety and Enviroranental.Services M Building-Division 367 Main Street,Hyannis,MA 02601 )8.8624038 )8.790.6230 PLAN REVIEW 3wner: �L� i c��5— Map/Parcel: �� (9 t 1 ®C, 1 roject Address: Builder: ®(z�3 Che following items were noted on reviewing-. � qq ,l jot Gltn S i dl. lam-l ?- O F - � , ieL4 aced. Cxetrcr,>n iuwM � 1 Gu Rl�M - . r - i - _ ,y F _ Lau ,r _ AS,LJ..('Glk LO.f�FR 't,1•_ li 4 I �1-I;o.n qo • _ -. � � � }• j�am[[ _ � _--_— —_ _- _ 75 T wlycowq�. ( � 6 YtRPIlT VL�W 1 r. ab'1✓T LEI RCdlz V _ - �:i'_ :,• � _ PRO�SCD 6DDIp�IOtL9:/�:T!n�TIpM) LIM AL' ;; _.. •.- :.� •. .. _. . - _� OLD.PvtT RD. C17CU rI,NIdY,. .44�srl: 4Y1pZ L6HS .4 1 _ , _ �».� :,'^•°:,, t;;, c•i�.+`Mi... ..>. :�;:�'.;.t�>«t>.::1•��x�^:� ,�'..,`�.::,;x t:?a::>su ,r 4�^:�3�.a.-_ , .a£i:u::� 1 - ...- L .{51k41 KIG>,isSNT-�• _ .r� _•',��,y.�- � y%//'///• A��F'�I•.,`a w 11 r.r•llI' r+ � - r 1 ) t 1 /_ -_may-'_ 1 �h r / _ r _ •'::°.;.:! 4 - of�: - C' C Y - N� '1 ''Y ..N•r i ,g I. ... � P�.a IC�•5-�^ �1-4Z F�'F�'.`.�L.-,�i'}J .- � - ._'Cac no jr:/,F.,�;��� � �� a / � •4� I'.4 � / ' f, r ; - N.. : .C{r F r _ •.1 , C rr. - i a._ r 1 / 2. } s J Y•' l,` y it b' i 1 'I / l l •�hrr. / 1/ b i h r I/ r' r f'r I/• / r r �- f ll' r 14^ i r old X spli1 L.'r yy yy . ' I� CD zCXNfiw:c:�.E Q � F U F- 0 CO> ne Pxvr ^ Z O O g 2x�o•y�i6°sue^ _ W F L} K FfCG ^�ZK"i qe ` i' �l.l 2i%D'y wCL o Q}= v,- W FWWOW snm9tirc / t� o OC J Y U)z S r#ra AbJ.wAiL I+;T oc �OOQFCL 6 >ziLrwa�o < =J Q /To?� arL � zxln'S@16°CL .. V >W W C)O WCL 2�_en-✓n I / �la•,te✓ `\ , 61[en:t ` Pie CJ _ -- Z Y w 0 O tL=Q _ ayT da mmoam e�-v,e gear 1, c� � - ct+ ems? Fb 6. ALL N� z W 0 -Ri o� Y�C? T I I Q — Y ♦'W (�ot3 KouLf F�c W�Gti7 ipTlvoF-TWi-t tzvz6 -- y. K o rWTcH Iei uG _ — O W Y9 T U N m Q cfcx:� l - F wE pnsT - _ W I pry.�i I� - - - - m m W cuoi W >-- ao�- W W , i �cG IoPJ -A l r r � m Q R�BZ7- maw •� I I I I I TI v N I l JI N - EYt4w:f LX. T V5(9 Rvvcvo I y ; i I j l " - to( f acST GEl(JrY.1 T j- - I - -Idal.1l O i2?nl i7-L�'+,,t(Aeal° JOKTS 4-1 L�rtts � I O i jh 1 1 S l_ I! -f FAN AE'!1•/ 7� _ h0-. ExiST a?JZ�v DEWY, IN.r' lI• �I l Z YYAN u l cduTj�rx . �i12E RAIL �o:G!•L I S i yh Z Go —i N��ti 2� rye vecl?IOIJ �ulyTlu� 2tio Fl cne �>�4'� a✓ _'�_ / L Zoe f ' ipoyl I I A Drr6NIDIEI `� O A-2 x. 0< 30 s-" o t i "I certify that the foundation shown on this plan is as it actually exists on the ground and that it conforms to the yi Town of Barnstable Zoning Regulati ona:" -.. June 18, 1982 ------------------- I r f j Plot Plan of Land Located in: Barnstable, Cotuit, Mass. t t. Prepared for: Charlene Allen _ Scale: 1 " - 60 Date: June 18, 1982 t, Cape & Islands Surveying, Inc. P.O. Box 334 fW Teaticket Mass. s 1' a i 1 ���� • TOWN OF BARNSTABLE Permit No. _ --------------------------- Building Inspector I Cash -------------- OCCUPANCY PERMIT Bona � No building nor structure shall be erected, and no land, building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to C.11arlt,-ne, A11e11 Address 695 Old Past Road, Cotuit Wiring Inspector j (�- j r 1 Inspection date Plumbing Inspector y . ''"` tl Inspection date Gas Inspector Inspection date Engineering Department f//: �'. Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. _.........:....._.......»»..»_.»»_, 19_.._. .- Building Inspector Assessor's office(1st Floor): S.y Assessor's map and lot number d f Board of Health(3rd floor): C' IN�A�'��IN Sewage Permit number WM Engineering Department(3rd floor): SN1 RONMENT House number TOWN�GU • Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE j APPROVED BUILDING INSPECTOR „ry ftrast. Coaservatian Commiss3o11R AP IC ION OR PEFjMIT p rT 8F CONSTRUCTION 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use �.��- �--� Zoning District LE Fire District Name of Owner ( Address Name of Builder, �G QiLA Address A 2 f I I 1 YI rJC�D Name of Architect tl / Address Number of Rooms Foundation Exterior " Roofing ell Floors Interior -- - Heating ry ��`� Plumbing — Fireplace ' 1 Approximate Cost . Area r Diagram of Lot and Building with Dimensions _ Fee OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town o a e g g t abo on)truction. Name r l v Construction Supervisor's License io b 7 r i STEWARD, J. LO No 32'3-2d1 Permit For Build Over Deck tl 40 Single Family Dig a' 0 Location 695 Old Post R- Q Cotuit o p Owner f J. Steward fl r Type of Construction Frame z a a '.r Plot Lot ta. rM Permit Granted October 31 , 19 8 9' • Date of Inspection 19 r Date Completed - 19, 10 r tc ` L Assessor's office(1st Floor): A P P R O V E D Assessor's map and lot number a may"O Go t aTAStab Conservation Commissio d�Qyof THE t o�`w Board of Health(3rd floor): Sewage Permit number4/ ^��✓ "1 �Yaa en t Engineering Department(3rd floor): �/- /�� ,Signed �;�;,�,.