Loading...
HomeMy WebLinkAbout0010 PUTNAM AVENUE �� j III l' 1 III Y li ri 'i ��� i (� �' -Pc,-p 0 1-3 CA-Ak Town of Barnstable Building �7 , . 4 ena��n. Post.This Card So Thatit isVisibleFrom the Street ;Approved'�Ians�Must�be�Retamd on Job.ani!this Card Must be Kept rasa Posted Untit>FinaLlnspection"Has Been Made. _t Pernllt 1 111 1 ,p Where.a Certificate of,Occupancy is Required;such Building shall Not' a Occupied,until`a Final Inspection has been made. Permit No. B-19-2455 Applicant Name: Henry Cassidy Approvals Date Issued: 03/27/2020 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 09/27/2020 Foundation: Location: 10 PUTNAM AVENUE,COTUIT Map/Lot: 036-033 Zoning District: RF Sheathing- Owner on Record: 10 PUTNAM AVE LLC Contractor Na ne'�HENRY E CASSIDY Framing: 1 1.Address: 35 BRAINTREE HILL PARK STE 404 Contractor License CS' 00988 2 BRAINTREE, MA 02184 Est. Project Cost: $8,200.00 Chimney: Description: Insulation/Weatherization j Permit Fee: $91.82 Insulation: Project Review Req: ( Fee Paid $91.82 Final: Date- ;� 3/27/2020 �C/ Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within six months afterissuance. All work authorized by this permit shall conform to the approved application and the-approved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and st!uctures shall be in compliance with the local zoning by-laws and codes. " This permit shall be.displayed in a location clearly visible from access street or road and shall be maintained open for,public inspection for the entire duration of the Final Gas work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum.of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing ,. Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Town of Barnstable BU11Clln PostTbis Gard So Thatrt.is V�sibleFrom;,the,:Street :A rovetl-PlansMust be,Reta�ned on;lob and this,Cartl Mustbe Ke t 9 �„��.,„, �.... �'-'k � :�'�`� `'.r� � pp �f � a. ,", `°$�' r;� z x :'�. z P §'. • nrnsaI?os4619. tec!Until`.Final Inspection HasBeen Made -,.„ y r here--aGertificate'of Occuelanev--%�s=Re uirecl�.suehBurldm shall Not.•:bQ�Occ red until a Final Irtis' ect�onkhas been made, Permit ijll 1. wa„o= Permit NO. B-18-2650 Applicant Name: ART DOLGOFF BUILDING &REMODELING INC Approvals Date Issued: 08/14/2018 Current Use: Structure Permit Type: Building-Misc Expiration Date: 02/14/2019 Foundation: Location: 10 PUTNAM AVENUE,COTUIT Map/Lot 036-033 Zoning District: RF Sheathing: Owner on Record: HALLEMEIER, PETER F # Contractor Name ART DOLGOFF BUILDING & Framing: 1 ` REMODELING INC 2 Address: 12 THE GLADE .. 104499 SIMSBURY,CT 06070 Contractor License c Chimney: Esti Project Cost: $0.00 Description: recreated from munis permit 200708163 renovatio'-*,,,resstoration , addition repairs remove part of house. Remove part of house Permit Fee: $0.00 Insulation: adding a garage(1floor) making master bath from es sting Final: b v Fe'e Paid: $0.00 1 bedroom. New music room. r 4 Date 8/14/2018 Pro ect Review Re °� �' z Plumbing/Gas q 1 Rough Plumbing: s Building Official ` Final Plumbing: Rough Gas: i'. „ ,. - Final Gas: R � " "�, r# This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the.approved construction documents,for which this permit has been granted. Electrical All construction,alterations and changes of use of any building and structures'�shall be m compUance with the local zoning by laws and codes. This permit shall be displayed in a location clearly visible from access street or�road amend shall be maintained openor public pection for the entire duration of the Service: work until the completion of the same. Rough: The Certificate of Occupancy will not be issued until all applicable si natures b the B p y pp g y � ding and Fire Officials are provided on this permit. • Minimum of Five Call Inspections Required for All Construction Work: Final: 1.Foundation or Footing Low Voltage Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Final: 5.Prior to Covering Structural Members(Frame Inspection) ` Health 6.Insulation 7.Final Inspection before Occupancy Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Fire Department Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Town ofx Barnstable Buildin e 'PostThis Card So Thatit,is-,1/isible From=the5treet=A roved Planst:Must beRetained on Job;and this:Card Must beyKe t + 8A1W13tA8LE. 6 'Posted UtilFinal,InspectionSHaBeenMade " y R £Where a Cert�fieate of Occu ancisRe u�red'suchnBu�ldin ;shall No#bgOccu red u'nt�la-Final,lns ect�oa,has beenymade Permit n Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT r � 3 � K � X� �, •r g In 'A y 31 Joseph Lento �� � N 1 a z "NOT YOUR AVERAGE JOE" of � CD N t 508.237.7525 i Uj Q josephlento®kw.com H UaZ} ' S 1600 Falmouth Road Suite 2 W Centerville,MA 02632 J YEach Office is Independently Owned and Operated i r * TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Map O 3 C Parcel 0 .Application#a6o76 Health Division Date Issued t Conservation Division L ' Application Fee Tax Collector Permit Fee - Treasurer ' Planning Dept. IG Date Definitive Plan Approved by Planning Board Q Historic-OKH Preservation/Hyannis Project Street Address /D Village C= ' Owner -t f7�,��i: Address /G Telephone O X d az -e-, k G Permit Request Aiidzat Square feet: 1st floor:existing�2 :/ proposed z . 2nd floor:existing I G proposed 0 Total new 3 y Zoning District Flood Plain Groundwater Overlay Project Valuation /o a or, Construction Type Lot Size 7 Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 21 Two Family ❑ Multi-Family(#units) Age of Existing Structure / 7`.3.3 ? Historic House: XYes ❑No On Old King's Highway: 4Yes ❑No Basement Type: ❑Full V Crawl ❑.Walkout VOther CA Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new / Half:existing 0 new / Number of Bedrooms: existing .new Total Room Count(not including baths):existing new 0' First Floor Room Count Co Heat Type and Fuel: VGas ❑Oil ❑Electric ❑Other Central Air: ❑Yes XNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing )�new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION "n Name C/ Telephone Number ir'/ ` Address / ,% t/� f License# �� ( 76 �'`�✓�� 'r Home Improvement Contractor#10 Worker's Compensation#jy/G,`l 31S 317 34',9- a307 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE ' FOR OFFICIAL USE ONLY APPLICATION# c:*)J 7 6 k1 6-3 l0 , DATE ISSUED MAP/PARCEL NO. t ADDRESS VILLAGE +w OWNER .DATE OF INSPECTION: x FOUNDATION �� o .� FRAME 6 ®g R F'• INSULATION � ®p `'/ /?lye op e ah 1 FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING a DATE CLOSED OUT x ASSOCIATION PLAN NO. 1 of r Town of Barnstable Regulatory Services- '"M,,�s I'E' Thomas F.Geller,Director 4% Building Division _ Thomas Perry, CBO,Building Commissioner , 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fa--: 508-790-6230 PLAN REVIEW Owner: 111q1-.G25Wt--t Map/Parcel: ®�6 02 Project Address/O 61e Builder: 6-0 Fic The following items were noted on reviewing: { G l INIr /Ur7GW/RIA- >e�4�u//ZE� . 