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0024 POPONESSETT ROAD
�� ��DN��Ss�i� i tom, R ..-� - � _� F � LL �� ._ i ,� i}� I I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map UJ�rParcel v Application 0 �(J� Health Division 7L 1 'a- �11��'� ���a Q' Date Issued r� Conservation Division c��"' Application Fee T 1q Planning Dept. :.. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address 2 "' fz� . Village Co-n,I i Owner 4-2 o L_ Address 74 Telephone 41-1 -4 r a Permit Request Cd L s 7-4Zu4t-T- !2CZeZ*f t4 96 F n a e ►4 Cns Square feet: 1 st floor: existing(71o4 proposed Z2-0 2nd floor: existing proposed ® Total new 22r Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type t,3 A vvq,' Lot Size 4( +e— Grandfathered: AYes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure 3"S YZ5 Historic House: ❑Yes *No On Old King's Highway: ❑Yes XNo Basement Type: X Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) a Basement Unfinished Area (sq.ft) r 5-0 Number of Baths: Full: existing 'A- new O Half: existing new Number of Bedrooms: _ existing a new Total Room Count (not including baths): existing $� new i First Floor Room Count Heat.Type and Fuel: ❑ Gas $Oil ❑ Electric ❑ Other Central Air: ❑Yes `6 No Fireplaces: Existing_2-0 New O Existing wood/coal stove: ❑Yes Alo Detached garage:Aexisting ❑ new size-Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: existing ❑ new size _ Otherr7I -� Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ANo If yes, site plan review # 4 Current Use _ - - Proposed Use..__ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name q';ry LH&--LY 16 �r-3?-'5 I"eIephone Number 47a--�,_- 4'1-7 le'- Address 'Xro-rc License q'3 Cal!-A,%t-r h a 2_(c�S Home Improvement Contractor# Worker's Compensation # 97wC- 3 5'0V ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO a 4F_V.0 vj;�o;)'yo R--v 4-1 Ash SIGNATURE I/�'`` DATE ' i. b . FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. : r ADDRESS VILLAGE OWNER DATE OF INSPECTION- FOUNDATION Wjj( FRAME r ow to Yst OK Z- INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL rti GAS: ROUGH FINAL FINAL BUILDINGiFitt� �3 DATE CLOSED OUT T . . ASSOCIATION PLAN NO. �t ` 'ox ofa -i table Regulatory S6 -dces Thomas F. Geiler,Director �yr c5fg, k LLLIdIIIg Div' iEion rhomas Perry,CB 0,•Buudag.Com m lM over •' 260 Maia Hyau ,MA.9260 T' mow.Eown.barmsta 6lt trta_vs Officct 5b9-8524038 -'Fax: 508-790-m230- PL RE w 2-0rZo. L4lb:?- D Wner- L L L _ Map/Parcel: ��' ' O O 7 Project Address Zvmo ov Builder The faIlowzng zfems were noted on zeviewzng: 'G1 o r►n�vT�o�• itJo t ��,cw� /91 iceh Y Regie'wad by: Date: The Commonwealth of Massachusetts Department of Industrial Accidents ' Office of Investigations ri ' 600 Washington Street Boston,MA 02111 www.mass.gov%dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly 'Name (Business/Organization/bdividual): S c/'a-.J 0t7 z zS Address: e -, `f ox 4 c, o aZ� City/State/Zip: Phone#: e('71 — Vq fkx— Are you an employer?Check the appropriate box: I am a general contractor and I Type of project(required); 4. 1.� I am a employer with ❑ g employees(full and/or p time).*- have hired the sub-contractors 6 ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition working for me in any capacity. employees and have workers' [No workers' comp. insurance comp, insurance.$ 9• Building addition required.] 5. ❑ We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doingall work officers have exercised their 11.0 Plumbing repairs,or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4), and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this,affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. #Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state_.whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp,policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: K t1a 3 1 R Cr (4 t2 Policy#or Self-ins.Lie.#: So M 4 Expiration Date:_ 1 Job Site Address: t,4 Fa QG.o.l k SSF i City/State/Zip. Cc j' U i r y—_4- 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 coverage verification: I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct. Signature: Date Phone#: -7"L ` 7— Official use only. Do not wgite in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Co.ntgct Person: Phone#: . I i t , • 5i �n � �.gyp. -�.e .Y .. - _ .. A PVC Guide to YYood Constl uctiorr'in High Flvind Ai-eas:Ili?nzph Wirrd Zone Massachusetts Checklist for Compliance (78o:cn1IR 5301:2:1:0' Check Compliance 1.1 SCOPE Wind Speed(3-sec. gust)...............: .:.:................................... ......: ........... ....: .. . ... .. ......... 110 mph Wind Exposure Category..........:..... ....... ......... ......... ........: ....... .: .. . .....: .......... .. .........B Wind Exposure Category::..: .::..:...Engineering Required For Entire Project'...:.. . C 1.2 APPLICABILITY Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) f stories s 2 stories ✓ Roof Pitch ':.:(Fig 2) I. ....1111 :12:12. ........................................ .... ......... Mean Roof Height................ . .......(Fig 2).. ......... ......... .... .. . . . ........�ft _5�33' _ AG Building Width,W ................ ......... ......... ...... ... .: .. .?..(Fig 3).. .........: .............. ... --..0- ft Building Length, L .... :.(Fig 3. .. ........ ........ 80' ✓ Building Aspect Ratio(L/W) .................... (Fig 4)... 3.1 Nominal Height of Tallest Opening 2 Fi 4 °U <6'8." 1.3 FRAMING CONNECTIONS General compliance with framing connections ....::... .........(Table 2)................................................. ........ r/ 2.1 FOUNDATION a+ Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete................. ................... .. ................... ..............................................:................. Concrete Masonry.................... ........ ....... .:....: ..... ... ......... ..... ... ........ ......... ..........: _r'F 2.2 ANCHORAGE TO FOUNDATION'-' 5/8"Anchor Bolts:imbedded or 5/8 Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general ..: ......... .. ........ ..............;.(Table 4) ......... ......... ..... ...: . ........ in. arc . Bolt Spacing Spacin"g from end/'oint of plate....... (Fig 5 Bolt Embedment-concrete...........................................(Fig 5).... ............................................... ' in.>_7" Bolt Embedment—masonry (Fig 5) .. _ in.>15' Plate Washer................... . ...... ......... ...........a.....:(Fig 5)........... .. >_3'x 3"x.%" 3.1 FLOORS Floor-framing member spans checked .......: ...:.(per 780 CMR Chapter 55)........ Maximum Floor Opening Dimension...................................(Fig 6)................I.......................:.I. ........_ft<_12' ".A Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6) .:... .............................. Maximum Floor Joist Setbacks Supporting Loadbearing Wails or Shearwall ..:.:..........(Fig 7.)...:................................................ ft 5 d A Maximum Cantilevered Floor Joists Supporting Loadbearing Walls or Shearwall........:.......(Fig 8)......................................... .:..... ft :5 d Floor Bracing at Endwalls................... ......... .................(Fig 9)................. ........ ....................... ✓ Floor Sheathing Type ........ ......... .................(per780 CMR Chapter 55)......... rL Iq Floor Sheathing Thickness ...................................................(per 780 CMR Chapter 55) .................... in. r<A Floor Sheathing Fastening .... ....... ......... ..::::...:.:.(Table 2)...'_d nails at in.edge/_in field A 4.1 WALLS Wall Height Loadbearing walls .......:............................... (Fig 10 and Table 5).....:..................... ft :5 10 Non-Loadbearing walls...: ..........................................(Fig 10 and Table 5)........ .....;.......?L ft s 20' (Fig 10 and Table 5) . . in.5 24'o.c. i�w Wall Stud Spacing ............................................................( 9 ......:: ...... Wall Story Offsets .. ...... . ....... ..... ........:....;..(Figs 7&8) ......... .... ......... .......:_ft <d 4.2 EXTERIOR WALLS' - Wood Studs Loadbearing walls ......... ......... ................(Table 5)........................... ft a"in. Non-Loadbearing walls................................ ..............(Table 5)... ...W in. Gable End Wall Bracing' Full Height Endwall Studs............. ......,: : ...............(Fig 10)..... ..WSP•Attic Floor Length.... (Fig 11)=................................................ ft zW/3 r a4 •Gypsum Ceiling.Length(if WSP not used)..:.:..............(Fig 11).:..: ..... . .._ft>_0:9W and 2 x 4 Continuous Lateral Brace 6 ft.o:c. Fi 11 - @ ( 9 )....,: ......... ......... ..... or 1.x 3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @ 4 ft.spacing in end joist or truss bays - - Double Top Plate Splice Length ........ ........ ..:... (Fig 13 and Table 6) ft _ [} Splice Connection (no.of 16d common nails)........ .....(fable 6).... .� AfVC Guide to I•Vood Construction rn Hrgh I-Vind Areas: 110 mph !•Vied Zone Massachusetts Checklist_ for Compliance (78001R5301.2.1.1)' Loadbearing Wall Connections Tables 7 .......... �. . Lateral (no.of 16d common nails)..................................( ) ..:..,.. ..................... ..... Non-Loadbearing Wall Connections Lateral(no.of 16d common nails)................................(Table 8)....................................................... l' Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans .........................................................(Table 9).................................. ft ?—in.511' ✓ Sill Plate Spans ........................................................(Table 9).......................I.........._ft_in.511' Full Height Studs (no.of studs)....................................(Table 9)................:.........:.......... Non-Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans....:. ...(Table 9)..................... _ Sill Plate Spans......................:....................................(fable 9)................................... ft in.5 12" Full Height Studs(no. of studs)....................................(Table 9)......................:....................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension, W Nominal Height of Tallest Opening 2 5.......... ..... .. Sheathing Type..............................................(note 4)..................................:.................. Edge Nail Spacing.........................................(Table 10 or note 4 if less)...............:......:. -in. Field Nail Spacing........................:.............:...(Table 10)................... ' Shear Connection (no..of 16d common nails)(Table 10).......................:..............................._ Percent Full-Height Sheathing....................:...(Table 10)................................................. 5%Additional Sheathing for Wall with Opening> 6V(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest OpeningZ.......................................... .............................. <-6V SheathingType..............................................(note 4)..........---........................................ Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ in. Field Nail Spacing.......................................:..(Table 11)............._..,._......:...:.....::....,....:._ in. Shear Connection (no.of 16d common nails)(Table 11)....................................................... Percent Full-Height Sheathing........................(Table 11)............................................:....... 5%Additional Sheathing for Wall with•Opening.>6'8'(Design Concepts)..................... Wall Cladding Rated for Wind Speed?.............................................................. ...................... 5.1 ROOFS Roof framing member spans checked?.::.....................(For Rafters use AWC Span Tool,see BBRS Website) f Roof Overhang ...................................................(Figure 19) ...............I55 ft 5 smaller of 2'or V3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift........................................ .....(Table 12)..............................:.............U=n®plf ✓ Na-.S Lateral............................................. able 12 ........--------•-----....................... = I ✓Shear....................:.......:..................(Table 12)............................................S=�`�pf . Ridge Strap Connections, if collar ties not used per page 21... (Table 13).................. = p _ !t4 Gable Rake Oudooker..........................................(Figure 20) .............�"lSft s smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors 41-1 Uplift ..... able 14 U=�Ib. , Lateral(no.of 16d common nails)...(fable 14).......................................L fo lb. Roof Sheathing Type...............::..................................(per 780 CMR Chapters 58 and 59)............ Roof Sheathing Thickness..............................:............... .............................:.........� in. 7/16-WSP ✓ Roof SheathingFastening ......................... able 2 ......................................................... Notes: 1. . This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are.not required per the WFCM 110 mph Guide: a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b . 2. Exception:Opening heights of up to 8 ft.shall be permitted when 5% is added to the percent full-height sheathing requirements shown in Tables 10 and 11. .3. The bottom sill plate in exterior walls shall be a minimum 2 in.nominal thickness pressure treated#2-gr6de. I DATE(MWDDNY) aco ,rw CERTIFICATE OF LIABILITY INSURANCE 03/01/12 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), , AUTHORIZED REPRESENTATIVE OR PRODUCER AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy((es)must be endorsed."If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement s PRODUCER COMPANIES AFFORDING COVERAGE PAYCHEX INSURANCE AGENCY,INC. COMPANY 150 SAWGRASS DRIVE A GUARD INSURANCE GROUP ROCHESTER,NY 14620 COMPANY 877-266-6850 B INSURED COMPANY STEVEN MCELHENY BUILDER INC C P.O.BOX 460 COTUIT,MA 02635 . COMPANY D COVERAGES T CERTIFICATE NUMBER:�� REVISION NUMBER: �� THIS IS TO EERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. O TYPE OF INSURANCE POLICY NUMBER DATCE(M�DIY�Y) POLICY TE(MMMIIDI EXPIRATION LIMITS LTR GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG $ CLAIMS MADE[:=]DCCUR PERSONAL&ADV INJURY $ OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED EXP(Any one person) $ AUTOMOBILE LIABILITY ANY AUTO COMBINED SINGLE LIMIT $ ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person). HIRED AUTOS , BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: • EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND X I We STATu- - oTH- EMPLOYERS'LIABILITY STWC350894 01/29/12 01/29/13 EL EACH ACCIDENT rR Is 100,000.00 THE PROPRIETORI �INCL - .. PARTNERS/EXECUTIVE EL DISEASE-POLICY LIMIT. $ 500,000.00 OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ .100,000.00 OTHER DESCRIPTION OF OPERATIONS l LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,I more space is required) -CERTIFICATE-HOLDER - CANCELLATION- TOWN OF SANDWICH SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION 16 JAN SEBASTIAN.WAY DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY SANDWICH,MA 02563 _ PROVISIONS,BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE oFtHe ta,,, Town of Barnstable # Regulatory Services Z sAMSTrnsts. y MA-Sa g Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, �'- �.til A- as Owner of the subject property hereby authorize '` -CJ O^^c Ir Hr- to act on my behalf, in all matters relative to work authorized by this building permit. (Address of Job) **Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted.; Signature of Owri Signature of Applicant Print Name y "Print Name / Date Q:FORMS:OWNERPERMISSIONPOOLS 6/2012 t� Town of Barnstable l�ti Regulatory Services BMtNSPABLE, : Thomas F.Geiler,Director y HASS. � �A t639. ,• Building Division lFD MA'I A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A f person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly' when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:forms:homeexempt Massachusetts -Department of Public Safety Board of Building Regulations• and Standards ,. Cunstructiun Super,isur 1 &2 Family ' i License: CSFA-047693 ' }" STEVEN P MCE NY, PO BOX 460 Cotuit MA Oa2635 Commissioner Expiration 09/23/2013 V h /ze �om�n�wouuv-cc�l/no ✓�c+oa 'u° License or registration valid for individul use only Office of Consumer Affairs&B mess Regulation before the expiration date.