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0663 POPONESSETT ROAD
FM Assessor's office (1st floor): ' OF THE To Assessor's map-and lot number .... — � �........ �♦ ...... .................. Board of Health Ord floor 0l �y r , Sewage Permit number .......... G �'........ ....................... INSTALLED I E Engineering Department (3rd floor): WITH House number .................................................:...................... ENVIRONMEN 14ND APPLICATIONS'PROCESSED 8:30-9:30 �A.M, and. 1:00-2:00 P.M. only TOWN REGULATIONS .TOWN OF ,`BARNSTABLE BUILDING- '11S'PECTOR APPLICATION FOR `PERMIT TO ..............l & -b......../.q.........2..'..C.. 2 ................................. TYPEOF CONSTRUCTION ......... ....................... o U. ............................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ................................................6..�. 3../... .F'1�(1..!1J. i� ..T..... . :... C6?.�.v.!.T...................................... ��2,�c�.................................................. Proposed Use ............. .. ..... .......... ........................................................................................ /� Fire District 0-14� Zoning District X.F................................. �. F..f.1 1!/G. .T...Address �.�. ...'.''.�POAUl 7/�..... cC1..f�l./.... Name of Owner ...................... / ............ Name of Builder .I.�A.v..tj....... .go.Z.C-P.tZ.......................Address ...e!.5......1..1.!V�'...CIKr. �'C.r1 !.!vC. .............:.......... Name of Architect ....Address .............................................................. .................................................................................,.. /9 �. X Number of Rooms ................Foundation ................... Exterior ..........................Roofing .................................. Floors `.........................................Interior .................................................................................... Heating ...................Plumbing ............... Fireplace .......:......................... .Approximate Cost Definitive Plan Approved by Planning Board ________________________________19________ . Area .......................................... c;2S Diagram of Lot and Building with Dimensions Fee ................. ...................... SUBJECT TO APPROVAL OF BOARD OF HEALTH ® 07-9. r i5•S - o �o � Porness� �t OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Barnstable regarding the above construction. tl Name . ...a ............ .......... Construction Supervisor's License .G./... ../.. ...... KNIGHT, PAUL J. & OLIVE J. 5 ' L9173 r Build Gara e `. No ................: Permit for .................................... _s • Accessory to Dwelling ^r - .............. ....... ........_• ........................................................... ' - - - • , . ) + �T ' r r �. Location L. Popponesset Road .: COtult ,a ....... .............. .................................................. ti Paul J. & Olive J. Knight - Owner ' Type'-of ' `Frame •• ' _ __ .. h Constructions " t= ... .............................. •..................................4.......... - - `T • L.' '' Plot ..... ......... .. i Lot .....: ..... I April 9..................... 86 Permit Gran`ed // • 19^ Date of-Inspection .J...r. ............. .......19 Date Completed ............... ...19 � 4 �• .ram _��.s_ a..J+ �_ �1 , _ _ _may ._ �- rM ra - M� _ Assessor's office (1st floor): ' ,f �F7NET0� Assessors map and lot number ...................................... Board of Health (3rd floor): c'-11'1 -A �G,c G'l rSewa a Permit number ..........t .............. .................... Z 33AHB9Tl►DLE, i Engineering Department (3rd floor): r YA39 Housenumber ........................................................................ °�oYAYa' APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M. only TOWN OF BARN:STABLE BUIL`D1-NG ' INSPEICTOR APPLICATION FOR PERMIT TO .......:.......... ..( ....... ...... :.............................................................................. TYPE OF CONSTRUCTION .......... ....................... .................................. ....................��....------ - fir`''' P TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: ..............................�o.. .. .../... �'PU �1/ SS c T !�C CC17o i7— Location ...... ................ .............................................................. ................................................ Proposed Use ........................................................................... FirC "G/ ZoningDistrict ............................................ a District ................... ........................................................... f F}u� .j.(...�� .!.!!. .. itld l N ?`..Address � e, '3 /U apPU lvcSc,�T/t D Qj Name of Owner ('�'� Name of Builder .I 3.e3,�. ......................Address .../4.....!V/ .......... ..;... ...r.... .. ..................... Name of Architect .....Address Number of Rooms ....................................... ............................Foundation ..` �. r. ..... .................................. Exterior ..................................:,.. ...'..`... � ..................Roofing �..;./..,.... �= ...z J Floors l'.-wl'.�r( . T"(".... ............................Interior Heating ..................:...............................................................Plumbiri g ...............................:.................................................. Fireplace ..................................................................................Approximate Cost / C ..............................................................:..... Definitive Plan Approved by Planning Board --------------------------------19--------. Area .............................. Diagram of Lot and Building with Dimensions Fee � = �.................. .......................... SUBJECT TO APPROVAL OF BOARD OF HEALTH -2 OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS � '�'`" I hereby agree to conform to all the Rules and Regulations of the lown�-of-.Barnstable regarding the above construction. ^ Name ..... Construction Supervisor's License ..�J.!�. ../ ..:.. KNIGHT, ^.~_ J. - OLIVE J. A 29173 - Build Garage No ----- Perm� for ------------ - ' ' - ' Acc.e.ssory to Dwelling —_—.----------------------. . Location .....b�.3' t'.D»u�--�--' - ' -----._.<�n�n�x---_____ ................ . Owner --�au ...J,_��UI�ve_J�.�kigbt_. .........�� � Type'of Construction ..���m�---. --'--.. � - ' ----------'r---'`=�--------' ' ~ Plot ............................ lot ................................. ' . ' . . 8� , Permit Granted --��K�i�l—'r----.lg - . ^ Dote of Inspection ....................................lV Date Completed .....................�� lV � , _ .----' ' ' - ' ' .. ' / �.�.� '^ ^ . ~ - . - - ` . ,. ' . . / . a�^ as .S j, f• � 3�' ,_� �Q t Assessor's map, and lot numl a ....... THE TOE .. O Sewage Permit number . :�:. . ... . .� .. .. .:..... .. � BAR35T11M i House number ............:...................................I A* so .M6 9 ♦� C �MpYa` TOWN OF . BARNSTABLE I BVILDIRG ' JASPECTO-R, APPLICATION FOR PERMIT TO ............. ................ ..�.Z�.,.................................................... TYPE OF CONSTRUCTION .......:...................... .... ....... ,............ ................................................................ •' ,. ,.,T � • . �UG U SST �O ' ' .19.. ` . TO THE INSPECTOR OF BUILDINGS: Y The undersigned hereby applies for a permit according to the,following information:` Location �c (� / p�Pp nJ� s TJ �U.TU.!i ......................................................... ........ ..... ...?. Proposed Use ......................................? ...... ...... e ..' '..' Zoning District ....................... .........Fire District .................. ...,:. :e.............................................. ' Name of Owner ..............................! � ..!.1..!V/h!?°..�.... Address ..... �O v'.../ v.PPo A � et fET�� co7'0 � ��CNAiC F a a N !3��CDGJT�2V�......�... Name of Builder .......... .................: ........................1>.........:Address ...,�. ..:(Qlf?. �f Name of Architect Address ...............— .. .......... ............. ...........A1 . .. '. ........... Number of Rooms Foundation . . ..... Exterior ..Roofing . .......................................... Floors .....................................-...............`.............:....... .... ..Interior ......... ........ . ....... .................. ................ Heating ................................r..........................................t..Plumbing ....................... _ ..... .................... .......... Fireplace ............................................................ .........Approximate Cost ....................................................... ..... Definitive Plan Approved by Planning Board _ ___ _______________19 Area �.......: /.. ..... ..5�:............ Diagram of Lot and Building with Dimensions Fee /o:........ SUBJECT TO APPROVAL OF BOARD OF HEALTH 10 - # (I(I3 g OCCUPANCY PERMITS REQUIRED FOR. NW DWELLINGS 4 hereby agree to conform to all the Rules and-Regulations of. the Town of R ornstable garding:the above construction. Name .v .... ...: } Construction S rvisor's License © "L'I .`.... ..!�. R=' O= A=6-22 N' 268'64' Addition of 9 .. .......... Permit for ..........................ii........ .. .. deck to sin Ingle family 11incr ... ........ �...... .................. Location •.4M..PQpponesqet..FQad................. Cotuit ............................................................................... OwnerQliw.. ghi;........................................ Type of Construction� ...........Frame.................... ........... .............................................. ............................. Plot ..,Z....................... Lot ................................ Permit Granted ..... ..... ..?..Au4ilst...21......1984 ............ .... Date of Inspection,.....................................19 Date Completed t...... .8%. .........19 Llip - r �•-� Assessor's, map and lot numbe ......... ........ . ..... ..._.. O _ a 'D 6 F T f THE Sewage Permit number ��>�� �� Q J. Z MAR338TABLE, • House number 163q. \0� TOWN OV- BARNSTABLE . BUILDING INSPECTOR APPLICATION FOR PERMIT TO ..................:......1 .U/�..�...:. !>..c K........:............ TYPE OF CONSTRUCTION ...................�d:f�.!�............................................................................... _ . AUG S% a-0 ............. ... TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: (. 63 f Location .......................................................... ...�/QQ•/l/��S�S.r='T ..2.... U..TU.................................................. • ProposedUse .................................. ...................................... ............................................................................................ Zoning District ..................................................................... ...Fire District ............................................ Name of Owner O,L ivc /`�iV/6 & G / a PPO ti E�f�T�J/ CC)To T ...............................................................Address ...................../..............................................`.............. Name of Builder ......... �CN{3iL.A... !!c-F..4.! ..........Addresso? ... :..(.5+!A•�NSiFi!r�E �NTc6i2/..i«.c$6.... ...........:Address _ _ Name of Architect .................... ./�!�/;;.,............... ..................................................................:................. Number. of Rooms ...............................!....Foundation Exieiior .........:..:..`..............p............:..............:.........................Roofing ..................................: ....... ......... r Floors ..................................Interior ........................ Heating .............. ......:..:.................... ...Plumbing .....................:............................................................ Fireplace Approximate. Cost............................................................ .............................................. ..... .... r + 4 • Definitive Plan Approved ,by Planning Board _______________________________19_______. Area ........../..P ................... oa Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF, BOARD OF HEALTH 26 G0G 5. N OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree, to,conform to all the Rules and Regulations of the Town of arnstable regarding the above construction. l Name_ ... . . ...... ..... ................................. Construction Sqp rvisor s License ...................................i `.. KNIGHT, OLIVE A=6-22 No .... Permit for .�Addition..Of........... deck to, single fan-d-ly dwelling ...................... Locatio ........... cotuit ............................................................................... Owner ........QUYQ.A�91:!t............................... Type of Construction. ...........Frame............................... ................................................................................ Plot ............................ Lot ................................ Permit Granted .... ...........A14gus ...19 84 . 