01U ffGL Co c B I� �° B � RJR G ( 02 Reviewed by.-' Date: /—D-3_b J? Q:Forms:Plnrvw r ' TU Commonwealth ofMassachusetts .Department offndustrial accidents O,j7ce of Investigations 600 Washington Street ' Boston,M14 OZXII' ' wtvw.massgov/din ' Workers''Compensation Insurance A.ffdavit:Builders/Contractors/BlectricimuTlumbers Applicant Information Please Print LeslY Name(Business/Ocganization/Individuai): h—r G/. G O/5t ?N 2//24 / `1cf7��/l�fr Address: / 9 /le G01^1171 City/Stddzip: /1-/'/3���7�.�/lA Phone.#: ��S �G�2 1/ ZQ Are you an employer?Check the appropriate box. :Type of project(required)•, I.El I an a employer with 4. ❑ I a a a general contractor and I 6. ❑Now construction . employees(full avdlorpait tmue).*• have hired the sub-contractors 20 I am a'sole proprietor or partner- on the-attached sheet. 7• Remodeling ship and have no employees These sub-contractore have g• ppemomion' employe4 and have workers' wortdng for me in say capacity. #. 9. `�Building addition [No workers'comp.insurance �'iusttrancs. f 0,[]Blectdcal repairs or additions required.] 5. [] We are a corporation and its , '3.❑.I anti a homeowner doing a -work . officers have exercised their 11.[]Plumbing repairs or additions myself LNo ,comy• right df exemption per MUL 12.[]Roof repairs izrsu rxat e. d]t c. 152,§1(4),and we have no 13.❑Other ' employees.INa workers' • comp.inm rtance required.] ' *Any applicant flhat clhrmlcs bax#i-rmhst also fill ant the section below showing ffudi workers'compensation policy in oo. t Mm=vnes.who submit this affidavit indicating They am doing all work and than hire outside contractors must submit anew affidavit indicating bvch. tconumtora the d=k this box matt attached an additl'onal sheet showing the name of the sub-contractors and state whether-not t mtifles have =M10 wx, g h„sub-conh=bxs have employees,l heyraust provide their workers'comp polidy mmaber. I a an employer fhat isproviding workers'compensation insurance for my employees Below islhepolity and job site nt information. Insurance Company Nerve: Policy#or self-ins.Lie.m LLBC v`� � -3 f S ` 31 73 6 6-0 7 G 1 Expiridim Date: � O � ' C 7 rob Site Address• ' /oac� "-�• ��✓� Gam'/SfiateJZiP: � r. a y�_ Attach a copy of the workers'compensation policy declarafion page•(showing the policy number and expiration date). Failure,to secure coverage as required under Section 25A of MGL e.152 can lead to the imposition of criminal penalties of a fine tfp ti$1,500.00 mWor one-year imprisonment;as well as civil penalties in.the farm of a STOP WORK.ORDER and a fine of up to$250.00 a day against tits violator. Be advised that a copy of this statement maybe forwarded to the-Office of' Investigations of the bIA for fi arawe coverage verification.--- I dohereby certify under thepains aitd penalties ofperimy that the iny`ormation provWed above,is true and correct Si tore• - Date: G O — phone#• d 3L�? // 9 Official use only. Do not write bn this area tb be completed by,city or town official City or Town:' Permialcense# Issuing Authority(circle one): rt _ts r =t a-..-.a..aTJe�tf1. �. Rir4lrlirsQ�a.,arfireeQn�. �.,t_'�fv/Tn (�Icp•o ,f_�Iertz-teal 4«� �•�r'GutuuZ�s3ISpeCt4I' t ' Town of Barnstable Regulatory Services v '$ Thomas F.Geiler,Director 'sec qua Building Division . Tom Perry, Building Commissioner 200 Main Street,Ijya=is,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 fo-Me-LnC ,as Owner of the subject property hereby authorize: + p to act on my behalf, r in all niatters relative to work authorized bytbis building permit application for. (Address of Job) 2 q 0� Signa a of OvOr Dale Print Name -••,,,,�..,nnrcvocvrrreCTnnT . 10 Putman Avenue, Cotuit National Register Building, main house constructed in 1883. Removing two rear wings, less than 75 years old, review design of two additions. Architect -Peter Pometti Peter Pometti was present to represent the applicant. He explained will be taking off two additions that was less then 75 years of age on the left side of the house. He further explained will replace with an attached garage and studio that is in more keeping with the main House. He explained also will add a screened in porch with deck above on the west side of house. Mr. Pometti stated on the main house will be ading a window above the front door and removing the door in front fagade and adding another two windows to match other windows to make a sun room. Grassetti and Jessop stated they had visited the site. Grasseitti stated concern with the removal of the door on the south east section of the house. She explained we suggested a blank wall and putting a frame around it to show there was a door at one time. Chair Clark stated she would like the windows without ` shutters on the second floor. Jessop stated he does not like the windows on the right hand side. All parties discussed the best way to balance the windows. Mr. Pomenti stated that they would eliminate the shutters. Chair Clark summarized the concerns to be the window over the door way in front elevation and prefer single window with shutters,and down stairs a window put in other than the door. Mr. Pometti stated he would discuss with his clients. He stated would eliminate the one window that was requested on left side. i • Tinl!JS:Z1R(eoIIdaae� prescriptive Paeksgea for dne mad Trro-F=4 ResI&Mtlal Balldinp"g-ted with F0=ff' 'nets • 11iA.X31KUM � MIhIIMUM Clam rji&*g Ceiling will Floor A-3= t. Slab 'Iieatiag/Coormg � eat Foam Area'('l.} U-vaine= R-vml=' ' R value' R-veiue° wau Par'.mge R val=' R-values 570I to 65D4 Heating Degree Dmys� 0.40 33 13 19 10 d NarmsI R 12% 032 30 I9 . 19 1 6 Nanssal $ 12% 0.30 3B 13 19 ID .. 13-AFUE Z' 15% 036 38 13 25 N/A N/A. Namsal 1J 15% 0.46 3S 19_ 19 l0 d Normal y M/. 0.44 31 13 23 NIA• N/A U AFUE w 15% om 30 19 19 10 6 >!S AFUE x 19% 032 33 • 13 25. N/A NIA Normal y 19%, 0.42 39 19 25 NIA NIA Nocmai y 11% . 0.42 31. 13 19 10 6 90 AFUE AA Io/. 