- If found return HOME IMPROVEMENT CONTRACTOR g Registration: ,-1157699 Type: Office of Consumer Affairs and Business Regulation Expiration: 10/29/2013 Private Corporation 10 Park Plaza-Suite 5170 Boston,MA 02116 S EN MCELHENY BUILDERS INC. -STEVEN MCELHENYE r 56 BOWDOIN RD. MASHPEE, MA 02649.;,, r Undersecretary Not valid without signature Y 83 f t ca� D9 i Mr i ti • a E07- 1 1 TB.✓ 1 Z/,< i cB`�,o, �v� Pop'"V6Z S &-7'7` I certify that this property is located CERTIFIED PLOT PLAN in flood hazard Zone C (outside the 500 year flood) as identified by the Depart- LOCATION - '?. �,.:� '?�'!r,� went of Housing and Urban Development(HUD) . ,,;'''' ; . _73/ �� SCALE . .�....:30.. .... MATE .. .�. Date . 1IF9Z PLAN REFERENCE Reg. band Surveyor . .?1 ',,�,?lBZ7. !•v B,i� -sac c I CERTIFY.THAT.THE . .L-'Q�STJ!�!� I certify to its title insurance company SHOWN ON THIS PLAN IS LOCATED ON THE GROUND that there are no visible encroachments AS SHOWN HEREON or easements except as shown and that this plan was prepared under my immediate supervision-. DATE . .. . ... . , . . .G% , /qL�w61 � � REGISTERED LAND SURV TO MIN, OF PAR N lit, DIVI aN, 1 s Town of Barnstable Geographic Information System July 11, 2012 f., 035011 035014 ,` #45 035010 #957 035005 - ,�•. , #46 0006 r36` 035007 #24 035009 .#965 )�20 "r2 i-7 IcSS 035009 #975 035001 RQ #43 034029 0 18 Feet #989 DISCLAIMERS:This map is for planning purposes only. It is not adequate for legal Map:035 Parcel:007 boundary determination or regulatory Interpretation. Enlargements beyond a scale of Selected Parcel 1"=100'may not meet established ma accuracy standards. The Owner:LYALL,CAROL C TR Total Assessed Value:$399600 y p y parcel lines on this map are only graphic representations of Assessor's tax parcels. They are not true property Co-Owner:CAROL C LYALL TRUST Acreage:0.46 acres Abutters boundaries and do not represent accurate relationships to physical features on the map Location:24 POPONESSETT ROAD i f such as building locations. Bufferfn 1 Assessor's office(1st Floor): d Assessor's map and lot number Q3� —D0 `SEPTIC SYSTEM MUST 6E INSTALLED IN COMPLIANCE Conservation WITH TITLE 5 � Board of Health(3rd floor): _ Sewage Permit number M ENVIRONMENTAL CODE AND i s�srLnr,t ~ • ...a Engineering Department(3rd floor): TOWN REGULATIONS �° 1639• House number 07 Ito Ytv 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 BARNSTAB LE BUILDING INSPECTO � t APPLICATION FOR PERMIT TO TYPE OF CONSTRUCTION _ W��� t 2d4 —r 19 q Z TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 2� °'��F SS Z Z- zt> Cow Proposed Use Zoning District— If F Fire District 06TV IT— Name of Owner ALr_"_>L7*Z L`f 4LJ- Address Z4 Name of Builder C5iZ0 JZ 2 -t Address '60 eo ; Name of Architect Address Number of Rooms Foundation *'r-t'3Z-S Exterior L-100 Roofing Floors Interior Heating Plumbing �— Fireplace Approximate Cost Area 76 -�© d Diagram of Lot and Building with Dimensions Fee x - t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS` I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ` Name � v\ s Construction Supervisor's License 0 J,(,( k , LYALL, ALEXANDER a t ply t No 3'5�-9-&r Permit For BUILD TOOL SHED Accessory to Dwelling Location 24 Poponesset Road i Cotuit Owner ' Alexander Lyall , ' Type of Construction Frame { 4'r t Plot �F _` - Lot -� Permit Granted f% July 13 , 19. 92 i Date 6f Insp�ecttion 19 Date Completed / 19 ^y z tr,3+ �9B fw..k • .� S / I. it r t 1 I s COMMONWEALTH 0•COMMONWEALTH AHIr. __` e 1 OF 02215 MASS.. . � MASSACHUSETTS STON .) z LICENSE '. 5 EXPIRATION DATE " `CONSTR. SUPERVISOR ll 0.5/31/1 9 43 RESTRICTIONS EFFECTIVE DATE LIC NO. ° 1G 06/0,1/1988 047693 1 9 .2 FAMILY HOME STEVEN P 'MCELHENY PO .BOX 282 _ _COTUIT MA. 02635 PHOTO)BLASTING.OPR ONLY) FEE: HEIGHT:- 'H,;T VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY _ STAMPED=-OR SIGNATURE OF THE COMMISSIONER - THIS DOCUMENT M T yl ° + CARRIED ON THE PEa Cx O' SIGNATURE OF, NSEE� THE HOLDER WHEN OTHERS-RIGHT THUMB PRINT. ED IN THIS'OC 3 - �R . rY COMFIISS NEA. i I !Va r r C 1a,:ii� - dkao,, 1 f �s �i✓1`tat r. I. _ ° t 1,i`4. 5 I '�a •' e "r Y � .i l � S ZI le �L a; �}7.,ii.-..' P'A .r•.,n. .ti :a-.� ar1" }.f` :� f" .,�7i [ } i �a Ur -�4;,�}F �f-` J ,-f�, . :�'.� .- -.,,e�!ys.� �,7., �l r W, it 40v, It t- t i Xt r S 4•�a 5s� „fit .�- v - E-AISrtNC� C1_AdRe#E,C 's 'Il �11 � A{i jA � 6• r w. 1-$�iA�N G{� LYA, Too s— �rf ED SCALE: '/J APPROVED BY; DRAWN BY'," DATE: ,I1 REVISED - no- Sr 5i oil! M K. - Ex s��tA�a41ARAacA&ATKA, 1-3 1. Z. 44 u 1. Y. I � .r?� f 1( 7L Y S r r iy Mr t, 5 1 �- Il t �. S nr11l aJy i } l I 11 ONO LAO rt F (i {1 { 4 :•(l:L ^ C4 'KIT; lIff (d7fF .) •- frJr �d'r1, .Vie iAf ftl -, 11 r -1 v 1p - �� �~a f:4Nl �r f 'x rf 14 ��11��[ W` I 1•�;�5 t'r T fior i;�l n$ I yY+, ,�,. Aid o , r-`�s f � I. x. Y t . rr ..;y P• �'&f I 1 9`� f 1- I'{ t;• at���� 'I � zr,,t'�� -- 1 { {�'T�,'..'`� ,�,3,r '� y x � S, . tt�{: . �j,� ''�ti 4T (.its`, - 4 .. `' ,I c I �`a f�le - '�iikl CC!'�- y,;�'•� rs b � - el t-_ � ti� �' �t F 8 yx [ 1+1jr 5.:,. n '•' •'1I� { s *- �'4' r:h e Y t { r I. -Ruh, - ,>•r T� w'rt � r�' . tom . n r i 'L��rr- ter'r"1., i a �• . � �, -_. '.t '' '.53� ' vJ�h�,.,,t ; 1 *' t a�—• - ''T.Ti' ,�:_ -i1� �40 rw 4 ti4 t r r x,<p 7 .r 1. ♦ 1h M, t r n VMS c� �rti r r 1 Y J• 1 M1.4 - yyr -Cif{li . �Y. y, - 1) -� .. 1. C`'Jr 1-•i ( q1.i r ) _ t� .C,I�' Y �Y �.. - .. { 1 arm' IK4 -, Y 1!y�'"• !{�Y'-[ of `.{C �1!_.x.��r _ . ( :. ._.• _. -ref t___—�~si x.K y, ---T'f__- -. _____—__ - sl fit' S f - v Town of Barnstable Regulatory Services do Thomas F.Geiler,Director Building Division anxxsztaia. - M� g Tom Perry,Building Commissioner jfp Mpt A�0 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Approved: Fee: Permit#: 9? HOME OCCUPATION REGISTRATION Date: 1 to S Name: ca rc>, Phone#: Address: 'ILA PoftoNeSS'-.3, Village: Name of Business: !M A C i +e-f Type of Business: �� L,,e4 Map/Lot: O 3 5 I b 07 INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation. within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration,smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation,and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pickup truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No person shall be employed in the Customary Home Occupation who is not a permanent resident of the dwelling unit. I,the undersigned,have read and agree with the above restrictions for my home occupation I am registering. Applicant: Cc("l C. Date:-1 L 127 (/ ys Homeoc.doc Rev.5130103 YOU WISH TO OPEN A BUSINESS? P For Your Information: Business certificates (cost $30.00 for 4 years). A business certificate ONLY REGISTERS YOUR NAME in town (which you must do by M.G.L. - it does not give you permission to operate.) Business Certificates are available at the Town Clerk's Office., 1St FL., 367 Main Street, Hyannis, MA 02601 (Town Hall) DATE:. I a I �1 f O S . MOM Fill in please: /' �, 1` VAJ5 APPLICANT'S YOUR NAME: `'uL BUSINESS YOUR ' YOUR HOME ADDRESS:, a o ^ n�T Sr TELEPHONE # Home Telephone Number `1k Z--a NAME OF NEW BUSINESS CG S 0,ysee, tl L%-, S TYPE OF BUSINESS q L►-R-5 IS THIS A HOME OCCUPATION? YES N.O ave m t :. NO 0 3 S / 00 ADDRESS OF BUSINESS H P A SS I?d ` '� ©V,'5V MAP/PARCEL NUMBER When starting a new business there are several things you must.do in order to be in compliance with the rules and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. You MUST GO TO 200 Main St.-(corner of Yarmouth Rd. & Main Street) to make sure you have the appropriate permits and licenses required to legally operate your business in this town. 1. .BUILDING NeERS OFFICE a 'hit mThis indivi y perr� requirements that pertain to this type of business. Authorized Si ature" - - COMMENTS: i- ' 6 o 2. BOARD OF HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature" COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informed of the.licensing requirements that pertain to this type of business. Authorized Signature" COMMENTS: °FIKE r Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee 61, e BARNSTasLE, Thomas F. Geiler,Director - �4� �� Building Division 'rFn A 4JjTPerry,CBO, Building Commissioner . Nov 2008 200.Main Street,Hyannis,MA 02601 (� www.town.barnstable.m.a.us Office: 50$8b2°Qf8[3,gR(vST,,qq���� Fax: 508-790-6230 EXPRESS PER 11T APPLICATION RESIDENTIAL ONLY Not Vdlid'withouCRed X-Press Imprint Map/parcel Number 035 00`1 Property Address ;-`:E-GS' — Z�� �'Cj e- - �. Residential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name 9T-E j- .li r:z i 1-1 `-�f itvw -T1 Z-Z-5. Telephone Number << S c.A - Home Improvement Contractor License#(if applicable) -❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ `I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name �' --=a J!