'Date of Inspection ....................................19 Date Completed ......................................19 Er % 4'f OF THE.j Town of Barnstable *Permit0�5 �P� Expires rtlis from iss�re dateH � � Regulatory Services Fee— � Y Y BARNSTABLE, Thomas F. Geiler,llirector „ 4{,a I i% I Building Division tp MPS p � R Tom Perry,CBO, Building CommissioiWr gyp, 0-C T 0 2008 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us T L� Fax: 508-790-6230 ID ice: ' 8= �5'i� EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Numbcr_ � � �- Property Address - "t ems_- � c I (i[t� Iva l/i cJ✓ [Al sidential Value of Work� Minimum fee of$25.00 for.work under$6000.00 Owner's Name & Address - a f /l' 9 __ 11m 2=plk a� Contractor's Name. �SC�� _— /�C � C� Telephone Number --- Iiomc Improvement Contractor License 1t (if applicable)__ Construction Supervisor's License it(if applicable) �orkman's.Compensation Insurance Check one: �I am a sole proprietor l am the.Homeowner ❑ 1 have Worker's Compensation Insurance Insurance Company Name-- - �T Workman's Comp. Policy Copy of Insurance Compliance_Certificate must be on file. Pcrmit Requcst (check box) c-roof(stripping old shingles) All construction debris will be taken to ❑ Re-roof(not stripping. Going over existing layers of roof) . ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum .44) *Where required issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the dome Improvement Contractors License is required, . SIGNA'f`UIZE: a"(W-7 A Q.^WPIILIiS'DORMS`buildingpennitfonnsTXPRESS.doc t Revised 100608 The Commonwealth of Ma-Esachusett5 Departirtunt of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gav/dire Workers' Compensation Insurance Affidavit: Builders/Contractors/EIectricians/P7ambers Applicant Information ease Print Le 'bI Name (BusintsdoT nga i-afionflndividual): Ci /State/Zi Phone.#: tS' P Ara you an employer? Check the appropriate box: Type oCC f project(required}: 1.❑ I am a employer with 4_ [] I am a general contractor and I 6. []New constxtmtion employees(fun and/or part-timL).* have hired the sub-confractors 2-gram a"sole proprietor or partner- listed on thr, attached sheet 7. ❑Remodeling ship andhaveno employees T r-se sub--onizactors have g, Demolition employees and have workers' Working far mein.my capacity. 9. ❑Building addition [No workers` comp,mrcuansc comp-insuranmt 5. [] Wr,arc a corporation and its 10.[]-Electrical repairs or additi- rbqa rt1] officers have exercised their 11.❑Plumbing repairs or additi 3.❑ I am a homeowner doing all work myself [No workers' comp_ right of exemption per MCL 12 f repairs Tnnce r t c_152, §1(4), and we have no employee's. [No workers' 1 Other comp,ins rancc required] *Any applicant that chmke box#1 rmut also 5U out the section blow sbowing their worker'co t?em policy infmtnation t H000Ieowocsc who cubroh this afdxvit Mcaiing fbcy arc doing all work and thrn hire outside mnt mtom must:rubmat anew affidavit indicafmg such tContcactnrs thatcbmt this box must attached an additional shot showing the name of the subcanfraLtnrs and slate whetlia or not thosb cntitirs have cmployccs. If the sub-roniractm-s gave cr�loyccs,they must pro A thcu workr�'camp.po5cy nombcr_ l am an employer That fs pravfding workers'compensation insurance for my employees Below is the policy and job site . lnformadon. - .. Inmaianc:Company Name: Policy#or Self-ins.Lic.#: 7` Expiration Datc: Job Site Address: City/Stafdzip: Attach a copy of theworkers' compensation policy declaration page(showing the policy number and erpiration da Failure to secure covcrmge as requkcA under Section 25A of MGL c. 152 can lead to the ivposition of criminal pcnalhcs c fine rip to S 1,500.00 and/or onn-year m:jpnsonmcnt, as wen as civil penalties in the form of a.STOP WORK ORDER and of up to S250.00 a day against the violator. Be advised that a capy of this statcm> it may be forwarded to the Office of Investigations of the DIA for ins-uranee covcra e verification. I do hereby fy pains and penalties of perjury that the information provided above is true and correcL Si c: 1 Datt: U " Phone# O use.only. Do not write in this area, tb be completed by city or town official City or Town- Permit/License# lss dagAuthority(circle one): 1.B•oard of Health 2.Building Department 3. City/Towm Clerk 4.Electrical Inspector S.Plnrnhing Inspec#at 6. Other '1 d Standards 19 0 Board of Building Regula ons an One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Home Improvement Contractor Registration Registration: 134313 Type. DBA Expiration: 10/24/20 Tr# 2SM7 DAVID SAWYER CONSTRUCTION DAVID SAWYER 318 MEIGGS BACKUS RD: SANDWICH, MA 02563 __.__._.�... ...