0.50 30 19 19 Tn b 90AFt7B i, ADDRESS OF PROPERTY: 2• SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING. 4, %GLAZING AREA(#3 DIVIDED BY 42): 5. SELECT PACKAGE(Q—AA-see chart above); NOTE: OTHER MORE INVOLVED NMTHODS OF DETERMUNG ENERGY REQLUEMEIZTS ARE AVAILABLE. ASK.US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: ` N0; . q-Earns-08a303a . Boa"�o Me.ng egufaii.1 s a`in aard-s jConstruction SupervisorLicense f Lip hsse: CS .4276 - Ex tratlon 12/11/2009 Tr# 11676 MW ARTHUR L D 0 L 01,F, i ° - 19 McCORMICK DR` W BARNSTABLE, 0 026G8 Commissioner j Boai-Ii f gr,gu°(at s 5n Standardus� 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 Registration04499 One Ashburton Place Rm 1301 . Expiration 7/1.4/2008 Boston,Ma.02108 �1 r Type Pnv-? eJ)' rporation ART DOLGOFF BUILDING%REMODELING INC Arthur Dolgoff 19 McCormick Dr. � Js Not valid without signatu e W. Barnstable, MA 02668w"{ =~'` Deputy Administrator c MORTGAGE INSPECTION PLAly APPLICANT: HALLEMEIER TOWN: COTUIT ASSESSORS 036-049 193.34' PER DEED ASSESSORS 036-033 %% %% ,b yb %....,.... .....,.... b ?;;:"�" a b . ;;::�:;::;:::�::: b I _ �►arts__,�^ss�,. � • Y/ Z. ! J. cn ; 'y nQY_ ► A, &"✓ �"C�" T 193.6 PER DEED - � VENUE P UTNAM FLOOD PANEL: 250001 0018 D FLOOD -ZONE: "C" DATE MAP REVISED: 07/02/92 I HEREBY CERTIFY THAT THIS MORTGAGE INSPECTION PLAN HAS BEEN PREPARED FOR: DATE: 08 O1 0]HOLMGREN,KORETZ,SCARAN0 & MURPHY SCALE: 1" = 30' THE LOCATION OF THE DWELLING SHOWN DOES NOT FALL WITHIN A SPECIAL FLOCO HAZARD LONE. DEED REF: 21900-280 PLAN. REF: 103-59 & 15121 B PER TAPED'INSPECTION THE DWELLING APPEARS TO CONFORM TO THE LOCAL ZONING BYLAWS IN EFFECT THE STRUCTURES SHOWN ON 7:IS MORTGAGE INSPECTION PLAN ARE LOCATED BY i FE AT THE TIME OF CONSTRUCTION WITH RESPECT TO HORIZONTAL DIMENSIONAL SETBACK REOUiREMENTS ONLY. NO INSTRUMENT SURVEY WAS PERFORMED AND LOCATIONS SHOWN ARE APPROMATE. OR IS EXEMPT FROM VIOLATION ENFORCEMENT ACTION UNDER MA GENERAL LAWS CHAPTER 40A AN i1NSTRUMENT SURVEY IS NECCESARY FOR PRECISE SECTION Z.PREFERENCE DEED SUBJECT TO AND WITH THE BENEFIT OF ALL RIGHTS, RIGHTS OF WAY, AND ENCROACHMENTS; IF ANY EXIST, EI?}{ER WAY ACROSS PRICPERTY OF BUILDING YANK E LAND LOCATION'S EASEMENTS, RESERVATIONS AND RESTRICTIONS OF RECORD, IF ANY THERE SHALL BE, AND INSOFAR SURVEY COMPANY INC. SHALL NOT BE HELD LIABLE FOR DAMAGES RESULTING FROM ANY USE AS THE SAME ARE OF LEGAL FORCE AND EFFECT. OF THIS PLAN FOR PURPOSES OTHER THAN MORTGAGE INSPECTION. TELEPHONE: 508-428-0055 YANKEE LAND SURVEY COMPANY, INC FAX: 508-420-5553 40 Industry Rood, Morstons Mills, MA 02648 vnnlrPacl I DIN Harbor Poi9d RA A-Q.C-A L-[ec"Fc>QA.2., l"�IaJ ATtard 5 \OAJ vZ, cR.3 i•� x C2��j t.��s VJ G2 2 G I.s k C-t t-L oip L3 4 O cv - ��`�b OF B AE'j 'uJ-T•.c... 3 Q r t Y-aANbbtiH1v1 vz. 0 - uravicy rseam liesiyii ,w~' Li`ensed to: Dan Braman, P.E. j"5b: Hallemeier Res. Cotuit, MA Steel Code: RISC 9th Ed. SPAN INFORMATION: Beam Size (User Selected) = W12X26 Fy = 36.0 ksi Total Beam Length (ft) = 24 . 00 Top Flange Braced By Decking LOADS: Self Weight = 0. 026 k/ft Line Loads (k/ft) : Dist1 Dist2 DL1 DL2 Pre DL1 Pre DL2 LL1 LL2 0. 00 24 . 00 0. 188 0. 188 0.000 0. 000 0. 500 . 0.500 SHEAR: Max V (kips) = 8 .57 fv (ksi) = 3. 05 Fv = 14 . 40 MOMENTS: Span Cond Moment @ Lb Cb Tension Flange Comp FlangE kip-ft ft ft fb Fb fb Fb Center Max + 51. 4 12. 0 0. 0 1. 00. 18. 47 24 . 00 18. 47 24 . 00 Controlling 51 . 4 12. 0 0. 0 1. 00 - 18 . 47 24 . 00 --- REACTIONS (kips) : Left Right DL reaction 2.57 2 . 57 Max + LL reaction 6. 00 6. 00 Max + total reaction 8. 57 8 . 57 DEFLECTIONS: Dead load (in) at 12. 00 ft = -0.270 L/D = * 1066 Live load (in) at 12 . 00 ft = -0. 631 L/D = 456 Total load (in) at 12. 00 ft = -0,. 901 L/D = 320 TOWN Of.BARNSTABLE BUILDING PERMIT APPLICATION Map- (041-1,• Parcel'-., Health'bivisio' n Date Issued Conservation Division :b-Appljioation Fee Planning Dept Fee t*�)ermit Date Definitive.Plan Approved by Planning Board Historic OKH Preservation Hyannis Project Street Address 110 V\Av)ay Av e Village Owner—k+ev �1M\emeo?,,r 7-Address n Telephone C,15 0 e)- q Z C)-, ( 650 Permit R6quest _—w S4 Zo roo�iop I U 3 mbur'!+ so I dr �in t)tnv a I+a i C." Pan CZ11.3 Square feet: 1 st floor: existing proposed 2nd floor: existing —proposed -Total new Zoning District' Flood Plain Groundwater Overlay Pr6ject Valuation IDU Construction Type Lot Size Grandfathered: L]Yes' Ll No If yes, attach supporting documentation. Dwelling Type: Single Family Ll Two Family LJ Multi-Family(# units) Age of Existing Structure Historic House: LI Yes Ll No On Old King's Highway: L3 Yes Ll No ,j Basement Type: LJ Full D drawl Q Walkout U 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 e7- Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Ll Gas Ll Oil LJ Electric L1 Other Central Air: Ll Yes U No Fireplaces: Existing New Existing wood/coal stove: Ll Yes LJ No Detached garage: Ll existing U new size—Pool: Ll existing J new size Barn: Ll existing new size- Attached garage: U existing Q new size —Shed: L11 existing LJ new size Other: Zoning Board of Appeals Authorization Ll Appeal # Recorded LJ q? Commercial Q Yes Q No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION f. (BUILDER OR HOMEOWNER) Name CoA u'\A 3o\ox Telephone Number Address F(D 60 K B License#_ CV+LkJ , Wo 026135 Home Improvement Contractor# [ Worker's Compensation # 77 4 ALL CONSTRUCTION DEB IS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Wn J-P i t� SIGNATURE DATE S s FOR OFFICIAL USE ONLY APPLICATION# r DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER t DATE OF INSPECTION: r - .FOUNDATION , FRAME INSULATION FIREPLACE C ` ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL i GAS: ROUGH FINAL FINAL BUILDING D�? 12— z DATE CLOSED OUT ASSOCIATION PLAN NO. I The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 UV www.massgov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information n /� -i Please Print Legibly Name(Business/Organization/Individual):Co-4-u1+ Solar oV I LLC,C ra C Ge�ar Address: V V City/State/Zip: Diu c , I"L ('2 35 Phone#: O — 2 4 4 Z Are you an employer?Check the appropriate box: Type of.project(required): 1.[/I am a employer with 16 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees _ These sub-contractors have g. ❑Demolition workingfor me in an capacity. employees and have workers' Y p ty• t 9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant that checks box 91 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. &ravi'lVe Insurance Company Name: S+a+e �V)S u nom C e — Policy#or Self-ins.Lic.#: 74 2 -I `{ `C Expiration Date: Job Site Address:'0 Ra A ftM �� City/State/Zip:COW IT,N r1 02_l63 5 Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby a under i e pa' and penalties of perjury that the information provided above is true and correct. Sip-nature: Date: 3 ,9 Phone#• -1 7 4 -52 '- 1 Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: JAM-27-09 12:16 PM TALANIAN BUNKER INS AGCY 781 659 2499 P.03 I i! VL/ x fa 'iv [+10v .. ..1+••: ,N .. •'o ns •N ( 'n% •'Y.o.ti�..i.t:.rgw,.:,.. ..E .:.....v.,v. ,...R,.: .f� ...D ATE(M11(DQhYY� w r.Y:u01/2 6/0 9 On Bunker z surance Agency oNY CANb'FcoNFEA�S�OEpfoNTs USN TOileIcERTI A p �0 Washiingt n Street HOLDER- THIS CERTIFICATE DOES NOT AMENp, PrMkiD b'R I AFTER THE COVEAAciE AFFoRpEp BY THE POtiCIES B�Qyr; prWe1 ( II MA 02061- COMPANIES AFFOAD_INGCbVERAGE 659r04 ��0 - I COMPANY -- _ { ) - A Scottsdale Ins. Co. fait So ar'LLC I COMPANY -!o. Box 9 I B Arbella Protection Insurance Co. 4 Pld -Shire Rd, I COMPANY :, : • , it � c • MA 02635- 0 2$ 8442 COMPANY D $H r CER iFYW .•�`� .w.....,.. TTHEPOu n..,n, --.GEv OF TED;NO TH AAIbINR ANY REQUIREMENT TEAM OR CONDITION OF ANVNCOIVTIa14CT OR OTHEROCUMENT WlTkl RESP(:CT TOE INSURED NAMED ABOVE FOR THE LwHItpH T�Ttt11IS' EICATE tu!