-2` 7 Workman's Comp. Policy# i LL 1-7 -1-0 S Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) Re-roof(stripping old shingles) All construction debris will be taken to �t �'x �� Vt j Ptt,9'i-i.'z- ❑Re-roof(not stripping. Going over existing layers of roof) . ❑ Re-side Replacement Windows/doors/sliders:U-Value (maximum.44) 'kWhere required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required., SIGNATURE: z r . Q:\WPFILESTORMS\building permit forms\EXPRESS.doc Revise020108 s The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): -&o.4 i %Z-QS l ^CC - Address: 7Q U x CA0 0 MZA15 City/State/Zip: Cc 7-^ i-A -,,} Phone.#: y,r r G 4 ' Ce � Are you an employer? Check the appropriate box: Type of project(required): L.N I am a employer with rjj 4. ❑ 1 am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2:❑ I am a sole proprietor or partner-� listed on the attached sheet. 7. .�Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. employees and have workers' 9. El Building addition [No workers' comp.insurance comp. insurance.$ required.] 5. ❑ We are a corporation and its 101] Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.[g Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. =Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic. #: V is'i 4 1<i 1 ' -7 Expiration Date:_, o Job Site Address: Z c-f Po Jz 06 ^4 c IE City/State/Zip: C-P ';-,,L A C'Z-G� C Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification: I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct C — Signature: fit" Date: 1' 1 t r ul- Phone#: �✓U (o q l 5 `1,4, Off1-cial use only. Do not write in this area,to be completed by city or town officiaL City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions , Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as "...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more -- —ofthe-foregoing-e— ng=m ajotnt enfeipiise;aid-mclu-duig-=tlie 1"egal-iepr-esenuti-vea of-,T-eleceased=employer,-or-the-.-_._- ---- --- receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractors)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter.their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly._The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town).?-A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where'a home owner or citizen is obtaining a license or permit not related io any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The:Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-06 wwwrnass.gov/dia .�� f 07 Constructioln Supe $ r rviso ` r Lice �� License:_CS License 47693 t EXP+rat+on=_ f R tr+ct+n 9/23/20 G 09 Tr#.4549 / � 7 I- i STEVEN P MCELHEWY _� Ire PO BOX 460 (\;COTUIT,MA02635`c i { t Commissioner /fie Ur arrvnzaruuealz o� /l/laaaczc�ivaela Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: r Board of Building Regulations and Standards Registra±r9ny.\157699 One Ashburton Place Rm 1301 Expiration 10/29/2009 Tr# 260819 Boston,Ma.02108 " Type Pnvate Corporation STEVEN MCELHENY BUILDERSINC -STEVEN MCELHENY� .; �,1" 56 BOWDOIN RD. Not valid without signature MASHPEE,MA 02649 Administrator _ f tT � Town of Barnstable Regulatory Services yi4uss& Thomas F.Geiler,Director 1619. 1 a 16 Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.nia.us Office: 508-862-4038 Fax: S08-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder • I> �4 Zo crz� , as Owner of the subject property hereby authorize tT X,..t`-( -f r7 -oact on my behalf, m all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date 0�2 c L L Print.Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O WNERPERMISSION Town of Barnstable ZHB ti�P oT Regulatory Services Thomas F. Geiler,Director RAMSTAEM HAS& . .`erg Building Division �rFD a Tom Perry,Building Commissioner www.town.barnstable.ma.us Office: 509-862-4038 Fax: 508-790-6230 HOA'IEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER!" name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends'to reside,on which there is, or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned."homeowner"certifies that he/she understands the.Town of Barnstable,Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certifi cation.for use in your community. Q:forms:homeexempt NOV-14-2008 13:17 From:MCSHER 50842013011 To:5084770767 P.1r1 AD4 DATE(MMAn„YYY1•} y j- CERTIFICATE OF LIABILITY INSURANCE 11 14 2008 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION mahea Insurance Agency,. rric. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 749 Main Stroot, P>uite#H ALTER THE COVERAGE AFFORDED ay THE POLICIES BELOW. Oaterville, Na. 02655 508-420-9011 INSURERS AFFORDING COVERAGE NAICS 9t"en P. mc31heny Suilderm,Inc. IN$VRl RA: wpa% IaIsuRED NeoCern world =nausa:►t:• CO P.O. Box 460 INSURER a: The Hartford P.O. Box 460 INSURER C: _ COtuit, X& 02635 INSURER 508-364-1926 wsulz I COVERAGES THr--POLICIES Or w4URw4CC LISTED BELOW HAVE BEEN 15SUED TO THE INSURED NAMED ABOVE FOR THE POLICY PrzmoD INDICATED.NOTWITHSTANDING ANY REQUIREMENT.TERM OR CONDITION OF ANY WNTRACT OR OTHER DOCUMENT MTM REYpECT TO WHICH THIS CE"FICATE MAY BE ISSUED OR MAY PERTAIN,THE IN$VRANCE AFFURDED BY THE POUCISS DESCRIBED HEREIN 1$SUBJECT TO ALL THF_Y'ERM5.EXCLUSIONS AND CONDITIONS NS OF BUCH POLICIES.AGGREGATE LIMITSSHOWN MAY HAV E SEEN REDUCED BY PAID CLAIM8: LTR xn F f'OLiGY NUMI)ER ... Y F'171.ICY t,R KATION DATE ME MWD01vr LIMIT'S C-11 RAL LIADILWY, EAC.11 fr..VJRRENCr- S 1,000,000 x COMMtR{',IALGENETiALLIABILIRY" -DAMArr10 " PREMI$F9 kt+cwti7mrrrcc E 100,000 CLAIMSMADE ®OCCUR MEDW- (Anynne porn) S 5 000" A _ PPI063878:-2 9/22/2008 9/22/2009 PEgGQNAL&AOVINjURY 1 D00 000 GENERAL AGGREGA(, s 2,000,000. r,%N'L AGGREGATE LIMIT APPUCE PER- PRODUM-C.OMPIOP AGG S x QOO QUO POLICY PF111 _T LOG AU1OMO0ILEuA8uAvY. ANYAUTO (FOMDINd U SMILE LIMIT E ALL OWNED AVI OS BODLYINJVRY -S NOULED AUTOS (Per pe—) MAEOAUTOS NCIDn.YINJURY 9 NON-OWNFOAUTOS (Pt'reecldCrtt) — PROPEH(Y DAMAGE $ (Pcreccident)" GARAGCLLADiLiTY]ZANYA1 AUTODNLY.CAACCID EANENT 8 _ OTHFR TI4AN _ AUTOOHLY. AGO 6 EXES&UMBRELLA IJARII.ITY CAGH OCCURRENCr s OCCUR 4LAIM6MADE AGCRCGATE $ E. DEDUCTIBLE $. $ RETENTION Y S VMRKF"0,O1MPEN$ATIONAND Y ER EMI'LOYCRV LIABILCPY T I ANY PRM11TOROAR'R>OmECtltW[ 6S6OU85906C98 1/29/2008 1/29/2009 1:1.EAcalnr,GIDEN7 S 100 000 E.L.DISFA.-u-EA EMPLOYE S 100,000 nyes,d%fdibrurstr� .. SPECLALPROVISIONSCNEw CL.DISEASE-POLICYIIMIT $ SOU 000 OTHER I DESC;HNOTONOFOPERATIONS/LOCATit?N;IVERK'I.I-fit1EXCLUSIONS ACM DYEND0RSEMEIT AvK;.IALpRovI*IQN$ CERTIFICATE H15LDER CANCELLATION SHOULD ANY Or THE ARQVF nE6CRISM POLICIES at CANR:ELI rn BEFORE nlE 6hPItiAI ID TO>i11Ti of Barnstable DATF TNF_gEOr,'n-IC ISaUIN(!INSURER 4V11_L ENDCAVOR TO MAIL, L QAYS WRITTEN B arna tabl e, MA NO I I()!-To THE CCRTIRCAYE HOLDER NAMED TO Tmr.LEFT,HUT FAILURF TO M SO SHALL IMPOSE NO OBLIGATION OR LtQLITY OF ANY KIND 11PON THE INSUREK 1'I3 AGENT$OR REMEGGNTATM-9. AUTIHORIZED WVRESENTAMF. ACORD25(2001108) Q ACORD CORPORATION 1980 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Mape Parcel -,,,'.Applicatio(i Health Division J� Date Issued 00i .30 Conservation Division Application F!ee47 Planning Dept.* -..,,Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation Hyannis Project Street Address vx G � C,,!