-- Update Address and return card.Mark reason for change. (—� Address " Renewal Ej.Employment Lost Card IS-CA1 8 50M-05ae-aceae0 ist�.achu,utl��l:t'IYuttr►rlllW l' E%ethli� ►I'VI: _ 9 :_ � r;n;t�•c! cal' Ey�ciltlin�� Etc�ul:ttinn� a�rtt �tattcl:It'tl•. l.icerrse: CS 51 98659 F?e5tnrlecl to: RF,VVS DAVID SAWYER 318 MEIGGS BACKUS ROAD SANDWICH, MA 02563 112712011 • _ �r:: 98859. Restricted to. RF,WS IA- Masonry only RIF- Roof Covering WS-Windows,and Siding SF- .Solid Fuel Burning Devices DM-Demolition only Fmtiaura;�{vv�.rnas,�a.cvre•rv�rrt.cutLYi�.v•v.�hk� Massachusetts State Building Code it cause for revocation of this license. Refer to: WWW.Mass.Gov/DPS David Sawyer Construction 318 Meiggs Backus Road :- Sandwich, MA 02563 508-539-1992 Date - Proposal Submitted To Work Place �UJrM STRIP AND REMOVE OLD ROOF SHINGLES. y SUPPLY AND INSTALL: COLOR: �? ka 4o,(v&fd S)ate. 4100 Pjww�_ US _ r P/L/y :1-cle-_ W0_4A� 60vi-br 6�q a�0'. 01�a vaj-b( Cat c jam` Q 1 V' CLEAN&REMOVE AL - DEBRIS FROM WORKPLACE AFTER JOB IS COMPLETED. ALL DEBRIS TO LANDFILL. TOTAL INVESTMENT FOR MATERIAL& LABOR:$ All materials guaranteed to be as specified,and work to be performed in the accordance with the specifications submitted for the above work and compl9ted in a substantial workmanlike manner. Payments to be made as follows ' -Qj 6 - Any alteration or deviation from th work specifications involving extra costs wil a executed only upon written order,and will become an extra charge over and above the estimate. All agreements contingent upon strikes,accidents or delays beyond our control.Please remove and/or secure any fragile household items. Not responsible for broken or damage household items. Five-Year LABOR WARRANTY/PLUS MANUFACTURES SHINGLE WARRANJY. We m y wi hdr w this proposal if not accepted within 30 days. Respectfully submitted V. /� ACCEPTANCE OF PROPOSAL The above prices, specifications and conditions are satisfactory and are hereby accepted. You are authorized to do the work as specified. Payments will be made as outlined above. DateV 0 Signatur� 0A 'A &A-&aluj �Ed M David Sawyer Construction Sandwichl MA 02563 508-539-1992 Town of Barnstable Sally I give permission to my wife Donna f Sawyer to run and/or complete my paperwork for my permits. if you have any questions or need anything additional please let me know. ' 1 Th �. you id Sawyer, ons ction . I TOWN OF BARNSTABLE.BUILDING PERMIT APPLICATION 4 q3 .�U� Parcel �D�D `� 2� `'' Map :. Application # Health Division �. Date Issued 3 d Conservation Division Application Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board O Historic OKH Preservation/Hyannis Project Street Address 1193 PLff k ( Village y Owner�Cnet Address Telephone �U ` Z - y / ' - g0 - Z L/ D 4- Permit Request rV✓b f' �►'1.�Y' �t C Ct-AJ u L Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new a Zoning District Flood Plain Groundwater Overlay Project Valuation 4220120 Construction Type _T_11h F 1Z Lot Size 2 0015 b Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family;)d :Two Family ❑ Multi-Family(# units) Age of Existing Structure 2 a" Historic House: ❑Yes to On Old King's Highway: ❑Yes WNo Basement Type: )4 Full ❑Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms:, existing -onew d Total Room Count (not including baths): existing new First Floor Room ount Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑ Other -X Central Air: 34Yes ❑ No Fireplaces: Existing ) New Existing wood/co- I stove Yes ❑ No ' co Detached garage�g ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ ting knew-f'size Attached garage:)l existing ❑ new size _Shed:4 existing ❑ new size _ Other: Co. : - ; -" cn CO Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name- 110na-0 -i Nnoctry_\Mie (%V?e- Telephone Number Address Pv00Y)eS5--r_4- License# ,rfi�l� • ►`'`�- �) '�� Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE AM DATE U�� >ti FOR OFFICIAL USE ONLY F, APPLICATION.# r DATE ISSUED MAP/PARCEL NO. - F - 1 • ADDRESS VILLAGE OWNER F _ DATE OF INSPECTION: f FOUNDATION FRAME INSULATION . FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f G d s (3. .l fLE L--Ufrurl u/1lYGu-J-� - Department of lndustriar 4ceidents Office of Lgvestigations 600 Washington Street Boston, JMA 02111 www.mass.gov/dia Workers' CompeusationTnsuranceAffdavi.t: Builders/Contractors/EIectr cians/-P.Iumbers A licant Inforirtatioxl Please PrintLe�ibly — r Nam i(Business/Qrganizatida/Individu?1): �� fiiA r ��-Z:7 - - Addr-ess: rz � " G City_/State/Zip: C�� f ®a� �/ Phone.#: Are y u an etaployer7 Check the appropriatE box: Type of pXoject(required): 1.❑ I am a employerg m with KtM etal contractor and I 6. ❑Ncw construction employees (full and/or part-time).* have hired the ftib-contractors 2_❑ I am a sole proprietor or partncr- listed on the attached shcpt. 