�tY BE SSUEb OR MAY PERTAIN,THE INSURANCE AFFORDED 9Y THE PouclEs DESCRIBED HEREIN IS SUBJECT EC T THE TERMs, •'• �I USfDNS D C DITIONS OF SUCH POLICIES"u '' MITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. TYMOF URA! _.. POLICY NUMBER �LIOY EFFECTIVE.PO4CY E7(PiRATION' i DATE(MM/DDJYY) i DATE(MN OD/YY) LIAAITS.OENIERAL LIA91 :X COMM GVNEF ALLIABILITY I ;GFNERALAGCTEGAT6 :g2 CLS3$4056 06/01/08 :06/01/09 .YIIODucTs.CoMpl .acGs2,000�000 i ! —000 "MS E I}(,OCCUR: _ 1• 'X NER 3 8 c ONTRAtTORS PROT: i :PERSONAL&ADV INJURY '91r 0 0 O -L O O ' - - _ I I EACH OCCURiIEnICE s 1,0 00,00 FIRE DAMAGE(Any are fire) s - 50 0 0 0 A aw! IUTV ! :MED E)(P tAn one ) S y per---n 6 # ANY AUTO !?26916400003 104/30/08 04/30/09 i1. caM6INED6INCI,EtIMrT !S ALL DWIVEo uTt19 1,0 0 0•1 0 0 0_ r X $01EDULEI UTOS ••I 1 BL)flILY INJURY 1 :� MRED AUT� ' (Wrr perlan) ,6 . `X NON OWNFDy{UTOS i BODILY INJURY Is — ' I I (P-acc!denp JL PROPERTY DAMAGE t i0A_}NAOE UI 1 ;ANY AUTO ! ' - TA Ul O O THER THAN AUTO ONI Y: EACH ACCIDENT;$ -�._..•. L fXC!_Sg LIABILITY; I ! AGGREGATE I S Jumer L,aFdRM I xI,50058077 :EACHO x<URRENCE '$1,000,000 :X OTHER THAN M FORM : �•0/2 4/0$ .0 6/01/0 9 AGGREGATE $1,0 0 0, ' e* A ae iu RB SAT1,10111AND ; 10 000 ..6 1 I X ' WC STATU• 1 :TORYUMIT$.i_... kR fF'1 IPROPRI{J�>Rj INCL! / / / 1 ,FI EACN ECU VE a ACCIDENT $' .. . '•�:. ARE: a-! e-DISEASE-NCAICY LIMIT S : .••I ( 'EL DLSEASE E-.A i;MPLOYEF�6 - ----.^. r1 j OH OF OPERJt ON 8 CATION5fVFHICLE9/SPECUIL[TEAS£ Liab. cOverage applies on a primary & non-contributory basis & includes . .,•;Ss: TedhrolIdes Park Corporation & The Rebate Recipient alip as add '1 insureds. Covers a for independent/sub-contractors on tractors & Res idential work- X.. .. ....................... ...... : ., ............. ! SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED 6EFOr1E THE I I EIU4RATION DATE THEREOF, THE 189WNtA COMPANY WILL ENDEAVOR TO MAIL ' •r ,30 DAYS vm rTEII NOT1CLr TO THE CERTIFICAYE HO►D&%NAMED TO THE LEFT, S$aC1lllS t 1:$ rl'echnology Park Corp. BUT FAILURE Yo MAIL 6UCH NOTICE SMALL Il11POSE No OR r.- 7 North riv x»r ANY KIND UPON THE COMPANY, ITS AGENTS OR in •�PTstborq VA 0: 581 AU OR REPRESENTATIVE REPREBENrAnYlc9- a ..Q.KiE..... 7iCulil �oFmE Town of Barnstabk s Regulatory Services RARNSTASLE, y MAss, $ Thomas R Geiler,Director -Les9 Ruilding:Division Tom Ferry, B.uilding.Commssioner. 200 Main Street, Hyannis, MA 02601 www.town.ba rnstable.ma.us Office: 509-862-4038 Fax: 508-790>6230 Property Owner Must Complete and Sign This Section : If Using A Builder j as Owner of the subject proerty hereby::,authorize �a ( So(. to act on€my behalf, in all matters relative to work authorized by this building permit application for#, . w � (Address of Job) i e� 444414A _ 1 Z' h/09 Sighaj& of Owner D to ! i - i Print Name �1 s If Property Owner`is a m for ermi# lease com late the Homeowners License p rty pply g P p p _ Exemption Form on the reverse side. VINCI & ASSOCIATES Structural Engineers Cuem. Professional Solar Products,Inc. 1551 S.Rose Ave.,Oxnard,CA 93033 Tel:805486-4700 Building Department Note:NOT TO BE SUBSTITUTED WITH STANDARD STRUT OR COUNTERFEIT PRODUCT. Subject: Static load test results for the following: Module Maximum Frame Maximum Frame Minimum Load Equivalent Wind Speed Mounting System Manufacturer Length'(in.) Width*(in.) Frame (lbs/ft2) (mph)** Height*(in.) RoofTrac0 Evergreen 65.0 37.5 1.80 55 130 TEST SETUP(as shown in attached drawing detail):Three Evergreen modules,as specified above,were bolted to 136"x1.5"x1.5"Professional Solar Products(PSP)RoofTrac®support rails using an assembly of 5/16"stainless steel bolts, lock washers and proprietary aluminum clamps and inserts.The RoofTrac®support rail was attached to the PSP TileTrac® structural attachment device with a 3/8"nut and washer at six attachment points.The setup was attached to 2"x6"wooden rafters using 5/16"x 3"Stainless Steel lag bolts.The attachment spans consisted of 48"front to rear with structural attachments spaced 48"on center. TEST PROCEDURE(as shown in attached drawingdetail):The test set up was top loaded to 55 Ib/ft2.The setup remained loaded for an approximate period of 30 minutes.The maximum deflection and any signs of permanent deformation were recorded.The test setup was then inverted and loaded to simulate the uplift condition.The test set up was re-loaded to 55 lb/ft2.The setup remained loaded for an approximate period of 30 minutes.The maximum deflection and any signs of permanent deformation were recorded. TEST RESULTS: The maximum top load deflection was recorded at 0.438",with no permanent deformation. The maximum uplift deflection was recorded at 0.250",with no permanent deformation. Building Department Note: This document certifies the RoofTrac®mounting system used with Evergreen modules,as NOT TO BE SUBSTITUTED specified above,withstands a 55 Ib/ft2 static pressure load,equivalent to a wind speed of WITH STANDARD STRUT approximately 130 mph**. The mounting system performed as expected. COUNTERFEIT PRODUCT.. Sincerely, James R.Vinci,S.E. This engineering report verifies that Vinci&Associates has provided independent observation for load testing as described in this report resu f this load test reflect actual deflection values and are generally accepted as the industry standard for testing module mounting systems. Vinci oc' t does not field check installations or verify that the mounting system is installed as described in this engineering report To assist the building inspector in verifying the authenticity of this proprietary mounting system,a p ane adhesion,silver reflective'RootTrac®"label,as shown,is placed on at least one of the main su rt ra Is Structural attachment Lag bolt attachment should be installed Roof T. using the proper pilot hole for optimum strength.A 5/16"lag bolt requires a 3/16"pilot hole.It is the responsibility of the installer to insure a proper PeL B��ag1 attachment is made to the structural member of the roof. Failure to securely attach to the roof structure may result in damage to equipment,personal injury or property damage. This office does not express an opinion as to the load bearing characteristics of the structure the mounting fr,' system/modules are being installed on. Aj i ICC accredited laboratory tested structural attachments manufactured by Professional Solar Products(including,but not limited to Fastlack®,TileTrac®,and Foamlack®)can be interchanged with this system. f.'. *Modules measuring within stated specifications are included in this engineering **Wind loading values relative to defined load values using wind load exposure and gust factor coefficient 'exposure C"as defined in the 2006(IBC)/2007(CBC) 31324 VIA COLINAS STE 101 WESTLAKE VILLAGE, CA, 9136 Page t of 2 PSP:RT EG_2 I — 48" 37.5" I YL 136' Building Department Note: NOT TO BE SUBSTITUTED WITH STANDARD STRUT OR COUNTERFEIT PRODUCT. C R / 5/16"Stainless Steel Hex bolt Ll Top Load Deflection: 0.438" 5/16"Stainless Steel / Lock Washer Aluminum ProSolar a Inter-Module Clamp C RE LLA T Aluminum ProSolar Channel Nut Aluminum ProSolar Up lift Deflection: 0.250" ! RoofTrac®Support Rail 3/8°Stainless Steel Hex Bolt and Flat Washer �� .