�7 t't 20 Village V t-r YA Owner ct--c e) L Addressll a1 e__5S(41 1 7 Telephone 4112,c Permit Request S-V g 2Ct S f-1 I -5o Q 2Lk GL A, t4 'XIO -5 Vj+vJ PA C C, rs Square feet: 1 st floor: existing proposed d floor: existing proposed To7tal new —:2n Zoning District; Flood Plain Gr'oundwater Overlay Project Valuation �60 0 -0 0 Construction Type Lot Size Grandfathered: Ll Yes U No If yes, attach sup orting d -nJ Tur entation. co Dwelling Type: Single Family U Two Family Ll Multi-Family(# units) rn Age of Existing Structure Historic House: LJ Yes J No On Old King's Hi hway: J Yes Ll No Basement Type: LJ Full J Crawl J Walkout LJ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing. new Half: existing —new Number of Bedrooms: existing —new Total Room Count (not including baths): existing —new First Floor Room Count Heat Type and Fuel: ❑U Gas LJ Oil LJ Electric LJ Other Central Air: LJ Yes Ll No Fireplaces: Existing—New Existing wood/coal stove: Ll Yes LJ No Detached garage: J existing LJ new size—Pool: J existing J new size Barn: LJ existing LJ new size Attached garage: U existing U.new size —Shed: LJ existing J new size Other: Zoning Board of Appeals Authorization LJ Appeal # Recorded U Commercial U Yes Ll No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) —, u Name CON 9,A� GJ*'SCZ D 2 A 5z_6 L__A Telephone Number Address 00 3iax- S �Jy CE& C 12(lei Ocri--v r i Home Improvement Contractor 6, RA i—it Worker's Compensation # )!41 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJE T WILL BE TAKEN TO el S.4 SIGNATURE DATE ./03 4 FOR OFFICIAL USE ONLY x APPLICATION# r , } _ DATE ISSUED MAP/PARCELNO. ADDRESS VILLAGE z - - OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL s -GAS: ROUGH FINAL FINAL BUILDING D O I i DATE CLOSED OUT w t 0 ASSOCIATION PLAN NO. . - S 1 iiyy! ` d �oFZKEr Town of Barnstable f Regulatory Services • B RNSTABLE, y nasa $ Thomas F. Ceiler,Director i �FDMa�" Building ]Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.ba rnstable.ma.us Office: 508-862-4038 Fax `.508-790-6230, l _ x Property Owner Must Complete and Sign This Section If Using A BuilderW. �t I CGS rl C' 1G , as Owner of the subject property hereby,authorize .IJ�tJ 3 J.: �CS i. r� to act on my behalf . . in all.matters relative to work authorized by this building permit application for Cl-'4 T � (Address of Job) carolC' Signature of Ownerj Date carol Print Name If Property Owner is applying for permit please complete the Horneowriers License Exemption Form on the reverse side. '.''.•V.r lrT�jla"5l; `ai�C�c eu:. lviSr�A Board of Building Regulations and Standards One Ashburton Place - Room 1301 Boston, Massachusetts 02108 Home Improvement Contractor Registration Registration: 146276 Type: DBA Expiration: 4/8/2009 Tr# 131107 COTUIT SOLAR CONRAD GEYSER P.O. BOX 89 COTUIT, MA 02635 Update Address and return card.Mark reason for change. SOM-05106-PCo400 Address Renewal [] Employment Lost Card :T r, 't%ia�ir-rrra�t�ura��f• r.�/.'.�:l7,�r9:lrxc�uaftL�il , Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Board of Building Regulations and Standards Registration: 146276 One Ashburton Place Rm 1301 Expiration: 4/8/2009 Tr# 131107 Boytojk,Ma.02108 Type: DBA JIT SOLAR RAD GEYSER FALMOUTH RD. STONS MILLS,MA 02648 Administrator Not valid without signature The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 [Yashington Street _ Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leizibly Name(Business/Organization/Individual): ;is :, 4. Address: c: City/State/Zip: 5 Phone# Are .ou an employer?Check thappropriate box: Type of project(required): 1' I am a employer with 1� 4. EJ I am a general contractor and I 6 New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees Thee sub-contractors have S. Demolition working for me in any capacity. employees and have workers' 9 Building addition [No workers'comp.insurance comp.insurance.' required.] 5. We are a corporation and its 10.E]Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' �- comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. *Contractors that check this box must attached an additional sheet showing,the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number_ I am an employer that is providing workers'compensation.insurance for my employees Below is the policy and job site information. Insurance Company Name: , f'f % 1 f t Policy#or Self-ins.Lic.#: �- Expiration Date: )e Job Site Address: City/State/Zip: Attach a copy of theworkers'compensation policy declaration page:(showing the policy number and expiration date). Faiiu_re to secure coverage as required:tinder 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. i of up to$250.00 a day againstthe violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations;of the DIA for insurance coverage verification.. I do hereh certify undef the "airs and penalties of perjury.that the information provided above is true and correct Si ature. — '�.� Date: `7 . Phone#: 7 ) v-- S 1 i Ufficid use only. Do not write in this area,to.be completed by city or town official City or Town:. Permit/License# Issuing Authority(circle one): -1.Board of Health 2.Building Department 3.City/Town Clerk 4i Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: PRODUCER THIS CERTIFICATE 18 ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE i Dan Bunker Insurance Agcy HOLDER. THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 320 Washington St { ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW Norwell,MA 02061-20 10 I i COMPANIES AFFORDING INSURANCE COMPANY A GRANITE STATE INSURANCE COMPANY INSURED Conrad Geyser Po Box a® 84 Old Shore Rd Catu1.MA 02OW-0000 THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN 188UED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOT WITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. aD LTR j3 OF 0URAN wu Ot FV;R� FOLIC!'NUMBER FCLlCYEI'MO A DATE FOUO►EXPRATION DATE A D EMPLOYERS'L IABILITY � LIMITS E PROPRIETOR/ PARTNERSIMCUTNE OFFICERS ARE: ncL❑erocL❑ 742U74 6/30/2008 6/30/2009 STATUTORY LIMITS ER average Applies Ic MA OperdaneO*. EACH ACCIDENT $ 300.00 DISEASE POLICY LIMIT S 300,00 ISEASE-EACH EMPLOYEE $ 900100 DESCRIPTION OF OPERATIONOMMICLMSPECIAL ITEM RE:THE WORKERS COMPENSATION POLICY DOES NOT PROVIDE COVERAGE FOR CONRAD GEYSER. CERTIFICATE HOLDER ICANCELLATION CHARLIEWELLINIUMN I SHOULDANYOFTNEASOVE DESCRIBED POLICIES BE CANCELLED BEFORETHE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 14 PO BOX 1021 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT COTUIT,MA 028315 FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE i JUN-26-08 03:58 PM TALANIAN BUNKER INS AGCY 781 659 2499 P. 01 {��� �' TM .F rx e i •; r. s.�.�: v; DATE{MMtDO/YY). -+ ; •,..... ,•::.;vecpq,�w',{::: .:." :.tsas :<ix: a....w..: .m :x °..•... fs.M rre I" v..,�06/ 6/r%O THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ,. Ion ,Bunker Insurance Agency ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 20 -Washzr�gton Street HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR $ ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. COMPANIES AFFORNG COVERAGE lorraell MA 02061- — — DI — p. .I }_ 1 COMPANY 781: 659=0400 — .._-. _ —.. _ A Scottsdale Ins . Co. tUit Sala l � CCMPANY - 8 Arbella Protection Insurance Co. .0.` Box 89 �•-- - -- 6 Old I oauaANY Shore Rd, j C C tuit MA 02635-- 0 428-8442 °0 MP 1}IIS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD IND TED,N4T4WITIMANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS „ (N FICATE MAY BE SSUED OR MAY PERTAIN•THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS., -71 VIOL 8IONS AN_D CO DITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. k M TVPE OF N(LSURAW119 —POLICY NUMBER f POLICY EFFECTIVE POLICY EXPIRATION r DATE(LLMJQD^ DATE(MM/DD/vY) - LIMITS # QENETLAL LABILITY GENERAL AGaO ATE 1 IZ 0 0,0 0 0 0 rx;i MMI:RCAIL GENERAL LwaIUTY CLS 1517 7 4 7 J 0 6/01/0 8 0 6/01/0 9 UPRODUCTS-COMP/OP Aw's 21 0 0.0 CLAIMS MADE OCCUR PERSONAL&ADV INJURY $1,000L000 nER s a(owrRacToa s QRor FJ1CH OCCURRENGFi $l 00 0 000 UTOiI FIRS;DAMAGE(Any one fire) I 50-,11 d 0 MEO EXP(Any one pemn) 15 55 0 0 0 AOBILE LIABILITY OWDINED SINGLE LIMIT S �nrYAuro 126916400003 04/30/08 04/30/09 1f000 000 ALL OWNED AUTO$ BODILY INJURY X E(CHEDUtED AUTOS (I Per pereon) s I — �.. X No?eDAUTOS I BODILYINdURY >3 `.' X ION-OWNS AUTOS (Per accident) _ — i .. I^ PADPERTY OAMA13B I OARAOE LFABILIIY AUTO ONLY-EA AWLIEENT s i. E• 'ANY AUTO I I / / 1 / OTHER THAN AUTO CINLY: EACHACCIEWNT ss AGGREGATE I EXC"L IA-UTY EACH OCCURRENCE sI t ' i UMBRELLA FORM / / / / AWREGAATE-- E — OTHER THAN UMBRELLA FARM s6 WORM 0 MPTATION AND x TORY TU TS ER ±..:. �.