7. ❑ R.cmodeling These sub contractors have g, Demolition ship and have nfl eruployecs employees and have workers' working for me in any capacity. $ 9. ❑ Building, addition • . [No workers' cUmp.-inSrTrancc camp.insurance. 5. F] We arc a corporation and its 10.❑Electrical repairs or additions. . ---� -r �]� offfccrs,'havc cxcrciscd their 11.❑Plumbing rcpaira or additions �3, -Ima h- r.r a " on=wn doing all work t myself: [No workers' comp. right of exemption per MGL 12 Roof repairs incnrancc rc t c..152, §1(4), and we hayt no .. . . j 13.❑ Other employees. [No workers' a comp.insuranct rcquircd.] '`Iwy applicant that cbcclh box#1 must also 59 out ffic sccbon below showing thcu workax'coiup=SfLEDn Po}cy information. t Homeowners who submit Chia affidavit indicating they am doing all work and then hire outside contract i-5 must rubrmt anew affidavit indicating such. . tccmhactors that cbccktlL box must attached an additional ahcot tbD-WMg the name of the sub-contraltos and ttalc wbothcr arnot thosd mtNcs have eatployecs. if the sub-eontractorg have=Tiployccs,they must provi dC fficir vorkcrr'comp.policy n=bcr. I arrz rug employer that is providing workers' compFnsalwn insurance for my empLuyees. HP-Low is the policy and job site ' information- . Iamu-ante Company NRTn Policy#or Sc1f--ins. Lic. #: Expiration Datc: Job Site Address: City/Statclap: Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failuro to secure coverage as required tinder Section 25A of MGL c. 152 can lead tin the imposition of criminal penalties of a Era-,tip to $1,500.00 and/or one-year impnsonmcnt, as well as ci`,il penalties in the form of a STOP WORK ORDER and a free of up to$250.00 a day against the violator. Bc advised that a copy-of this statement may be forwarded to the Office of InvcSti ations of the DIA for insurance coves c verification. I do hereby cerfT under the pains•and pCnaXes of perjury,th.al the information provided above is true and correct Si atuzc:., Phonc#. Ofjzct use only. Do not write in this area, to be completed by city or town officiaL City or Town: Permit/Licewt# Issuing Authority(circle one): I. Board of Health 2.Building Department 3. City/Towu Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Massachusetts Gcncral 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 "aa individual,partnership, association, corporation or other legal entity,,or any two or more Of the foregoing engaged in a joint cntcrprisc, and including the IcgaI representatives of a dcccascd employer, or the receiver or trustee of anindividual,partnership, association or other Icgal entity, employing employccs. HOWr' the or the occupant of the owner of a dweUing house having not more than three apartments and who resides therein, 3wc1ling house of another who employs persons to do maintenance, construction or repair work on such dwelling house Dr on thr grounds or building appurtenant thereto shall not because of such employment be dsemed to be an employer." chapter I52, § C(� v 25 also states that"eery state or local licensing agency shall withhold the issuance or v1GL enewal 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. �dditiona]ly,MGL ohapter 152, §Z5C() states `Neither the commonwealth nor any of its poliJital subdivisions shall Inter into any contract for.the performance of public work until.acceptable cvidcace of complizhcr tA itti the im -fie cquir,mcnts of this chapter have bccn presnted to the contracting authority. e ,pplicants Iease fill out the workers' compensation affidavit complctLly, by checking the boxes that apply to.your situation and, i.f Dc supply siib-contractors)name(s), address(cs) and phone numbcr(s) along with their certificates)of our-ancc. Limited Liability Companics(LLC) or Limited Liability Partocrships (LI2)with no employees other than th members or partncis, arc not required to carry workers' cO Dpensafion insurance. If an LLC or L.I P d-ocs have tmcnt of Industrial nployccs, a policy is required. $c advised that ttris a.Ihdavit may be submitted to the Dcpal ccidcats for confnmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should returned to the city or town that the application for the pcarit or liccnsc is bring requested, not tho Department of Austrial Accidents. Should you have any questions regarding the law or if you are zrz tired to obtain a workers' ,ropensa.tion policy,please call the Department at the nunThcr listed below. Self-insured companies should enter tbcir i�nsurancn liccnsc number on the appropriate line. ity or