� Aluminum ProSolar ` FastJack®Roof Attachment �- 5/16"Stainless Steel Lag Bolt and Flat Washer Professional Solar Products RoofTree Patent#6,360,491 ROOT 1 race Photovoltaic tmounting system Evergreen Solar odules Static load test illustration iPage 2 of 2 PSP:RT_EG_2 i v) � 41 le IF 40 Ile r x Air I v 1 - N UN + .i s r ,v 4 ^C Board of Building Regula ions and Standards _ One Ashburton Place - Room 1,301 Boston. Massachusetts 02108 . Home Improvement Contractor Registration Registration: 146276 Type: DBA Tr# 131107 Expiration: .4/8/2009 COTUIT.SOLAR CONRAD GEYSER PO. BOX 69 COTUIT, MA 02635 Update Address and return card•Mark reason for change. 0 Address ❑ Renewal 0.'Employment []''Lost Card t )PS-C.A1 c1 5¢M-0S106-PC8490 ;J/EC`CrJO'!IUYI'G01xUJCCLGLIL O�✓�L[LJS(ZIJLeIQ�:G� - _ - board of Butiding:Regulationa and Standards License or registration valid for individul use only before`the expiration date If found return'to: HOME IMPROVEMENT CONTRACTOR Board of Building Regulations and Standards Registration: 148276 One Ashburton Place Rrn,1301 ExpiratIOW. 4/8/2009 Tr# 131107 13 to Ma.02108 ( '; Type: DBA, COTUIT SOLAR CONRAO GEYSER -."t' 3600 FALMOUTH RD. Not valid'without signature MARSTONS MILLS,MA 02648 Administrator I �i.1.�{ _ ,, r . .' - '� a.��* s•*€r"Ja-ae�.•�1 �� �'a-fr.p ���^ "�����3 �b� �q.�,�.: r. �. .... �R� -ha+a ffx'<•fs�£�y�x�y�$� e�x rr �e� �-- s�•>• � s .. d z'yp,}'."4�t ''n' kr A `Lcfy*K° ,tk.a,rm <.� _ t� � ` �3 y -rr � .c-rr.� x� vc,ss•sue,. �� � �, w evergar een p�dr z x ri , ry Think B,e ond: Y I ,4 ES-A SERIES 200,.205 & 210 W Best power tolerance available photovoltaic panels A range of high quality String RibbonTm solar panels offering exceptional performance,cost effective . - installation,and industry-leading environmental ' credentials made with our revolutionary wafer t technology. ' •No power below nameplate � Never pay for power you're'not getting •Get up to 5W more than nameplate* For enhanced field performance 4 •Industry's lowest voltage per watt rating Delivers the most cost-effective installs IF Y •ULA703 certified cables f ;t r For use with the highest efficiency transformer-less inverters ��� •New extended length cables ". Eliminates home-run wiring Y I •aNew.lockable connectors** + Complies with the latest codes for accessible arrays •Most extensive range of mounting options ' of Allows installs virtually anywhere and anyhow ? •Smallest carbon footprint of any manufacturer For the greenest of the green r t •1000/0 cardboard-free packaging j Minimizes job site waste and disposal costs J o f "" workmanship and 25 year power warranty t- � _ 3 5 year P Y s Born in the USA *Maximum Power up to W above nameplate rating'"L 4 99ockmg'sleeve not supplied wdh the panel E 3 _ k ':' —For'full details see the Evergreen sow.Limked Warratrty a'vadable on request or online k a r r This product,is designedao meet UL 1703 UL:4703 UL Fre Safe Class C IEC 612151d.2 and IEC 61730 Class A t�andards Stnng'Ribbon is,a:patentedaechnology and registered trademark of Evergreen SolaFlnc .� . i Electrical Characteristics i Mechanical Specifications Standard Test Conditions(STC)' I PANEL ID LABEL ES-A-200 ES-A-205 ES-A-210 -fa2* -fat* -fa2* 2.2 4.9 Pmp2 200 205 210 W o a n Ptolera«e -0/+4.99 -0/+4.99 -0/+4.99 W L JUNCnON BOX "�------------i (IP65) 8x 0.16 Pmp,max 204.99 209.99 214.99 W ! PANEL GROUNDING ! Pmp,min 200.00 205.00 210.00 W SERIAL NUMBER o 0 HOLE Timin 12.7 13.1 13.4 % ° PPt�3 180.6 185.2 189.8 W CABLES o (10 AWG,UL4703, Vmp 18.1 18.4 18.7 V w-WRE) Imp 11.05 11.15 11.23 A Z a L ;V« 0 0 22.5 22.8 23.1 V � o lox 0.26 lu 12.00 12.10 12.20 A PANEL MOUNTING HOLE ID LABEL FOR Y4'BOLT Nominal Operating Cell Temperature Conditions(NOCT)4 s 0 MC-LOCKABLE TNOCT 44.8 44.8 44.8 0C ` 0 CONNECTORS o (rvrEa) Pmax 146.4 150.1 153.7 W ¢` 0 0 dT �F_ Vmp 16.7 16.8 17.0 V € o _ on 1 CLEAR ANODIZED d Imp 8.76 8.93 9.04 A O ALUMINUM FRAME o 12a FRAME T of DRAINAGE HOLE Von 20.5 20.7 21.0 V a e Ix 9.60 9.68 9.76 A .B(w.°v-01 37.5,+-0.1>--- - 11000 W/m',25°C cell temperature,AM 1.5 spectrum; All dimensions in inches;panel weight 41 Ibs 'Maximum power point or rated power 3 At MUSA Test Conditions:1000 W/m',20°C ambient temperature, 1 m/s wind speed Product constructed with 114 poly-crystalline silicon solar cells, anti-reflective 4 800 w/m',200C ambient temperature,1 m/s wind speed,AM 1.5 spectrum ' tempered solar glass,EVA encapsulant,polymer back-skin and a double-walled f-framed,a-low voltage,2-matt blue(textured)cells ; anodized aluminum frame.Product packaging tested to International Safe Transit Association(ISTA)Standard 2B. All specifications in this product information sheet Low Irradiance conform to EN50380. See the Evergreen Solar Safety,Installation and Operation The typical relative reduction of module efficiency at an I Manual and Mounting Design Guide for further information on approved installa- irradiance of 200W/mz both at 25°C cell temperature and tion and use of this product. spectrum AM 1.5 is 0%. Due to continuous innovation,research and product improvement,the specifica- tions in this product information sheet are subject to change without notice. No Temperature Coefficients rights can be derived from this product information sheet and Evergreen Solar assumes no liability whatsoever connected to or resulting from the use of any a Pmp -0.45 %/OC information contained herein. a Vmp -0.43 %/*C Partner: aImp -0.02 %/OC I _-M...____...,�.._..�.._.. __ ._......,..M_..,_,. .. ....�. _ ... _.'.. _........._�.. a V« -0.32 %/°C a Isc -0.003 %/OC I { System Design i Series Fuse Ratings 20 A Maximum System Voltage(UL) 600 V 1 s Also known as Maximum Reverse Current. u i ELECTRICAL EQUIPMENT I _ _01090ff 8;effective September 1n 2008 CHECK WITH YOUR INSTALLER ES-A 200205210US r P 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 F:+1 508.229.0747 T.+1 508.357.2221 F:+1 508.229.0747 WWW-Pyergreens6lar.com info@evergreensolaccom sales@evergreensolaccom ' I i s { � � �. ���1'��Ott ',./:�a�d ''-� • .. •. { I F F.i v f [r £(X N WINDOW AND EXTERIOR DOOR 5CHEDULE - -----� • I I BEDROOM I 1 b 1 I I I � Zff I 1 I I I i i S I 1 T I 1 (D a al r a I I I I I 1 • e>s.m eurtoow x-lo ay.c-�i• xnl2uwiw«up I 1 I I « ewm •urzoml x-iom.c.i�. .n�rt.www«ou' �________ 1 I I I 1 I I I I BROOM I I I 1 I t I I 1 I I wnnoesml«mm mwnr>a. .ca ruo.roawe«s.urrlw«omwsrolmmsr«rovmmwmre. 1 � O -..a I • - BATH I INTERIOR DOOR SCHEDULE 1 1 � I i BED I . � B®ROOM I 1 STUDY F r__._______________________________________ , I 1 1 1 1 I I ' CL CL CL _ W tl lu 1 I I O I CLOS fx-.