��S � rasa � House number Definitive Plan Approved by Planning Board 19 k �j �` ®.��Cc,,��� � APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only y�, E �u TOWN OF BARNST ° "LCoDiEAr� BUILDING INSPECTOR , APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION Q 19 0 t TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit 'mit according to the following rmation: Location '�y-!r S7— V Proposed Use S4"- , Zoning District 1-- Fire District Name of Owner G ( �� � Address 0 f PO--T— &L � n Name of Builder .r ( Mtn &ZO",kc1dress_ Name of Architect d Address r Number of Rooms Foundation Exterior Q Roofing Floors Interior Heating Vv " "v� Plumbing ►'�/ �� Fireplace Approximate Cost U?� Area Diagram of Lot and Building with Dimensions Fee 3D� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnsta le e a g t / ove c structi n. Name Construction Supervisor's License ALLEN, C. ' No '8'" 85 Permit For Build Addition/Bay Window Single Family DwellingT_ a ' Location 695 Old Post Road Cotuit Owner C. Allen r Type of Construction Frame Plot Lot Permit Granted November 27, 19 '8 9 Date of Inspection —�I' 19 .l Date Completed �� 19 F z 03 s ta r. 45,igg yy �> 1 Ye♦ yYG i.l 1 r A� ti .so 1/7-t/ S/oE GG:n/rric. a,y /ver .oN W1,DrH ([-c jrr?y) oG Itooln t!r- W/^'vows is L.R, T.V toyrrts•eN 8.3 L l ✓/ IV6 I2o041 I Px. ExreokrpA. PlYr/o Oo a.'— rl,*tr c,,�-Al / A-No "Olt-no DOo,es � ,e c. . rv/N r�x 77 P,2�-r�nvr , oPE/v/.vc H��fLoss x -Ex cxrmwt 96/"0✓E'clvJt f H/fcf K//14L /NJtAtL \� Vcwt Z.i- -7 - - - - 3-o Stro vc 1 r-12ow7' L A-rV O/iVG 16 V A(/L7"C:o 1 «<------ � T11/J Sri Assessor's office(1st Floor): n�iA p 1L Assessor's map and lot number /// SEFMCSYMMMUST of T"E Board of Health 3rd floor)* "-'STALLEDPLIA ` Sewage Permit numberteo � �p�p� 4' ".. �ETQ p H�TLLT 5 DAUSTADLL i Engineering Department(3rd floor): Q� raj9 House number l0 95 AL CC, fad'" p 39 d\, Definitive Plan Approved by.Planning Board 19 APPLICATIONS PROCESSED 8:3.0-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BAR.NSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO j( Ct' /7�Gd � �� �Gr UGc 9� 4,w//e✓'2� fd1 T l_i�i rG9 -740 TYPE OF CONSTRUCTION GZ rG� ZZ 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location �o-�f ` 1 Proposed Use ✓GL ¢ J � L I Zoning District - Fire District G�OfU/ s Name of Owner � AW_/��/1�ll Address Name of Builder Address Address ! I�6� lAIG/h S Wars7D`i Si7l t Name of Architect {^ a Address Number of Rooms Foundation Exterior • zzW, ��S - Roofing / Floors Interior Heating All Plumbing I Fireplace �k!S Approximate f/�lGi roximate Cost` 25, ODIJ / Area 2 SQ Diagram of Lot and Building with Dimensions Fee��- � OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable r rdi.2 the ove c ns do a Nam Construction Supervisor's License ALLEN, CHARLENE J. No Permit For Bld. Garage/Convert Exist. vy to Bedroom/Single Family Dwelling s Location 695 Old Post Road Cotuit t ,e Charlene J. Allen Owner Type of Construction Frame , Plot Lot Permit Granted March 22 , 19 90 Date of Inspection ' 19 Date Completed '-19 O /* ,. co ' , - �' 71 a � � vrr d e c s' TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION Please print. DATE JOB. LOCATION 6 95 p/�✓ past ?04e/ um er Street duaress ectlon or town "HOMEOWNER" Cl�c1r/e //en 428-3272 ame 6/7-33D-86DD 4'xf.80/4. fi ome p one or p one PRESENT h1AILING ADDRESS G 95 town tate -� 1pcoe The current exemption. for ."homeowners was extended to dwellings. of six: units or ess an o allow such homeowners to enner-occupied ivl ua for hire. who does not possess a license, he owner acts as supervisor. (State Building Code Section provided that the owner ?DEFINITION OF HOMEOWNER: .:Person(s) who owns a parcel of land on which he/she resides or in tends side, on-which there is, or is intended to be, a one to six family dweIlin , ,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 BuildingOffic' on a. form. acceptable to the Building Official, that he/she shall be re ' onsib ,for all such work performed under the buiidin 1z1, P le g permit, ectlon . :The undersigned "homeowner" assumes responsibility for compliance with ,Buildin sg ,Code and other applicable codes, by-laws, rules and regulations. State ; :The undersigned "homeowner" certifies that he/she understands the T Barnstable Building Department.'