- sEM RB'UABIUtY �_. . Y / / � / / �EL EACH ACCIDENT_ Is Twe RIETOFV r: PARTT(EXECUTIVE INCL EL D11's"=-POLICY UMIT S - F RS AFE: EXCL EL DISEASE-EA EMPLOYEE S O t OF OPERATIONB(I.00ATIUMNEHICLES/SPECIAL ITEMS lar• Heating Contractor v :771 377 SHOULD ANY OF THE ABOVE DESCRIBED POLJCIElI BE CANCELLED BEF&E THE . f EIPIRATION OATS THEREOF, THE IWUINO COMPANY WILL ENDEAVOR TO MAIL < n L,, DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER%AMCO TO THC LEFT. Charlie Wellih Ston BUT FAILURE T'O MAIL SUCH NOTICE SHALL NNPOSE NO OBLIGATION OR UABILITY P.O. Box 89 OF AN PON THE COMPANY, ITS AGENTS OR REPRESENTATIVE F' Cctuit MA 02635 AUTIfORI PNESE � ` ;: s,.may si5iss:i�•>>; � � :iz�w` i 1 y t u `4� Assessors map and lot numb r , .......... .........:. .... yoF THE ro e�P ♦�Sewage�Permit number ,.. .b ...... .... ... .... . ... ........� . House number ........................................:,.......,. ... �ob MASa i E. i O 39• O: 0 No{r. TOWN OF BARNSTABLE BUILDING'.. TOR APPLICATION FOR PERMIT TO ... .... . .. . ... . .... ...... .. .................. .......... .. .............:.. . .. TYPE OF CONSTRUCTION .......... . .. ... . . d. .. ....�. ......................................... . , . . TO THE INSPECTOR OF BUILDINGS: The undersigned her y applies fora erm't a cording t the Ilo in information: Location .. ..r�... .. . . .............. ... .... ............................................................................... ProposedUse .. .. .. . ............ ........................................................................................................ Zoning District ................ ................... Fire District ................. �` ) ................................ Name of Owner 1 �.......Avwlz ................Address . 5 �/. .........................................:....................... Name of Builder/...60il�Ags......4(..'!O/.E1..h.'.. zr✓.Address .13,rt.)(.13 2.5 `C TVz........................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .......:....................•. ..—.............................................. Exterior ....................................................................................Roofing ........... LJ ............................................. Floors ............ .I, �J.4� ........................................Interior ......:... 9 •4f✓ 'L............................................. Heating ..................................................................................Plumbing Fireplace ..................................................................................Approximate Cost Definitive Plan Approved by Planning Board -----------------------------19--------• Area Diagram of- Lot and Building with Dimensions Fee ` ......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH • ' 1 f . S OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstab41erepg,p3rthe .,' bove construction. Q ................. Construction Superior's is .....01. "......... L `� f , KNIGHT,. ALFRED 25636,. BUILD DORD4ER,•, I�Io ................. Permit for ......................... 'Single Tamil Dc�ellin .................-- - _.Y ...............J......... 4 a' Location ........... ;"✓'` f r ......... L�Q1.11................................................ •v/+:� - :� t� •i - Owner' Alfred Knight......... Type of Construction E Me.... Plote. ..................... Lot ........................• ......:. 8 J JJJJ / I 1 Perrrmi't'/Gj,ran+ed'"..:October..13% .......1,9 3 3 F ! Date,of Inspection /03s3 .. F !19 4 ,Da" to Completed .............` � ... .1.9 i 4• ''� t %.r • rr y t r tj Assesaor•s .map and lot number . $ F a� 5 Sewage Permit number &I't" � ..............7 c�:! ,•, r' ,•°p;'%' `` w�Qy °,► -A ;B9H.3AM LE, i s.., House number ...................................................x... .............. i6S9 ♦� A 'FO MAY p,\ TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION .......................... � :✓;�; ........... „', •: !�I� . .....................................� ............... FOR PERMIT TO ... ?a „�.. .. ... P TYPE OF CONSTRUCTION .............1............. . .... ......................................... .................... ........�..............19.5 � TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according t:>the f ollowing information: t J G . �, " ... Location .. • ! �°' ...�I........ ,� , l< i....................................................................................... P �.�(� ' .�' ....................................................................................... Proposed Use Zoning District V ..............................................w Fire District ................ tra!? 4 ,I,. W�................................. ..�...�� . �/ /f .Address -�/� Name of Owner � LA A. .......lw.,;�/r!F.�. ............ ��................................................................. Name of Buildery; ...... !'!'�?.'. .'„1.1.:Y�Address e. !:. ,rti. !G !„/.................................. Nameof Architect ...................................:..............................Address .................................................................................... Number of Rooms ... ...................................... .................Foundation .............................................................................. v ' Exlerior ..............,.�.. ................................................................Roofing ........................li............................................................ Floors ..............d�: ��17 ����. °. ................... ....:rif...Interior .......... .............................................. Heating .....', .. ...........................Plumbing ...........:.. .........::................................................... ................... ......... # ........................... .Fire lace .............. Approximate Cost. ................................................. ... Definitive Plan Approved by iPlanning Board -----------_------—-----------19 Area Diagram of Lot and Building with Dimensions � •. g g Fee ......�:....a..... :......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH r A* F A Y OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. /, / 1' .:. .y. ... .... .................. �17 Construction Supervisors License .....�� .:%� A=35-7 KNIGHT, ALFRED No 25636... Permit for ,Build...D.ormer.... .. ....... .... Single Family Dwell ' Family ;:�!!g.............. IT. Location ...?A..P?p n.ess.e..tt Road .......................... Cotuit ............................................................................... .. . .. .... ..Owner ......A.l.f.re.d...K i g)ht........................... Type of Construction .......F........ram.e........................ .. ................................................................................ Plot ......................... Lot ................................ Permit Granted ......................... Oc tob er...1.3.........19 83 Date of Inspection ....................... .............19 Date Completed .......................................19 14 • `j wlEf6T OF PUBLIC,SAFETY i¢ COMMONWEALTH ^- �10 COMMONWEALTH*AVE. OF ' 90STON,MASS.02215 MASSACHUSE I IS LICENSE :5 CONSTR. SUPERVISOR EXPIRATION DATE a s 05/31/1993 a RESTRICTIONS EFFECTIVE DATE LIC NO. 1G 06/01/1988 047693s „ I $ 2 FA14ILY HOME 4 STEVEN P MCELHENY PO BOX 282 i COTUaT MA 02635 IHOTO(BLASTING.OPR ONLY) FEE: j 0.00 VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLY j HEIGHT:' rAMPED -OR SIGNATJRE OF THE COMMISSIONER iF ' t �• � €; - THIS DOCUMENT N: +' -CARREO ON THE PE SIGNATURE OF LICNSE•' -J THE HOLDER WHEN >'^ OTHERS RIGHT THUMB PRINT ED IN THIS. O: . COMMISS NEFF i Asses"sor's office(1st Floor): Assessor's map lot number ' tJ.3.Sr Gd �' r � i TM E r �ohservation la,%� k c 3 Ess �3 Board of Health(3rd floor): ;NSTAL.LED IN COMPLIANCE t ssanrant swage Permit number 9 VVITH TITLE 5 rua Engineering Department(3rd floor): a F J1 ENVIRONMENTAL.CODE AND House number Definitive Plan Approved by Planning Board 11MV14 REGULATIONS APPLICATIONS PROCESSED 8:30-9:30 A.M.and.11:00-2:00 P.M.only TOWN,% OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO A p'> TYPE OF CONSTRUCTION g�f tg QZ TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 2� �o?ct i�ss t i Iz-> Co—, Proposed Use Zoning District R Lys« Fire District 7 Name of Owner ► L-E)C 4.J-D; Q 1—,0 Address 2 Phi �a r�i s5�� 2� c4 �•. Name of Builder A f2.o-IZ Z T vX-4, F 4`) Address ox I t Co—F—L-c Name of Architect -��- Address �- Number of Rooms f Foundation C y4 Z_ Exterior "4c�G V> Sr-( N C,�-'= Roofing s J ►-i�-�T Floors kA ea Interior. -� 2 Heating �5 Plumbing YZ5 Fireplace Approximate Cost 3 a - c Area 1419 f Diagram of Lot and Building with Dimensions Fee 1-7' •1 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name S�f-rV z&j ✓k c lz:L-r-f; .