�a T MASTER --- ------ — T---- r BEDROOM MALL I N _RATH W - 9 2 I MTING a " I Op e, W LL O ..1> p t Z µ Q L) i a N ROOF DECK SECOND FLOOR PLAN � gIDIFD DRAW 11. A3 - 7 0 4 (DENO LW ml Im ml k 1' FRONT ELEVATION g W 1Z ��.mm rw�wuova nxc ( V _ >.Iftp Z W co N N • a.,s,.,o.o.. .«m�n«o W W J W To 2 foo®nxc W -------------- ------- Ego RIGHT SIDE ELEVATION r 4 - 7 O ATTIC 2 STO AGE 1 w l-I/1p aO ROOF DECK M m OO •„n�..aas...e ,owm j 'FAMILY ® SCREEN rxe,rewm� . GARAGE �a �' � I wem�i M.m ® PORCFI 9 _ • o FULL Y w, mm ws.icmei.mew miom Im'"58"� BASEMEN rmfm w°1c75P'� . LJ • St SECTION AT GARAGE + ' SECTION AT ENTRY PORCH -- - gp AND SCREEN PORCH/ROOF DECK ""a.•4.�00� xvx W owen.«rre«.eos,.m Cf Z ar i ,ew,ww� _ �� K OFFICE/ IJ STUDY W t.n�e.mwmee moc �� V1 u Z ull cw<CRAWL SPACE wa.ic m.,Wmw �•> O . J� � � U Z s j F Q SECTION AT OFFICE/STUDY - •' A B ewe,,...o oroaxa A6 - 7 J � >41 o a F .� i lit. .- 4 SCREEN PORCH,ENTRY PORCH,AND STUDY AND SIDE PORCH W GARAGE CEILING FRAMING PLANS ROOF FRAMING PLAN tt ......,,..a - Z W W 1 - N . � Z W 2 a lu Z J d a Q E . ow.vnwcs - A7 -7 0 �a z � � <o u d LM EME IMS REAR ELEVATION W cwn.�a»xov Rmcc.c.r —p L. J a z.�iz V W ro.,..ra asn.o - G to _ W O J a � S J> Z i O LEFT SIDE ELEVATION ve--ra ow.wiwcs A5 - 7 _ BARN -_____ ________ O____�_ Zi I � It OFFICE 1 MUSC ROOM o p 7 1 i - 1 1 LI NG ROOM I ® ,� I PORCHM 0 , - BATH 3 • 1 1 sW Gl I CLOS I 9 GUEST GUEST ROOM -' FAMILY ROOM J21 - --- - _ WPORCH g VIUO ARG E F g I ENTRYTR I HY PORCH 1 LAUN PLAYROOMI.is.en.wl1ix.i>� aso L_____________ _ J +HE 0a OF e �° © 11 � � J i IJi e TOO = R s �_ > � ' w SCREEN LARCH a _ FIRST FLOOR PLAN F 1 A2 - 7 d� F BARN ------ __ � 04 I I f^ CRAWL SPACE . S O, I n @ pn vans • IF� '�.I� m.uam.....^ae^s �0. CRAWL SPACEtz tn '"'. Y: _ I FOUNDATION PLAN LL— " va•-ra • __ a 7 ' - - _ ,• FULL FOUNDATION � --- vw,ma ovcseaurnm CRAWL SPACE ^ ——————————— — -- 77 I'. a FU 1 SSMNT. I L o 1 t1 r I I I I it II.__....... ithv ; o GARAGE.SIAB I I Want - P� I' (I I FULL fl4SEh�fT bv.•e i 4 W I ' erou^w.m aumea^nwa 1 �F4 'All i - mauamal.u.m O gll.l euv.>e aer.wm it 11l 4 (r 2 la t a I'I Iv I. n gY .o > SMOKE DETECTORS REVIEWED o m—roaaa�a� 1 I a j lil eY'I�ti%r�c-_- ��o oY =s o BARN91AULE BUILDING DEPT. DATE}, $6 SCREEN PORCH j g ABOVE II g K a -0 FIRE DEPARTMENT DATE BOTH SIGNATURES ARE REQUIRED FOR PERMITTING s a we:.swnv 1 a ---- ----- ----- /VOT /PN�!/frOit�y DRAVANG P: Al - 7 �pT it ME► Town of Barnstable *Permo�/ Expires 6 nn r issupd Regulatory Services Fee anttrrsrAaLE, MASM Thomas F. Geiler,Director Building Division Tom Perry, CBO, Building Commissioner . 200 Main Street;Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Vacid without Red X-Press Imprint N. o/parcel Number Pi .ierty Address Mo Me e j" , '<esidential Value of Work eoN? 506 i Minimum fee of$35.00 for work under$6000.00 O, ier's Name&Address ✓ "ht 1 l'f M,,e 1 ie Cc :ractor's Name �Qr1�S � — � Telephone Number ^6 76�o� Ho e Improvement Contractor License#(if applicable) Lf 7 ND - Co. :;truction Supervisor's License#(if applicable) 2orkman's Compensation Insurance Check one: X�P R:_ ❑ I am a sole propri&mr blElam the Homeowner.. EC 2011 , have Worker's Cor'ipensation Insurance InSt [nce Company Name e f 70,V&r ..��/L� S �� TO tt WN .OF SARNSTABLE Woi man's Comp. Policy# Cop of Insurance Compliance("ertificate must accompany each permit. Pern Request(check box) e ❑ Re-roof(stripping old shingles) All construction debris will be to ❑ Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side #of doors Replacement Windows/doors/sliders. U-Value �, (m iximum .44 #of windows *Where required Issuance of this permit does not exempt compliance with other town Jdepartment regulations,i.e.Historic,Conservadon,etc: ***Note: Property Owner must sign Property Owner Letter of Permission' A copy-of the Home Improvement Contractors License& Construction Supervisors License is "equired. SIGN .TURE: 1 �AWPI .ESTORNISlbuilding permit forms'..PORESS.doc Zevisf 070I10 The.,Commonwealth of`Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,,MA 02111 www.mass.gov/dia Workers' Coml.iensation Insurance AffidaAt:Builders/Contractors/Electricians/Plumbers Anulicant Information . Please Print Le 'bl Name (Business/Organizrttion/Individual): a 9 �•1 Address: " fo r yew. _ . -- City/State/Zip: ,1, ',� Phone #: - P��- Are yolan employer? Check the appropriate box: 1. I am a employer witl:x 4. El am a general-contractor and V Type of project(required): employees (full and/or part-time).* have Mired 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 working for me in,aay capacity, employees and have'workers S. Demolition [No workers' comp.,;.nsurance comp.insurance:$ 9: 0 Building addition required.] 5. Q We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am.a homeowner doing all work officers have exercised their I LEI Plumbing repairs or additions myself. [No workers' comp, right of exemption per MGL insurance required.].1' c. 152, §1(4),and we have no 12•��of repairs employees. [No workers' 13:L1g Other comp. insurance required.]' Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. 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 mustattached an'additional sheet showing the name of the sub contractors and state whether or not those entities have mployees. If the sub-contractors have employees,they must provide their workers'comp.policy number. am an employer that isproVvidineworkers'compensation insura piformaiion, nce for my employees. Below is the policy andjob site asurance Company Name:_ A l®q �1 olicy#or Self-ins. Lic:#:__�_Q/pE ?7 �* �' �• £l— Expiration Dater .)b Site Address:Lim Vlo 4�I f-FV`�• y City/State/Zip' _- .4 ne3 ,ttach a copy of the worker,' compensation policy declaration page`(showing:the policy number and expiration date). ailure to secure coverage as equired under Section 25A'of MGL c. 152 can Iead tte impositionoo f criminal penalties of a ne 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 up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Ofce of , vestigations of the DIA for;.nsurance coverage verification. to hereb certify unde the�ypains and penalties.of perjicry that the information f provided above is true and correct 4rnature: d I. p Date: . ] /00 one#: Official use only. Do not mrite in this area,to be-completed by city or town offieia[ City or Town: Permit/License# Issuing Authority(circle one): ?..Board of Health 2.Building Department 3.City/To� Clerk 4.Electrical Inspector 5.Plumbing Inspector i.Other :ontact Person: Phone#•. �1HF Town of Barnstable . Re Mato g o- ry Serv><ces 1�$MASR Thomas F.Geiler;Director MpYR , Building Division Tom Perry,Building Commissioner' 200 Main Street,Hyannis,MA 02601 www,towu.barnstable.ma.us )ffice: 508-86274038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using . AB wilder as Ownet of the'subject property hereby authorize --�--�- �� to act on.my behalf, in alI matters relative to work authorized by this:buikitng,pemsit. r, (Address o 7Job) .