�inimum inspection procedures and r own of !and that he/she will comply with said procedures and re uir equirements q ements:_. HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet,``or ,larger, will to comply with State Building Code Section 127.0, Construction nt required Control . , ��/ 8 • I HOME MER'S .EXEMPTION The Code state that : Permit Is required "Anyshal Hobe Owner performing work for which a building (Section 109 eq exempt from the provisions of' thls section - Licensing of Construction Supervisors) ; provided that. lf. a 'Home Owner engages a person(s) for hire to do such work, shall act as s that such Home Owner . u pervisor . " Many Home Owners who use this exemption are unaware that the responsibilities of a supervisor (see Appendix they are assuming. ,for. Licensing Construction Supervisors, Section 2.15) . This lack of aw Q, Rules and Regulations :' often results In serious areness unlicensed problems, This when the Home Owners hires . Unlicensed personnas It wouidhwsthcascenoursed Supervisor..oadcannot proceed against the :4as ;superv(sor Is ultimately, responsible: The Home Owner acting _. r..,.._.. To ensure that the Home Owner is ful-ly aware of his/her..res communities requlre, as part of the permit application tp . bIIitles, many certify that he/she understands the responsibilities of a su ervisor . . hat the.,Home Owner last page of this Issue is a form currently used by several towns. On the Care to amend and adopt such a form/certification for use In our You may Y community. f V. s' y TOWN OF BARNSTABLE BUILDING DEPARTMENT HOMEOWNER LICENSE EXEMPTION ?Lease print. • DATE JOB.. LOCATION � 1, um er treet a re s C ection o town • "HOMEOWNER ''Ob/ Ito !/ e � a e me one `3o �— o P pone PRESENT MAICING ADDRESS �a S / 1 ty 42 town td e ipcoe : The current exemption. for ."homeowners" was extended to include Owner- dwellings. of six units .or ess an occupied to allow such homeowrters. to engage. an..in- ivi ua for hi re. who.does not possess a license, provided that the owner acts' as supervisor. (State Building Code Section f_ ;DEFINITION OF HOMEOWNER: Persoh(s) who owns a parcel of land on which he/she resides or intends to :side, on which there is, or is intended to be, a one to six family dwelling,or detached structures accessoryg, A person who constructs more than one hoetinsactwo-yeardperiodor rshallunotrbe ;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 bui'iding permit. k3ection :The undersigned "homeowner" assumes responsibility for compliance with.the State Building Code and other applicable codes, by-laws, rules and regulations. :The undersigned "homeowner" certifies that he/she understands the Town of Barnstable Building Department.A( inimum inspection procedures and requirements 'an•d .that he/she will comply with said q rements procedures and requirements; HOMEOWNER'S SIGNATURE APPROVAL OF BUILDING OFFICIAL Note: Three family dwellings 35,000 cubic feet,''or ,larger wil to .comply with State Building Code Section 127.0, Construction 1be required Control. 8 _ .. of HOME OWNER'S EXEMPTION The Code state that : "Any Home Owner permit is required shall be exempterfoomin9hwork for wh-Ich a building e Pr (Section 109.1 .1 - Licensing Of Constrruction Su ervisorosisions of this section Home Owner engages a person s) for hire to do such work, ) �that Hom ovidedat. If a shall act as supervlsor . 11 Many Home Owners who use this exemption are unaware that the responslbilltleS of a supervisor they are assuming, ,for. Licensing Construction Supervisors, (sectlonendix 0, ThisRules and Regulations Often results In serious k of awareness unlicensed problems, particularly when the Home Owner hires Persons. In this case our Board cannot - Unlicensed person as It would with licensed Supervisor.. The Home Owner actin proceed agalnst •the _:. ;asw sUpery(sor is u 14 Lma to I y respons I b I e. 9 To ensure that the Home Owner Is fully aware of his/hers communities requlre, as part of the permit application, ethotsi.billties, many certify that he/she understands the responsibll (tles of a supervisor — . last 'page of this Issue is a form currently used b s a the-'Home a Owner care to amend and adopt such a form/certlflcat On the . Y several towns. You may lon. for use In your community. f gar �, }—r.]:o A�_'�'�; -f' ---- j1_`�' .. {`�1I'-�'I ! o'-�'_ � ___ -01 [ __q'-a' j La•_�. , sl_�. _— ..� i ,.'�4D.!nL. �� I _G JI I --r sw'.va `..++ I •1Tr'Y1QC I II � � '.,WY.I� G -�♦ I I � � L'I 1 MFIY C 0 f "- ",'. IE I 1 i I I I s 1 t? �I a. •ir�va..�,. _.1 'y 4'f, a: I -_ — - _ '"� rs I 1 .__ _ - _ _ __ .. Ss•H•-Lt 4iYJ�...G� L� I FT- T IL l.s _ t.i� _ __ APPROVED L, FFT_ChJ CChJC �LC�iL T:O N� -f?.GS cz, �_\'__ .I?N .. ••�� I::.1"_'I•-D _- I:'1°'I'-D" Ld°Qi�-O'' ������ 9Ln M* T 1 i- / / Rxccsla 4ca 'r aT,q,L,=. � i ,_ -f''� '•• ^.16_T ^eac•.��i �I ._ .. ., - - - � J •,�.� _ /� _. �j r �� I ,a�- III _ _ //% tX15TIUG _ -.� _.. _•�_rGRV�.T' _U:F, uC_..