-J Construction Supervisor's License ®q D fc 5 3 LYALL, ALEXANDER No 35354 Permit For BUILD ADDITION Single Family Dwelling Location 24 Poponesset Road ' Cotuit Owner Alexander Lyall VT Type of Construction Frame Plot '► Lot it" Permit Granted September 1 l`,'. 19; 92 L Date of Inspectionl 19 �- Date Complgtec B kz L i _ FLZ • r -PLPD�P.�Se-�-�j�( C'7- o3Sro j Sri lam��ne Cs '0 ?0 UHg'o ImTH THE RPM SERIES p GLAZED FLAT PLATE SOLAR COLLECTORS 0 mi.,' , . Models EC and EP SPECIFICATION SHEET THE VALUE LEA` DER IN SOLAR WATER HEATING TE.CHNOLO.GY . Stainless Steel Fasteners Riveted Corners Low Iron Tempered Glass = r Low-Binder Fiberglass Insulation Y >! Rigid foam Insulation Secondary Silicone Glazing Seal 71 • Black Chrome or Moderately Selective Black Paint " dwys. Absorber.Coating µ • Copper Absorber Plate Integral • Type M Copper Riser Mounting Tubes and Manifolds �g . Channel • Extruded Anodized Aluminum Casing and • EP®M Grommets Capstrip "f dent Plugs Primary EPOM Glazing Seal' • 9 S% Silver Brazed .point Aluminum Backsheet PROTECTING OUR ENVIRONMENT-SINCE 1978 UH[HIHIR. EMPIRE SERIES SPECIFICATIONS 4, o a^" ^'-cam �-c "moo p o EC/EP21 40 76 3 1/4 21.12 18.70 70 0.72 0.54 0.003 12 160 43 3/8 1 71:25 EC/EP24 36 1/8 98 114 3 114 24.61 21.88 80 0.78 0.62 0.005 12 160 39 3/4 1 93 5/8 EC/EP32 48 1/8 98 1/4 3 1/4 32.79 29.81 06 1:00 0.83 0.006 12 160 51 3/8 1 93 5/8 EC/EP40 48 1/8 122 1/4 3 114 40.81 37,33 141 1.20 1.04 0.009 12 160 51 3/8 1 115 5/8 EC/EP40.1.5 48 1/8 122 114 3 1/4 40.81 37.33 150 1.61 1,04 0.006 25 160 51 3/8 1 112 115 5/8 MODEL EC THERMAL PERFORMANCE RATINGS* MODEL EP Btu/ft2/Day Btu/ft2/Day Category CLEAR MILDLY CLOUDY Category CLEAR MILDLY CLOUDY (T-Ta) DAY CLOUDY DAY DAY (Ti-Ta) DAY CLOUDY DAY DAY Ti=inlet fluid camp 2000 1500 1000 n=milt trurd remp 2000 1500 1000 Ta=ambient a.r temp Btu/ft2/Day Btu/ft2/Day Btu/rt2/Day 1a=nmbirnr air w rm Btu;ft2/Day Btu/ft2/Day Btu/ft2/Day A(-9°F) 11332 1,005 680 A(-9°F) 1,284 971 659 B(9°F) 1,218 890 565 B(9°F) 1,169 854 542 C(36°F) 1,040 720 402, C(36"1`) 984 677 372 D(90°F) 699 405 127 D(90`F) 619 343 89 E(144°F) 390 137 E(144°F) 280 62 A-foul Heating(Warm Clirriate) B-Puul Heatiny C-Water Heatiny(WBELrl Climate) D-water Heatiny(Cuul Climate) E-Aii CundiLior my/Industrial Prucess Heat. Thermal performance is obtained by multiplying the collector output for the appropriate application and insolation level by the total gross collector area. 'Collector ratings are derived from the Solar Rating&Certification Corp(SRCC)Document RMA and Standard OG-100. ENGINEERING SPECIFICATIONS (Performance specifications subject to testing error of T/-3%) The following shall be the specifications for the solar collectors. Collectors thermal isolation of the foam from the absorber plate. Total thermal resis- shall be SunEarth Empire model , and shall be of the glazed liq- tance shall be a minimum of R-12.The sides and ends of the collector shall uid flat plate type.Collectors shall be tested in conformance with ASHRAE 93- be Insulated with a minimum of 1 inch foil-faced polyisocya nu rate foam 1986 and SRCC 100-81,The collectors shall be certified by the Solar Rating and sheathing board. Certification Corporation,(SRCC)and the Florida Solar Energy Center(FSEQ, ABSORBER PLATE AND PIPING GENERAL The absorber shall consist of a roll-formed copper plate of no less than.008 The dimensions of the collector shall be inches in length, inch thickness. Risers shall be a minimum of 1/2 inch O.D. Type M copper inches in width and 3 1/4 inches in depth.The collector casing tubing on no more than 4 112 inch centers continuously soldered to the shall be an anodized aluminum extrusion(alloy 6063 T5),.minimum thick- plate utilizing a non-corrosive solder paste with a melting point of 460'F ness .060 inch, with an architectural dark bronze finish. The casing shall The risers shall be brazed to 1 1/8 inch 0. D.Type M(1 5/8 inch O.D. on have notched framewalls for ease of plate removal and reinstallation.Sheet EC/EP40-1.5) copper manifolds utilizing a copper phosphorous brazing metal screwed fasteners shall be stainless steel (18-8 #10). The backsheet alloy with no less than 15 percent silver content, and conforming to the shall be textured aluminum not less than.014 inch thickness.A 1 inch vent American Welding Society's BCLIP-5 classification.EPDM grommets shall iso- plug shall be installed in each of the four corners of the backsheet to min- late the manifold from the aluminum casing. The absorber plate shall be G LA Condensation, designed for 160 psig maximum operating pressure. GLAZING ABSORBER COATING AND PERFORMANCE CURVE The collector glazing shall be one sheet of lowiron tempered glass,with A)Black Chrome(EC Series):The absorber coating shall be black chrome on a minimum of 1/8 inch thickness(5/32 inch on EC/EP 40), and amini- nickel with a minimum absorptivity of 95 percent and a maximum emissivity mum transmissivity of 91 percent(89 on EC/EP 40).T glazing shall be of 12 percent, The instantaneous efficiency of the collector shall be a mini- thermally isolated from the casing by a continuous E,ohe DM gasket, There mum Y-intercept of 0.714 and a slope of no less than-0.7271 (BTU/ft'-hr)/F 1111", Nis INSULATION J a moderately-selective black paint with a minimum absorptivity of 94 per- The insulation shall be foil-faced polyisocyanurate foam sheathing board of cent and a maximum emissivity of 56 percent.The instantaneous efficiency a minimum 1 inch thickness,siliconed in place to the aluminum backsheet, of the collector shall have a minimum Y intercept of 0.682 and a slope of covered by low-binder fiberglass of a minimum 1 inch thickness providing no less than-0.7995(BTU/ft'-hr)/F Due to SunEarth's policy,of,continuous product improvement, specifications are subject to change without notice. MANUFACTURED BY: AVAILABLE FROM: JL . SllnEflRl�ii�r.. n, 8425 Almeria Avenue• Fontana,CA 92335 �:`s> U) (909)434-3100 • Fax(909)434-3101 =,L::s �- O www.sunearthinc.com RECYCLED PAPER—SOY BASED fkK`r<e,.,:=„:+m N- !� }- i - ! -�; .► . �i��l�► , T.I. _� i _ I ► ' i� � ii �I -� �.� � i � _Si �; R i ZvTcli t�,/ti;/t' 41 I f - 11 _ I � .._._. � i :�~� ✓.i��-, -�� �{ _ i � 1 �� -� I �� ! _ ( � � ^ �� �o�v+,t� .�. -vim �_- - I - - - -- - - I_-_I.I I Ir - — ) t„__1__1 I 1 _ _!_ I( �I��_I_ I.__I �I I r-T-I_I4T!_ _ I 1 1 (_1 I ( I I I I� J I I I J_1�►_� I I _�_ 1 1_ 1_I I_ 11 (-L_I 1 -1 ! I__%I^_ I l I .C _ 1 1 I "�_I 'I { 1 FT-I ! 1 -J - :! . I �+ I I ( ( Fl 1-1 _ �l III I L I II( I I J-: i_1F. -1`�_ _�I I.— I I(_ I ,I^.f_ �I - __ I 1 -f IC_1 lid II I ( i_l 114' 1 l 1T f_.�+ I i �o^Ttc a I s��,� do I{I �I_I_1 I I _I I �_I _�_I 1.-.�,�! } , I�I��.l � ��_I_�—�/��-! �,_�11 � � ��.�► j :�—I E�I, I ,�I i I� I�t �► tad, _ I I_.:__.I I_.I F. I I I I ( I`I I :� l I I 1 I I I I III � i l.I.I �{ i I !��I_ � _ r ( I i:�.� _ 1 I—I! l { l l I I �I I-1-� �._.._.���1.�► I � I _ . l. FT I l l I Imo! I f ' l 0t� � S� ' • -tom � �,;o�.�-�•G-To � . COTUIT SOLAR p.o. Box 89•Cotuit, MA 02635. 508-428-8442 Fax 508-428-8450 y {l a fit m nq;—,f Crkt t _ tj f t ,at dr.tts�//+Nvaw sun g#��;rrr rya r�/ r�r series, fl,_. t..r) t htIn9. SunEarth Width (in) Length (in) Depth (in) Gross Area Dry Welght Fluid Design Flow Max Flow Max Header Header fluid weight total Model (sq ft) (lbs) Capacity (GPM) (GPM) Pressure Width (in) Center to weight/sq ft Number (US gal) (psig) Center (in) EC/EP21 40 1/8 76 1/8 3 1/4 21.21 60 0.6 0.51 12 160 43 3/8 71 1/4 4.8 3.055 EC/EP24 36 1/8 98 1/4 31/41 24.611 801 0.781 0.621 121 160 39 3/4 93 5/8 6.2 J. EC/EP32 48 1/8 98 1/4 3 1/4 32.79 106 1 0.83 12 1601 51 3/8 93 5/8 8.0 3.477 EC/EP40 481 122 1/4 3 1/4 40.81 141 1.2 1.04 12 160 51 3/8 115 5/8 9,6 3.690 Structural certification Collector Manufacturer and Address: sun Earth, 'Inc. -4315 Santa Ana Street Ontario, CA 91716 Collector Model Number: Empire EP-32 Gross Area: 32.79 Sg Et_y Transparent Area: 29-81 sq Ft Type of Glazin Lour Iron Tmpr 1j8 in 9= Thickness of Glazing: The undersigned, an engineer registered in the state of Florida does certify that, having used generally accepted procedures, he/she has determined thatthe wind load that maybe sustained by the solareollector identified in the heading above without structural damage is at least 310K Pa ( 45 psfi . Signed: Ste May 3, 1994 . --- ~ ed Name _ Henry M. Healey, P.E. Registration No. 35056 i SEAL FLORIDA SOAR ENERGY CENTER TEsting & OpErations Division �� 300 State Road 401. Cape Canaveral. Florida 32920 a 1 APE , NSULATION COTUIT SOLAR P.O. Box 89 m Cotuit,MA 02535 ®508=428-8442 SOLAR SYSTE N SCHEMATIC � RETURN ROOF JAC:S COL aa' } COLD SUPPLY �. LINE �. s 9 7 low 1)�S LA COLLECT 2) AUTOMATIC AIR VEIN `d COLLECTOR SENSOR 3) TEYf PERA GAUGES X. 4) ISOLATION VALVE w �. V 6) GLYCOL LOOP PRESSURE RELIEF -VALVE 7) GLYCOL PRESS ,GAI'UGE 8) EXPANSION TANK 9) GLYCOL FILL VALVE, 10)PURGE VALVE il)GLYCO V: n 12)CIRCUALTOR ISOLATION VALVE. 