•**Pool fences send alarms are the res onsi p bihty of the applicant... Pools are not to be fUnd before fence is installed"and pools are not to be utilized until all:final inspections are perforrned aiiid accepted. IL f &IA&' tn Signa $, e of Owner Sign turf of Applicinf Olt Print Name Print Name Date Q:FORMS:O W NEREERMIS S IO NPOOLS Town of Barnstable OF THE 11�, _ Regulatory Services ' �8. Thomas F.Geiler;Director 1639.�a�` Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.tovvn.barnstable.ma.us L"fice: 508-862-4038 Fax: 508-79.0-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: - JOB LOCATION: number street — village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRE&;;: 4 city/townestate . •� zip,code , The current exemption for "home_ owners"was extended to include'owner-occupied dwellings of six units or less and ' to allow homeowners to enp age an individual fo%hire who does not Possess a license supervisor. p ,provided that the owner acts as 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 stzttctures accessory to such use and/or farm structures. A person who constructs more than one home in a'two-ydar 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 worl;:_perfor ned under the building permit (Section I09.i:1) Tbe undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other ; applicable codes,bylaws,r es and regulations. \ �l The undersigned"homeowner"certifies that he/she understands°the Town of B minimum inspection procedures and requirements and that he/she` arnstable Building Department equirements. will comply with said procedures and signature of Homeowner \ '.pproval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larg r will be required to.col .Irate Building Code Section 12710 Construction Control. mp y with the HOMEOWNER'S EXEMPTION The Code states that: "An.,/homeowner performing,work for which a building pewit is required shall be exempt from the provisions . this section(Section 109.1.1.-Lice)sing of construction Supervisors);provided that if th persons)for hire to do such rk,that such Homeowner shall act;as supervisor.'' e homeowner engages a Many homeowners who uss:this exemption are unaware that the are assuming the responsibilities of a supervisor(see Appendix dies&Regulations for Licensing C6nstiuction Supervisors,section 2.15) This lack of awareness us ien the homeowner arene Q' caner hires ss often unlicensed results i se G nse 'per sons. no p ns. In this_case,our Board cannot proceed against the unlicenl particularly pervisor. The homeowner acting as Supervisor is ultimately responsible. sed person as t wou d with a licensed To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, t t the homeowner certify that m she understands therespansibilities of a Supervisor. On the iast page of this issue is a farm currently used by s era]fawns. You may care t amend.tnd adopt Ruch a fotm/certification for use in your community. C brms:homeexempt A Massachusetts- Department of Public Safet% Board of Building Re!aulatioos and Standards Construction Supervisor License- License: CS 81843 Restricted to: 00 STEPHEN T DICKINSON 12 BURNSIDE LANE MERRIMAC, MA01860 �—�- Expiration: 2/6/2012 ('.nunissi suer p Tr#: 18033 j � s ' A License or registration valid for individul use only Office of Consumer Affairs&Business Regulation -before the expiration date. If found return to: HOME IMPRQVEMENT CONTRACTOR Office of Consumer Affairs and Business Regulation Registration q ,4,9840 10 Park Plaza-Suite 5170 Expiraton2/t3/2012 Tr# 293041 Boston,MA 02116 Type� { LtFd Lability Crorpor 1 ` PELLA WINDOW, �A SNt3 DOORS`. STEPHEN DICKTNSDNEI 1K5 AIRPORT ROAD ter, FALL RIVER,MA 02720._}% Undersecretary Not valid without signature f i OP ID:31 Au�RO" CERTIFICATE OF LIABILITY INSURANCE UATE,MMI°D/YYYY) 04/29/11 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). CONTACT PRODUCER 401-886-8000 NAME: FAX The Preston Agency,Inc. 401-885-1700 ATONE Ext; A/c No 1350 Division Rd Suite 303 PO Box 810 E-MAIL East Greenwich,RI 02818-0810 ADDRESS: PRODUCER PELLA-1 Patrick Meacham,AAI,CIC CUSTOMER ID#: INSURERS)AFFORDING COVERAGE NAIC# INSURED PFR Acquisition LLCi INSURER A:Hanover Insurance Co. dba: Pella Windows&Doors; INSURERB: Atlantic Millwork,LLC , 1325 Airport Rd INSURER C: Fall River,MA 02720 INSURER D INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. UI1KPOLICY EFF POLICY EXP ICTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY MMIDDmm LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 DAMAGE TO RENTFIJ A X COMMERCIAL GENERAL LIABILITY ZBE 8151344 05/01/11 05/01/12 PREMISES Ea occurrence $ 100,000 CLAIMS-MADE FX_1 OCCUR MED EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 2,000,000 POLICY F1 PRO- LOC Emp Ben. $ 1,000,000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 05101/11 05/01/12 (Ea accident) A ANY AUTO AWE 8714919 BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY.INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ X UMBRELLA LIAB X OCCUR EACH OCCURRENCE $ 10,000,000 EXCESS L.IAB rl CLAIMS-MADE AGGREGATE $ 10,000,000 A UHE 8714781 05101/11 05101112 $ DEDUCTIBLE X I RETENTION $ _ $ WORKERS COMPENSATION WC STATU- OTH- X TORY LIMITS1.ER AND EMPLOYERS'LIABILITY 05101/11 05101112 E.L. 1,000,000 EACH ACCIDENT $ A ANY PROPRIETOR/PARTNER/EXECUTIVE Y❑ NIA WDE 8716568 _ OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $ 1,000,000 (Mandatory in NH) If yes,describe under E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS below L .— DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION PROOFRI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Proof of Coverage THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN g ACCORDANCE WITH THE POLICY PROVISIONS. Only AUTHORIZED REPRESENTATIVE At— ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009/09) The ACORD name and logo are registered marks of ACORD Page 1 of 2 Mckechnie, Robert From: Paul A. Frazier[pafrazier@cape.com] Sent: Friday, April 11, 2008 5:27 PM To: Mckechnie, Robert Subject: From: Cotuit Fire Dept. Re: 10 Putnam Avenue, Cotuit Hi Bob, Below is the note I've attached to the copy of our plans. FYI Thanks for helping us resolve this! Paul April 11, 2008 Re: 10 Putnam Avenue, Cotuit Reference: 6th Edition Building Code . The following quantity and layout for smoke detectors was agreed upon by Chief Frazier and Building Inspector Robert McKechnie in cooperation with the builder. Basement: One detector in each of the full basement areas. Total of two (2) detectors in basement areas. First Floor: Remove existing smoke detectors at the base of each stairway (2 in total). One detector to be located in each of the following areas: Playroom Guest bedroom Dining room (immediate vicinity smoke for guest bedroom) Office/Music room Total of four(4) smoke detectors on the first floor. CO detector required within ten (10) feet of the guest