[�'M1dl.l.- — � ,_ li r i i. J -DTI � ,�•: C,7r7 7�h'1�T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map &S 40. Parcel Oil6®` Permit# 70 7L.1111 Health Division d �� � /��% - Date Issued 0� Conservation Division �0100 0r_� Fee >1*.%57 0 0 Tax Collector • �/ � ���T� ' 3v �� C'SYSTE Treasurer C/e INSTALLED IN COMPLIANCE Planning Dept. WMMLES ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address 69S Village G&a v, Owner M 4 FALzo Ar Address G,Ss Pcv 9b, czorvj? . Telephone Permit Request ex- Lz) s-...a� c,se-._ � me - aIer,A{� -2®"-&" ,c Id-O" Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Valuation I©„47,0, Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 2F Two Family ❑ Multi-Family(#units) Z Age of Existing Structure Historic House: ❑Yes $No On Old King's Highway: ❑Yes lNo Basement Type: (3 Full ❑Crawl O-Walkout ❑Other 0 Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new 9 Total Room Count(not including baths): existing new First Floor Room Count 7 Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes (J No Detached garage:46-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 BUILDER INFORMATION Name bAg. ro tLea2 Telephone Number Slya -drZS �2 3 Address A- bk-5Z> License# L C—o7%.>N: .riff,• 6'2b951 Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE gbdeb FOR OFFICIAL USE ONLY So .PERMIT NO. DA'T' ISSUED MAP/PARCEL NO. r .I . F' ADDRESS, VILLAGE - 1t OWNER t, S t; r DATE OF INSPECTION. s FOUNDATION ' t_ f _ • FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL y t t GAS: ROUGH » FINAL - FINAL BUILDING �! o�> �! oz- DATE CLOSED OUT ASSOCIATION PLAN NO. cc " OF THE Tp� The Town of Barnstable • sncnvsr"LE, , 9�AMAS& ��� Regulatory Services rE1 9. Thomas F. Geiler, Director ,. Building Division Ralph Crossen, Building Commissioner = 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax:' 508-790-6230 Permit no. Date esiszl AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. I , Type of Work: iZebgg...p ee Eg, &-A=*Q 06c'oL Estimated Cost Address of Work: Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF P Y I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR w Date Owner's Name q:forms:Affidav �- The Commonwealth of Massachusetts Department of Industrial Accidents .;r= r ''-`��" '=-=�� Office ofln�esligatioos 600 Washington Street y Boston Mass. 02111 Workers' Co m ensation Insurance Affidavit /17I7C^:II�Fit �::•,iT�/rF27���������������������,:..��� name: Z-,%At4 . gje(2 a- location: city Gc�r'cs tQ' phone# $b rts?5 I am a homeowner performing all work myself: � I am a sole proprietor and have no one working in any ca achy I I am an empiover providing workers' compensation for my employees working on this job company name: address: hone city: oiicv#' i nsu ri n ce cn //% I r(circle one am a sole proprietor, general contractor, or homeowne )and have hired the contractors listed below who have .the ;oilo«zng workers' compensation polices: company name: _ :..:......:.. address: _ > >:>::<z:::;:<: hone# :;.:: city: : ►nsurnnce co. comnany name: address: .: iv# insurance co. Failure to secure coverage required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one veam'imprisonment as well as civil penalties in the form of a STOP FORK ORDER and a Me of S100.00 a day against ma I understand that a ce of Investigations of the DIA for coverage veriilcation. copy of this statement may be forwarded to the Oftl 1 do hereby certify under p penalties of perjury that the information provided above is truo and correct - Sigtature t►A PC .Q. Phone# °ate 418 Print Name ��tilcial use,��� do not write in this area to be completed by city or town official permit/license# ❑Building Department city or town: ❑Licensing Board 2 ❑selecmten's Omce ❑ check if immediate response is required ❑Health Department phone#; ❑Other s contact person: :;:` '' J Information and Instructions s all employers to provide workers' compensation for their Massachusetts General Laws chapter 152 section 25 require employees. As Quoted from the"law",an employee is defined as every person in the service of another under any coat-`: emp . of hire, express or implied, oral or written , association, corporation or other legal entity, or any two or more of An employer is defined as an individual,partnershp the l eves of a deceased employer, or the receive= the foregoing engaged in a joint enterprise,and including representatives to to employees- However the owner of a trustee of an.individual,partnership, association or other legal entity, employing emP Y 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 an such dwelling house or on the ground' c building appurtenant