13)CIRCUXLTO . 14)CIRCIIATOR ISOIAT. ON YAL,Ntt 15)T a 15)TANK SENSOR _ evergreemc, rt Think Beyond. k 4 SPRUCE L`INET"" New 195W module photovoltaic modules, , t o Highest power-and efficiency,yet— : e Best available tolerance'-0 / +2-.5%- A range of.high quality poly'crystalline solar panels for on-grid markets offering exceptional performance,extraordinary versatility and industry- leading environmental credentials based on our t cutting-edge String Ribbon'"wafer technology. i s { Best-in-class performance ratings proven by field installations ` �� "e: • 98%of rated power guaranteed for 180,190W product, 100%guaranteed for 195W product _ • 5 year workmanship and 25 year power warranty for ultimate peace of mind* r More installation versatility with our extensive , range of mounting options i § Higher strength with wind and snow loads guaranteed up to 80 Ibs/tz I • Qualified to all major industry certifications 1= and regulatory standards, .Y Smallest carbon foot-print leading the fight against global warming } « Quickest energy payback time for the maximum " energy conservation, - - -- - • Cardboard-free packaging for minimal on-site waste zuv � and disposal cost..' ® cCIE) t • '*For full details see the Evergreen Solar tfmited Warranty available on request or online. This product is qualified to UL 1703,UL Fire Safety Class C,JEC 61215 Edl,.TOV Safety Class 2 and CE s �- 'String Ribbon and Spruce Line are trademarks of Evergreen Solar Inc.String Ribbon is also a patented technology of Evergreen Solar Inc. Electrical Characteristics Mechanical Specifications Standard Test Conditions(STC)1 3T fS-1 80 ES-190 ES-195 .6 0.16 r*ING HOLE RL,SLTLmVL• RL SL TLo A- RL 9..nsvi• GROUn I 3-5 - Pmp2 (VV) 180 190 195 Pt .n. (%) -2% -2% -0% Pmp,mar (VV) 186.1 194.9 199.9 j 1 Pmp,min (W) 176.4 186.2 195.0 Ppa FO W 159.7 168.8 173.3 f 126 FOR 1/4'BOLT Vmp M 25.9 26.7 27.1 JUNCTION BOX VP54) ' lmp (A] 6.95 7.12 7.20 CABLES(AWG12) ' V. M 32.6 32.$ 329 1. (A) 7.78 8.05 8.15 m rwoDlAM ALUAGINUM FRAME Nominal Operating Cell Temperature Conditions(NOCT)° l m Pmp (VV) 129.0 136.7 140.1 c�)0 V.p M 23.3 23.8 23.9 CONNECTORS Imp (A) 5.53 5.75 5.86 _ (rypa3) V« M 29.8 30.3 30.5 Isc (A) 6.20 6.46 6.59 a x 0-16 GROUNDING HOLE TNoa (°C) 45.9 45.9 45.9 g.16 '1000 W/m',25"C cell temperature,AM 1.5 spectrum; ROUNOINO HO 171 a Maximum power point or rated power 1.6 •...35. . . 'At PV-USA Test Conditions:1000 W/m2,2(rC ambient All dimensions in inches module temperature,1 m/s wind speed weight40.1 Ibs '800 W/m',20°C ambient temperature,1 m/s wind speed,AM 1.5 spectrum 'RL model made in Germany without cell texturing;SL model made in USA Product constructed with 108 poly-crystalline silicon'solar tells, anti-reflective without cell texturing;TL model made in Germany Wth cell texturing;VL tempered solar glass,EVA encapsulant,TedlarO back-skin and a double-walled model made in USA with cell texturing anodized aluminum frame.Product packaging tested to International Safe Transit Association pSTA)Standard 28.All specifications in this product information sheet conform to EN50380.See the Evergreen Solar Safety,Installation and Opera Low Irradiance tion Manual and Mounting Design Guide for further information on approved The typical relative reduction of module efficiency at an installation and use of this product irradiance of 200W/m2 in relation to 1000W/m2 both Due to continuous innovation,research and product improvement,the specifica- at 25°C cell temperature and spectrum AM 1.5 is 0%. tions in this product information sheet are subject to change without notice.No tights can be derived from this product information sheet and Evergreen Solar assumes no liability whatsoever connected to or resulting'from the use of any Temperature Coefficients information contained herein. a Pmp (%1°C) -0.49 Partner. a Vmp �(p%/°C) -0.47. •Imp t ro/°C) -0.02 tl a V« (%/°C) -0.34 System Design Series Fuse Ratings 15 A UL Rated System Voltage 600 V 'Also known as Maximum Reverse Current QELECTRICAL EQUIPMENT CHECK WITH YOUR INSTALLER S195_US_010707;effective July 1st 2007 Worldwide Headquarters Customer Service-Americas and Asia 138 Bartlett Street,Marlboro,MA 01752 USA 138 Bartlett Street,Marlboro,MA 01752 USA Evergreen Solar Inc. T+1 508.357.2221 Fk+t 508.229.0747 .T.+1 508.357.2221 F.+1 508.229.0747 www.evergreensolarcom -info@evergreensolarcom salE+caevergreensolarcem One Line Drawing Utility r SunnyboyctInverter Meter MLJ AC LJDisconnect Switch PV Array PV Array to be 26 Evergreen 180w Panels, Inverter SMA 4000 1~ardi i Ground Pano 1':� of 9 s .r___---- SD4/1 IMOnVt.�:' \ PRO BOLAa. T,••r a �• `\, Da WN Cc.h e•1 h C go LIT r • F r ' 0 .\ s'rPrr P og' { F. (,?.r�off'.r.•�.i 6 �.� ?���-•-` •. �• � � 701 c C TY P TCOA-L p L ,S r 1 I jQooR 2C.?�.AL L� I I i I I I L wl�Do•JS z Ib C. i I I I I its' I DUl"LCG Cr'E.2S O ICU LEI 6.0 j rl zoo RA,4 -- __ <f sj mac_'-7>7'S ---- ! i1Z A'rT�.= 19NCHo2�.:D 'ro 7Y�ii_.}.TC ------ EsC. 7a z•",L2 ZLc, -10nl / .__...c --_ i� I It __._.— __ -- —.--.- /-- ___.._ _--__._—_ -------_—___ T—i. cos- ! �— --- - III I �y f t o T o r c.- ! Z�Z�I e M1 I.r, 3r." � ! , 1 .4� L-111.1 mom(, jj--11-- - I I j LF D,4 SCALE: APPROVEDDT: _ t� / I 1-f�•j"- -�" DRAWN BY Von P�7A i V C. (r1 G�� 'I 1__''-/J''. DATE: 11 -- -- LLL REVISED >♦ c ORAWINO NUMBER /81134 R.IWIFD HM M0.18D011 dLARN1U1f• t t GENERAL NOTES AND MATERIAL SPECIFICATIONS 1 . All workmanship to conform with the Massachusetts State Building Code, 5th Edition. 2 . Work this plan with Architectural Plans by Designs Unlimited _ Inc . , Osterville, MA, latest edition. w 3. Proposed Micro-Lam laminated veneer lumber shown to be y 2.0E S.P. Micro=Lam L.V.L. (D. Fir) , by Trus Joist Macmillan, l or equivalent. 4. Proposed floor joists shown to be Douglas Fir-Larch with Fb = 1450 psi , E = 1 ,700,000 psi , or better. Sno 5. Joist hangers to be Simpson Strong-Tie Co. , U Series, 16 gauge galvanized steel, or better, all nail holes filled. 6. Subflooring to be nailed to new joists, per Building Code. 7. The existing structure shall be adequately temporarily qp/ braced during complete removal and installation of the _ proposed scope of work. 8. The contractor shall verify all existing dimensions indicated prior to construction. W-,rtA LL k3 5 { i 1 rwI'1 M I[.P.o i.,�l M '� ?XI ST #;. „-_ _ �, r 14 Y b 3 hf-lc(*F ol : to"Ga G STUD WA l' � I ' HOW VIST6 sir PL#4 h4r_T S y i H 5;vd/ Nl•L, I /4 x 7/,�Ev iti o.c. pi VJ 2.a 0 ItQ O. MAY - �8 MI�{ s UbFI.A?2. { 4 - -- _ - -- --- - --- — - _- ---- r �1L U HAIL1✓p I iPOUPLE R FED @ i sT 2 x(, sl►.L JOI ST" +4A+l q R , (AHTILEvof_ � Nr.I .S�19'-o" MA)e' G-'FIST ��Lf� }�Ey1D�R. i DOUBLED �t'kD eR- f OT't- % INSLJLAT1DH ti;x1sT S" c,•H•U• 2 x�}' STUD wAu- �f De7AIL by OT} F?Z FOUMDhT10t4 Whi, (-J`(R r,xlsT. ; I ur-,D E�_D TYPI (-A L r i F;2AMING pE%TA 111 r-oR_ 44NTIL'E'Ie� t j OF ' L'YA L L C;ESIDE► LE I�f� No- F ,��,� � P �I _ ccPeN t.�,� n Vl r� _ �� MICHELE cy� MICHELE C. TUDOR, P. E. :24 PoPPO � E� E T T �D � A � �� �_ ; C. No°OR4 Consulting Structural Engineer CDTI� ? T , ��,c� - d STRUCTURAL GI ST E��G��'c``� 123 Cottonwood lone•Centerv4s,Monochusetts 02632•t5Q8)771-7601 - � D r gO y e!� M C-E L SSIONAL Ed - — - �j'I p�. E: S-Z4-12 . 1 I I T) � _ 2— L1- r r . It i — --- ; STA R nrul D�h� , --r - a ' r # i I , , 71r j I � t_LL4L- k.� SCALE: /-1~ - APPROVED BY: DRAWN BY DATE REVISED DRAWING NUP4BER m ' a m