Tom Officials case be sure that the affidavit is complete and printed Icgibly. The D cpartoacnt has provided a space at the bottom ffic affidavit for you to fill out in the event the Office of Inv estigations has to contact you regarding the applicant caso be sure to fill in the permiVEccnse number which will be usai as a refcrcnce number. In addition, an applicant it rnust submit nmItiplc permit(license applications in any given year, nocd only submit onp affidavit indicating euzrent - licy information(ifnc---=ary) and under`Job Site Address" the applicant should write"all locations is (city or vn)."A copy of the aff davit that has bccn officially stamped or marked by the city or town may be provided to the plicant as proof that a valid affidavit is on file for fufurc'permits or licenses. A new affidavit,must be filled out each ar.,iNharo a home owner or citizen is obt 3inin_g a license or permit not related fo any business or con=mercial venture a dog liccnsc or porrnit to bum Icavcs etc.) said persozi is NOT required to complctt this affidavit c Office of lnvcstigatiow would hkc to thank you in advance for your cooperation and should you have any questions, ase do not hcsita.te to give us a call Dcparhucnt's address, tr1cphonc•and fax number. Tha C6rnmonw(-,al.th of Ma.s-,,AGhust<tts Dcpul --at of Iucluszial Accidents Office of Investigatio-as 600,washin n Street Boston., MA 02111 Tel. # 617-727-4900 ext'4.06 ar 1-V7-MASSAFB Fax # 617-727-7744 11-22-06 www.mas,.gov/dia Town of Barnstable yp4 THE Tq�� Regulatory Services Thomas F. Geiler,Director aARNsrwat.e, .v MASS. i63q. �m Building Division Tom Perry,Building Commissioner . 200 Main Street, Hyannis, MA 02601 www.town.b 2rnsia bl e.ma.us Office: 508-862-4038 Fax: 5.08-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: �fo _ 0 JOB LOCATION: IF' G SS It n �� street. �/� village u nAt- —y C "HOMEOWNER � K .& �Uz2e-,q4 /u T- W17 �-711 name " home phone # work phone# CURRENT MAILING ADDRESS: city/town state zip code The.current exemption for"homeowners"was extended to include owner-occuViied 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 c Person(s) who owns a parcel of land on'which he/she resides or intends to reside, on wmch 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 n ore 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. a 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 e er 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 perfomung work for which a building permit is required shall be exempt from the provisions of this section(Section log.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 ai-e 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 ensu re that the homeowner is fully awarc 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 c p arc t amend and adopt such a fdrm/certification for use in your community. oFTHEro Town of Barnstable Regulatory Services uxxs•S& Thomas F. Geiler,Director 19.v$ `�$ °rFDJ4,,,�a Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must . Complete and Sign. This Section If Using A Builder as Owner ofthe subject property hereby authorize to act on my behalf, in all.matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. I , Matthew H. Banville, P.E. 77 Academy Street,Braintree,MA 02184 Phone: (781)413-4548 E-mail:mbanville@beld.net p March 14,2009 Town of Barnstable Building Division 200 Main Street Hyannis,MA 02601 Re: Proposed Entrance Canopy 663 Poponessett Road Cotuit,MA This letter is to confirm that the attached plans for the above referenced entrance canopy addition have been designed to meet the wind load requirements of 780 CMR Massachusetts State Building Code - Single and Two Family Dwellings (the Code). Per section 53.00 of the Code,the following load criterion was utilized: Wind Load: 120mph wind speed(per 780 CMR Table 5301.2(4)) Components and cladding design pressure = ±31 psf(per table 5301.2(2), increased for Exposure C per Table 5301.2(3)) Main windforce resisting system=±27 psf(per ASCE7-02) Snow Load: Ground snow load 35 psf(per 780 CMR Table 5301.2(5)) I hope this information suits your needs at this time. Should you need additional information,please do not hesitate to contact me. Regards, f c Matthew H.Banville,P.E. MA Registration No.41801 i r , 'Plan ®f "'Land 'In BARNSTABLE 93arrista&lamCounty, ass. 5 • SCALE: 1= 50 FEB. Z.5V 1SP86 PAUL J. KNIGHT, SURVEYOR WE�YMOUTH, MASS. �l•�' � �°t�i;P t�'i{.,��6�� 4w•r�:t,{�' 8 �.�"��S�jka '� �1 M1i <<a '`r � A. .°�� - €: ' •s t A'�':t d''� ' ,w � �,�c;'(�f+, ~� U 4���.