tlimzto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shah withhold the issuance or reney of a license or permit to operate a business or to construct buildings in the commonwealthdfootr�ypP o h: ,neither the not produced acceptable evidence of compliance with the insurance co�veractgfor tghe performance of blic work until commonwealth nor any of its political sub divisions shall enter unto any have been presented to the con c't acceptable evidence of compliance with the insuranmrNuirements of thischapter authority. r Applicants Iecely,by checking the box that applies to your situation and ° Please fill in the workers' compensation affidavit camp N address and phone numbers along with a certificate of insurance as all affidavits maybe supply QoIDPany of insurance coverage•. Also be sure to sign and of Industrial Accdentsfor confirmaxron a is . submitted to the Department be returned to the�,or town that the application for the permit or livens date the affidavit. The affidavit should ���y questions regarding "law"or if yc bang requested,not the Department of Industrial Accidtts. Should at the number listed below. are required to obtain a workers' compensation policy,please,call the Department Poor City or Towns complete and printed legibly. The Department has provided a space at the bottom of t Please be sure that the affidavit is comp ons has to contact you regarding the applicant. Please affidavit for you to fill out in the event the Office of Investiga be ret�to be sure to fill in the per t/license number which will be used as b rc number. The affidavits may en.made- the Department by m r1 or FAX unless other have Office of Investigation The s would like to thank you in advance for you cooperation and should you have any T please do not hesitate to give us a call... The Depamnentis address,telephone and fax number The Commonwealth Of Massachusetts Department of Industrial Accidents Me of lavesduadons 600 Washington Street - Boston;Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 4069 409 or 375 - ...._. _ _..A N ..1 • .- n t .`."'1ki � Vie? _.. :' - r_.•— ` � / 3F"a'.�+4�j �. I>1�fK` a-"•tch 5 — r{t-:.. - � , U ( jl` •'Ol" _•-\ice -..`. _ , "Icertify that the Foundation shown 77 this plan I as it actually. exists on - the"ground and that it conforms to the �- s- stable Zoning. Regulati ana.TownBarn " un 8 e 1 1982 , `Plot Plan_of Land Located in: Barnstable, Cotuit, Mass. �z � •r" _Prepared fort Charlene Allen Scale. „ a 601 1982 Caps-& Islands Surveying, Inc. ; t P.O: Box 334 ;; } _ Teaticket, Mass. ` Y 4 ^ . e ..y•'• hu yx '^{l.die'* �..� tza'"_f. .. .' _... _,h. .. ------------- -- .__. _. .. ... . . .... - - ------_.._�___. .. .. �. S. __.own. _... �'o_•��._ __..fin_....--_. .. e- z4Z ua+ 0 _. . _ --------- --w�++� c — ---------- - - --- — • ✓� -VO4)�JLO7LI.I/ O�i/!�(.RQdI/.(,/7,000P.�Q - , BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS O45395 Expires: 11/17/2000 Tr.no: 6399 Restricted To: 00 DAVID F KERR _ 364 OLD OYSTER RD COTUIT, MA 02635 Administrator a`n ✓�te "fOammzoozGre2� o�✓/iuraa�c�ivaa,�6 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS O45395 Expires: 11/17/2000 Tr.no: 6399 Restricted To: 00 DAVID F KERR _ 364 OLD OYSTER RD COTUIT, MA 02635 Administrator THE FOLLOWING IS/ARE THE BEST IMAGES FROM POOR QUALITY ORIGINAL (S) I A , m / �0(�'J IL DATA _ 'p 1171 5. Applicant type. 'PAP Indrvtdual DBA Partnership-�-Trust Private Corporation Public Corporation (See instructions on back regarding enclosing a city or town registration under the DBA or"fictitious name"law-MGL c 110,ss 5&6) 6. 3 (see instructions) 7 7.:,, fl� .,Number of Employees d 8. Individual responsible for Home Improvement Contracts p 9. Title of individual responsible for Home Improvement Contracts .! x . 10. Does the applicant or responsible individual hold any other construction related state,city,town licenses or registrations? If yes,complete the table below. Use additional paper if necessary, Yes No Type license or registration Issued By license or. ration P Name of License Holder ` registration number "'"Date moo.{sr1►1c►� $�• e,Z MQSc GS o4s39 f" �.t ►� DAY t0 �.� , nay c?. p(L oizlV, �� 11. List all partners, trustees, officers,directors and major owners (10%or greater of ownership)of an applicant partnership or co rporation below. Use additional paper if necessary.(See instructions on back) Check here if you wish to receive an application for additional ID cards for key persons,❑ Last First, Middle initial Title in Applicant Business %Owner Address a I 12.. Is the applicant claiming exemption from the registration fee? (See the instructions on the back) If yes,include a copy of a current Construction Supervisor license or motor vehicle repair shop license or registration. Yes No 13. Registration fee enclosed:$ Guaranty Fund fee enclosed:S Include two separate certified checks or money orders -one marked "Registration Fee, one marked"Guaranty Fund". ALL APPLICANTS MUST INCLUDE A GUARANTY FUND FEE EVEN IF EXEMPT FROM THE'REGISTRATION FEE.See instructions on back for amount of fees. Make all certifi checks or money orders payable to"Commonwealth of Massachusetts" PUTS t o General Laws Chapter 62C section 49A,I certify under the penalties of my st e e and belief,have filed all state tax returns and pad all state taxes required under that e. I,.. 71. BOARD OF BUILDING REGULATIONS r... License: CONSTRUCTION SUPERVISOR Number: CS O45395 - Expires: 11/17/2000 Tr,no: 6399 Restricted To: 00 DAVID F KERR 364 OLD OYSTER RD COTUIT, MA 02635 Administrator • . �.,... <c'��,,;,I, _ e. _ ,. ��- ..2:J'3,..Rix�S' " X3`�"t�.sr/'f�''-'A�?'1t�'b�?,b�;.l�;f.' P��1+ i � 2 ,.. THE COMMONWEALTH OF MASSACHUSETTS Board of Building Regulations and Standards ' Transaction No. i One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Registration No. Application for Registration as a _ Home Improvement Contractor or Subcontractor Effective Date MGL Chapter 142A, CMR 780-6 '° 1 Expiration Date -- _-- FOR OFFICE USE ONLY _ V ..,Date �13:.I otr 1. Name Print the name of the individual or business applying for the registration(not both) J 2. Mailing Address `3i.�4 at.D 2YS'iea QQ_ •g ) 4-Z dz.53 Area Code&Telephone Number 3. Cit y State n 1�Zip. 4. Street Address(if different) .. Print street and Number(P.O.Box not acceptable) City _ _ _ State Zip 5. Applicant type: nn Individual ❑ DBA ❑ Partnership ❑Trust ❑ Private Corporation . ❑ Public Corporation t'Pa P , . . , - , (See instructions on back regarding enclosing a city or town registration under the DBA or"fictitious(name"law-MGL c 110,ss 3 &6) 6. (see instructions) .. 7 Number of Employees 0 8. Individual responsible for Home Improvement Contracts-- LE 22 :,DAro,Q r- 9. title of individual responsible for Home Improvement Contracts V,A2P► t4T er y I 10. Does the applicant or responsible individual hold any other construction related state,city,town licenses or registrations? ❑ If yes.complete the table below. Use additional paper if necessary. Yes No --7777777 1 Type license or registration Issued B -Incense"or raation Y _ .µ.ExP ='Name of License Holder registration number" rrj•+ cs�av $�,� e,2- �'t t x o CS 04S sq f"_ f F-7- 11. List all partners, trustees,officers,directors and major owners(10%or greater of ownership)of an applicant partnership or corporation below. Use additional paper if necessary.(See instructions on back) Check here if you wish to receive an application for additional ID cards for key persons.❑ Last First, Middle initial Title in Applicant Business ._..%Owner Address 12. Is the applicant claiming exemption from the registration fee? (See the instructions on the back) 0 ❑ If yes,include a copy of a current Construction Supervisor license or motor vehicle repair shop license or registration. Yes No 13. Registration fee enclosed:$ Guaranty Fund fee enclosed•.$ Include two separate certified checks or money orders -one marked "Registration Fee";-one marked"Guaranty Fund". ALL APPLICANTS MUST INCLUDE A GUARANTY FUND FEE EVEN IF EXEMPT FROM THE REGISTRATION FEE:See instructions on back for amount of fees. Make all certifi checks or money orders payable to"Commonwealth of Massachusetts" Purs t o ssa General Laws Chapter 62C section 49A,I certify under the penalties of perjury that 1, t my st 6� a 'e and belief,have filed all state tax returns and paid all state taxes required under law. t Cowsr'"Rtxn,ON SuP& V) Signature of applica t o plicant's representative Title held with applicant A false answer to anv auestion in thic Annitrwtt.,......f1h.f_s.,,.....a�r- ..,+-�.r 'S.N'�•w»�':i * '"`�.'?!M».�,~T' S�'�ffF';«'.,�f'"�,'!.'"'ss"`.o,...,.,�,w.psY,»�"RHf,,,d°*.v•� ..�.. _:'.°SF7'i4?�+?t..:w.,f,'r"..r�;+erA��.�rt'.;'.���5. �z ..,,:r�i�. ram.. ; � .. Assessor's office(1st Floor): Assessor's map and lot number THE to` Board of Health(3rd floor): d� Sewage Permit number i "/ A �'/7� ) '" ^��►-"� r� •� „ay N Engineering Department(3rd floor): t}ryi _ rasa House number °° 1639' Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR , APPLICATION FOR PERMIT TO ,.N�} - �J w _ TYPE OF CONSTRUCTION n —7 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a,permit according to the following information: ��j.