��� '�'�-�7 c'.,b` ?d ` ._ t r .�,_r{�,_^`� 7�- r17,,s?i n`i�• \, pF ®S 1P �ffi• r S.B.' 14? 59 5® W Y 107. 35 ' P-7 A rr 4 HOU t—� r KARI ADAKAS `NI N ' 18. 4 Ul 19.s;0 %9 j60 _ - N is° 01 3Oe�E P,®P ON S. B. F( O.A � ` � ��"lG �' c• ,'� 9 F r t�1�'Y�.',��. r� }at a a sv S'. e r c ( 't .� 0WN i—= R:0LlV E J. KN I-GH T 663 POPQN ES 5Err-r RD . CO`rU I T� MASS. 1711 I — ' v 0� p NEW FRONT ENTRANCE CANOPY o ZQ U) co MS. ANNAMARIE STEWART 663 POPONESSETT ROAD ca COTUIT, MASSACHUSETTS U Y LO H 2 H t o w m cr NOTES: n TABLE OF CONTENTS: m N 2 1 . ALL CONSTRUCTION SHALL CONFORM WITH THE MASSACHUSETTS STATE t Q BUILDING CODE (ONE AND TWO FAMILY DWELLING CODE), 7TH EDITION. a co w 2. CONSTRUCTION SHALL COMPLY WITH THE AMERICAN FOREST AND PAPER SHEET TITLE N o ASSOCIATION (AF&PA) WOOD FRAME CONSTRUCTION MANUAL. A-0 TITLE SHEET 3. SCHEDULE FOR METAL PLATE WOOD CONNECTORS (ALL CONNECTORS A-1 PLANS & DETAILS SPECIFIED ARE AS MANUFACTURED BY SIMPSON STRONG-TIE, A-2 ELEVATIONS F— PLEASANTON, CA): W 3.1 . 4x4 POST BASES: ABA44 tl A-3 SECTIONS & DETAILS W 3.2. 4X4 POST TO (2) 2x8 BEAM: BCS2-2/4 OR (2) LPC4Z f . 3.3. (2) 2x8 BEAM TO BUILDING: LUS26-2 ' 3A. 2x6 RAFTERS TO BEAMS: H2.5A J 3.5. CEILING JOISTS TO BEAMS: LSSU210 OR (2) LS30 4. ALL NAILING AND FASTENING SHALL BE IN ACCORDANCE WITH THE MSBC + AND THE WFCM. NAILING AND FASTENING FOR METAL PLATE WOOD ~ CONNECTORS SHALL BE AS PRESCRIBED BY THE MANUFACTURER TO ATTAIN THE HIGHEST AVAILABLE CAPACITY IN THE MEMBER. 5. LUMBER PROPERTIES: PREPARED BY: 0 o 5.1 . ALL PRESSURE TREATED LUMBER SHALL BE SOUTHERN YELLOW PINE Q (SYP), NO. 2 OR BETTER. PRESSURE TREATMENT SHALL BE AS jr W � U) REQUIRED FOR GROUND CONTACT. MATTHEW H. BANVILLE P.E. p I 77 ACADEMY STREET U) Lu v 5.2. ALL STANDARD DIMENSIONAL LUMBER SHALL BE SPRUCE PINE FIR LiJ Q (SPF), NO,2 OR BETTER. BRAINTREE, MA °c"®FNq,��, w U F- o6lfiP.TTF EW d �BANVILLE C.) STRUCTURAL Q O �- No.4 801 _31 a ~ ~O C/) U vT r • FACE OF EXISTING BUILDING FACE OF EXISTING BUILDING ' N � � N z � _ L U) ca EXISTING MASONRY o LANDING SLOPE SLOPE N O U m oC Y co < U 4x4 PT POST SET 1 "' ON SST ABA44 NEW ASPHALT ROOF C VER ICE AND WATER SHIELD Lij = z POST BASE _ A-1 UNDERLAYMENT. SHIN LES TO MATCH COLOR o w AND PROFILE OF EXIS ING ROOF SHINGLES m 1 � 3 DN \ o F- r U m o N = r � w J m z 8, 6'-8„ 8„ Q N J _ U) 0 LL 8'-0" ROOF PLAN STAIR LANDING PLAN INSTALL BLOCKING AND/OR POSTS AS Q NEEDED TO SUPPORT THE (2) 2x8 BEAM REACTION (TWO LOCATIONS) Q Q / /AA� I �IG w o / v z Y2 QUARTER ROUND —= — — — — — =— z Q 3/4" PLY. PANEL � U)z N 1 x3 TRIM BOARD z (2) 2x8 BEAM PT 2x4 TYP FOR 2 BLOCKING _ - - - _ - - - - __ p w U) rn U-) N U Q 2x8 RIDGE w z p 111 w cn U)cr U 2x4 COLLAR TIE x w U) Q N PT 4x4 POST AT EACH RAFTER ���9OF�q��9 Z Q 02 — — —— — — — — — BAfV�/ILLE O 1 POST DETAIL - - - - STRUCIUR& -� a No. 18 F-- o ~o A-1 SCALE: 1Yz`' _ l'-O" ROOF FRAMING PLAN C� o CV o (h z_ Q °' N L U B U) A-3 rn m o = o N 2 >- C U m A-3 12 < C) 8 LO } LU m _ z z w o � � m 3: c w o N m o cm = r � W A m z Q U)A-3LU J U) o O U)Q Z U O A-1 A-1 W ~ Z W � J f-- W Z LLJ EXISTING STAIR LANDING U0 U) Z I � Wirw MHEW c BANdILLE Q a0 H STRUCTURAL y a- D No 418 1 W c� F- FRONT ELEVATION SIDE ELEVATION o �, o F r 2x8 RIDGE , 5/9" CDX PLYWOOD g AAP.TTFiE1A0 , 2x10- CEILING t g BA1dVILLE JOISTS 16" o.c. 2x6 RAFTERS 0 16" o.c. � M a 5/a CDX PLYWOOD 2x10 CEILING JOISTS .4 ALIGN WITH RAFTERS / z Q s 2x4 COLLAR TIES 12 a� 16" o.c. SECURELY FASTEN cn cn 8 BED MOULD TRIM FIRST RAFTER AND 2x6 SOFFIT (2) 2x8 BEAM CEILING JOIST TO m HOUSE STUDS o = SUPPORT ® 16 o.c. o 2x8 RIDGE = m N 4'-3" 1 x6 FASCIA (2) 2x8 BEAM Q v Y2"x2" BEADBOARD � � 3/4" SOFFIT � � BED MOLD TRIM 4x4 PT POST co cr- 1x6 FASCIA 1'-2'' 6'-8" 1'-2" F 2x6 SOFFIT SUPPORT as z 0 DRIP CAP MOLDING i m cc 2 —5Y2 AT BEADBOARD Q C SECTION ALONG BEAM o o Y2" PLYWOOD SOFFITJ w A-3 SCALE:Y2" = V-0" 0 can Z ca A TRANSVERSE SECTION r ui m a A-3 SCALE:%" = 1'-0" PT 4x4 POST v w w 2 2x8 BEAM o FL( ) 3/4" SOFFIT 1x6 TRIMCL J CDX PLYWOOD O Q H 2x6 RAFTERS ® 16" o.c. :N 1x10 TRIM Q wQ 2x10 CEILING JOISTS u') U 06 ALIGN WITH RAFTERS Lu U cn BED MOULD TRIM SECURELY FASTEN PT 2x4 BLOCKING Q 0 FIRST RAFTER AND � E— CEILING JOIST .TO 3/a" PLYWOOD PANEL Z W HOUSE STUDS 2y2" w w 2x8 RIDGE Y2 QUARTER ROUND FASCIA 1x10 TRIM . w BASE CAP MOLDING U C] z0W w c�r U 9y2.. 1 x10 TRIM w 2 2x4 COLALR TIES rn U w U) < Y2%2" BEADBOARD ' �• w 11" cn J1/2"0 THREADED ROD SET Cr d 2 INTO MASONRY LANDING WITH Q p F— B SECTION ALONG RIDGE ACRYLIC ANCHOR ADHESIVE WEL D co A-3 SCALE.-Y" = V-0" POST ELEVATION SCALE: 1" = V-0"