�'`J ,1 J0" Location l a f ��� � ( `-GS1 ✓ fJ l I Proposed Use ---- y l Zoning District Fire District 0�C _ `Name of Owner C t ( _� '\�� Address —s ' Y1,0 Name of Builder l ✓* !' �!:r +� At/ �C/ �i Address ! Name of Architect �e� — y Address Number of Rooms Foundation Exterior " ' �!�� ��' �i Roofing 0,0, D Floors `�'> >� Interior . Heating vJ fl - Plumbing �J Fireplace �j ' ___ Approximate CostTy .` / Area Diagram of Lot and Building with Dimensions Fee ��� �D� OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstaj le r�n9 t e above construction. Name _ Construction Supervisor's License ALLFN, C. A=054--01.1-001 a No 33385 Permit For Build Addi_i_ion/Bay Window 69S n1 ( .Post- Road Location 695 Old Post Road Cotuit Owner C. Allen Type of Construction Frame Plot Lot Permit Granted November 27 , 19 009 Date of Inspection 19 Date Completed 19 .rr,, wj. ,.f r-1".s -•r•:cr r r 'Jh-r`.x.+ ..'.z:..:.;t .:tb l -• . r.- rt _. _ �..:5-? ',at.'.. r Assessor's office(1st Floor): ,n Assessor's map and lot number f'C n s y / .� moo*I E Board of Health(3rd floor): /� Sewage Permit number � 3y � • " f 111 = 11lHd9TABLL i Engineering Department(3rd floor): rasa House number i639• e� Definitive Plan Approved by Planning Board 19 APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO r , � •. F, •p 7 i ' r i !TYPE OF CONSTRUCTION 19 " TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location Proposed Use _ � t�—.��. Zoning District _ Fire District Name of Owner C_ 1 L Address (� 1 �t, . �C r%n.. si t Address=' Name of Builder Name of Architect .fit =.t_ Address (f Number of Rooms Foundation Exterior G ���^'� �' Roofing Floors ��-" Interior �> v Heating �'wT�w`�" Plumbing � � �---- Fireplace � � Approximate CostrC � Area Diagram of Lot and Building with Dimensions Fee ©� t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS --'� I hereby agree to conform to all the Rules and Regulations of the Town of Bar abl g riling the above'construction. Name Construction Supervisor's License STEWARD, J. A=054-011-001 No 33327 Permit For Build Sunroc;a Over Deck Single Family Dwelling Location 695 Old Post Road Cotuit Owner J. Steward Type of Construction Frame Plot Lot Permit Granted October 31 , 19 89 Date of Inspection 19 Date Completed 19 Assessor's map and lot number .,�...�/ll....../...�: ` p THE /� .��:r� �: �'i'; 9 . P.,°� rot♦ Sewage Permit number '.... ............................. ,�fw must J fftSTALLED fly COMPLI .... 6 S WITH TITLE S eAflaa LE, House number ............................. ............................... ENVIRONMENTAL CODE A, 1639. a TIONS yaY ` TOWN OF BARNSTTRIE BUILDING INS CTOR ' APPLICATION FOR PERMIT TO .............. ... .. . .. .. .. ........... .. .. .. .... TYPE OF CONSTRUCTION ............................. ...d. .. . ......' ��. .. .. ....... .... ................... .. ...................... ....... C ,:...... ........ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies f a pa accord�thheng information: Location !. .... .. ......... ....... .. ..... ........................................................ 4 ProposedUse ............................... ... ................................................................................................................................ ZoningDistrict .................... ...................................................Fire District .............................................................................. Nameof Owne .. . ......... .. :...Address .................................................................................... Nameof Builder" -1...... ........Address .................................................................................... Name of Architect .t.1�41'.�1. ..........................................Address .................................................................................... `� cT I/ Numberof Rooms ......1..........................................................Foundation ..�(.J.................................... .. ............................. Exterior 6.....lN .......�.�..]................................Roofing..!!`!............ ..... ............... ......... Floors .................................................Interior ................................................. ................................. 0� ............Plumbing ...� ........................................Heating ...... Fireplace ..�.. `... ................................................Approximate Cost .....6.Q,j.` ti.1............................. . ...... Definitive Plan Approved by Planning Board -----------_____—_---------19________. Area ..../.9.4 ...... Diagram of Lot and Building with Dimensions G Fee ............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 7Bn NJ40 >T 1 I I_ W �36a DD OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of th n of Ba ardi g the above construction. Name ...... ... ............. L 4 ALLEN, CHARLENE 0 24173 permit for ,Two Story .............. Sing .............. le........Family Dwelling ..... .................................................. Location 695 Old Post Road ................................................................ Cotuit ............................................................................... Owner ..Charlene Allen ............................................................... Type of Construction .....Frame. ..... ............................... ................................................................................ Plot ............................ Lot ................................ Permit Grant d .......June 28.............19 82 Date of '� ................19 Date Completed 19 o r c, 2,A 6` Assessor's map and lot number p ` ......... � CF?NETD • Sewage Permit number `9— .............................s Z BABBSTABLE, i House number ...........................�. ,.5:.." .................k.............. $ ' yO MA6a ,0 fVC pow 2639. \0� 'Fp YPY a• TOWN OF BARNSTABLE - BUILDING INSPECTOR r.- APPLICATION FOR PERMIT TO ... .......... ................................................. ................ TYPE OF CONSTRUCTION ....................... :......:.. !.... ....:%%.... .. `.: :.............................:.................... .................... ..........................19........ r TO THE INSPECTOR ,OF BUILDINGS: I The undersigned hereby applies permit-according to .the following information: LocationLa .J.....( .. ......................... ........... ........................................................................................................ ProposedUse Q.?-�t. S2��!` ._. . ............................................................................... ............................................ ZoningDistrict ..................... ..........................r......................Fire District ......................................... ...................................... l Nameof Owner ...r(x.. ..�............. ,..!....1....,:.:;. -/v' ...Address .................................................................................... Nameof Builder' .............................................Address .................................................................................... r Nameof Architect Art�� ..........................Address..........:........:. .................. .................................................................................... r� Numberof Rooms ....�.......................................................Foundation .../.�.......... ' . ............................... Exterior Roofing �• ... ••............ ......................`......................................... .......................... J_ Y (� f Floors t k �.;1�................................................Interior ! � �- j i � ............. ....................................................-:.......... Heating �n 7 /G IB!.....jr,n i-t ti �...........i.'/..'.................Plumbing ...:' ... ....~2g .............................................. .................................Approximate Cost ... Fireplace / �r1. .,......... pp .....i..,................................................... Definitive Plan Approved by Planning Board -----------______-----------19________. Area .....%...�............ �.. . ............. S Diagram of Lot and Building with Dimensions Fees............ �................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH . f OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS '�"'� I hereby agree to conform to all the Rules and Regulations of the Town of Barnsta' ble.re-ga,rding the above construction. Name ...... ``............ / . •�• •1R°iS• 1 ALLEN, CHARLENF✓ A=54-11• 001 24173 Two Story No ................. Permit for .................................... Single Family Dwelling ............................................ Location 695. Old Post Road ........................................... Cotuit ............................................................................... Owner Charlene Allen .............................................................. Type of Construction Frame .......................................... ................................................................................ Plot ............................ Lot ................................ r Permit Granted June 28, 19 82 Date of Inspection ....................................19 Date Completed ......................................19 �oen/)v t- 1 - 53 t