bedroom. CO detector in the Music/Office room as it is separated from remaining structure. Second Floor: One detector in each of the four (4) bedrooms. One at the top of each stairway to provide coverage outside bedrooms as the "immediate vicinity" smoke. Total of six (6) detectors on the second floor. CO detectors to be located within ten (10) feet of each bedroom door- battery, plug in or hardwire as necessary. Estimate three (3) CO detectors will be needed Third Floor: 4/14/2008 . Page 2 of 2 Remove existing smoke detector. Note: This is an unheated, attic area considered not habitable. Owner will be advised that this area must be used only for storage and is not to be used for sleeping. Total of 12 smoke detectors in this dwelling. Total of 5 CO detectors estimated. Paul A. Frazier, Chief Cotuit Fire - Rescue Dept. 64 High St. - P.O. Box 1632 Cotuit, MA 02635 508-428-2210 508-428-0202 Fax pafrazier@cape.com CONFIDENTIALITY NOTICE:This message,including any attachments,is for the sole use of the intended recipient(s)and may contain confidential and privileged information. If you aren't the intended recipient of this e-mail,any use,disclosure or distribution is prohibited.If you have received this e-mail in error,please contact the sender by reply e-mail or telephone and destroy all copies of the original message. 4/14/2008 s BOISE' Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor BeamT1306 BC CALCO 9.5 Design Report- US 2 spans No cantilevers 0/12 slope Tuesday, January 29, 2008 15:44 Build 91 File Name: BC CALC Project Job Name: Hallemeir Residence Description: FB06 Address: Putman Ave Specifier: Bill Campbell City, State,Zip: Cotuit, Ma Designer: Customer: Art Dolgoff Company: Shepley Wood Products Code reports: ESR-1040 Misc: 31 _1 1 ." Mn� 16-06-00 A 10-06-00 BO B1 B2 LL 437 Ibs LL 1099 Ibs LL 296 Ibs DL 1877 Ibs DL 4951 Ibs DL 777 Ibs SL 1799 Ibs SL 4746 Ibs SL 745 lbs Total of Horizontal Design Spans=27-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area (psf) Left 00-00-00 27-00-00 30 10 01-00-00 2 wall Unf. Lin. (plf) Left 00-00-00 27-00-00 0 60 n/a 3 attic/ceiling Unf.Area(psf) Left 00-00-00 27-00-00 5 10 06-06-00 4 roof Unf.Area(psf) Left 00-00-00 27-00-00 15 30 09-00-00 Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 13777 ft-Ibs 56.3% 115% 13 1 - Internal be verified by anyone who would rely on Neg. Moment -16065 ft-Ibs 65.7% 115% 2 2- Left output as evidence of suitability for End Shear 3461 Ibs 38.1% 115% 13 1 -Left particular application.Output here based Cont. Shear 5343 Ibs 58.8% 115% 2 1 -Right on building code-accepted design Total Load Defl. L/340 0.583" 70.7% 13 1 properties and analysis methods. ( ) Installation of BOISE engineered wood Live Load Defl. L/619 (0.32") 58.2% 13 1 products must be in accordance with Total Neg. Defl. -0.058" 11.6% 13 2 current Installation Guide and applicable Max Defl. 0.583" 58.3% 13 1 building codes.To obtain Installation Guide Span/Depth 16.7 n/a 0 1 or ask questions,please call . (888)234-0056 before installation. Notes BC CALCO, BC FRAMER@,AJS-, Design meets Code minimum(U240)Total load deflection criteria. ALLJOISTO,BC RIM BOARDTM, BCI@, Design meets Code minimum (U360) Live load deflection criteria. BOISE GLULAMT^^ SIMPLE FRAMING Design meets arbitrary 1" Maximum load deflection criteria. SYSTEM@,VERSA-LAM@,VERSA-RIM g ry( ) PLUS@,VERSA-RIM@, Minimum bearing length for BO is 1-5/8". VERSA-STRAND@,VERSA-STUD@ are Minimum bearing length for B1 is 4-1/8". trademarks of Boise Wood Products,— Minimum bearing length for B2 is 1-1/2". L.L.C. Entered/Displayed Horizontal Span Length(s)=Clear Span + 1/2 min. end bearing+ 1/2 intermediate bearing Connection Diagram a c •� • N a minimum=2" c=7-7/8" b minimum= 3" d= 12" Member has no side loads. Connectors are: 16d Common Nails Page 1 of 1 noises Triple 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Floor Beam\F1307 BC CALCO 9.5 Design Report-US 2 spans No cantilevers 1 0/12 slope Tuesday, January 29, 2008 15:44 Build 91 File Name: BC CALC Project Job Name: Hallemeir Residence Description: FB07 Address: Putman Ave Specifier: Bill Campbell City State,Zip: Cotuit, Ma Designer: Customer: Art Dolgoff Company: Shepley Wood Products Code reports: ESR-1040 Misc: 1 Ak 12-00-00 06-00-00 BO B1 B2 LL 2025 Ibs LL 5997 Ibs LL 1249 Ibs DL 645 Ibs DL 6327 Ibs DL 725 Ibs SL 4255 Ibs SL 586 Ibs Total of Horizontal Design Spans=18-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib 1 Standard Load Unf.Area (psf) Left 00-00-00 18-00-00 30 10 13-06-00 2 FB06 Conc. Pt. (Ibs) Left 13-00-00 13-00-00 1099 4951 4746 n/a Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 6392 ft-Ibs 20.0% 100% 14 1 - Internal be verified by anyone who would rely on Neg. Moment -8978 ft-Ibs 28.1% 100% 1 1 - Right output as evidence of suitability for End Shear 2077 Ibs 17.5% 100% 14 1 - Left particular application.Output here based Cont. Shear 10281 Ibs 75.5% 115% 2 2- Left on building code-accepted design properties and analysis methods. Uplift 85 Ibs n/a 14 2- Right Installation of BOISE engineered wood Total Load Defl. L/1547 (0.093") 15.5% 14 1 products must be in accordance with Live Load Defl. U1854 (0.078") 19.4% 14 1 current Installation Guide and applicable Total Neg. Defl. -0.014" 2.8% 15 1 building codes.To obtain Installation Guide Max Defl. 0.093" 9.3% 14 1 or ask questions,please call Span/Depth 12.1 n/a 0 1 (888)234-0056 before installation. BC CALCO, BC FRAMER@,AJS- Cautions ALLJOISTO, BC RIM BOARD-,BCIO, Uplift of 85 Ibs found at span 2-Right. BOISE GLULAMT" SIMPLE FRAMING SYSTEMS,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, Notes VERSA-STRANDS,VERSA-STUD@ are Design meets Code minimum(U240)Total load deflection criteria. trademarks of Boise Wood Products, Design meets Code minimum(L/360) Live load deflection criteria. L.L.C. Design meets arbitrary (1") Maximum load deflection criteria. Minimum bearing length for BO is 1-1/2". Minimum bearing length for 131 is 4-1/4". Minimum bearing length for B2 is 1-1/2". Entered/Displayed Horizontal Span Length(s)=Clear Span + 1/2 min.end bearing+ 1/2 intermediate bearing Page 1 of 2 i.,�y t "'e''4...y l.we 4'n4vkrx t ktf:,, T�• ."r �n?, :} a.. rfi 4i!,t' J-?: , a- .+ ia.p. a t. 1J•x° r,' '7i 'wF^ �e'1��"S�"h � r. 'r .:.,�,n+ 'i. .3' r - ."`z4- ,'a.•� �i � �r [ A,h. y oy'.i1 S'.S•�i'.}`>� :il.t. a,..f,�xv� i .��IKE A Town. of Barnstable BARNSTABLE. _ __. Regulatory Services ices 9Q MASS- 'V' ''.'.. .._.. .:. ..-.. p,Eo Building Division , 200 Main Street,Hyannis,MA 02601 Office:- 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice 'a 41e Type of Inspection Location / /�D PC,, T Permit Number Owner'.l ' + i ` Builder One notice to remain on job site, one notice on file in Building Department. t, ;The following items need correcting: � ,rt eVA9r_ ,�t' orlJ 7£s0 IVGn-tes `{ Aj 1A + ,r ' Please call: 508-862-03- for re-inspection. Inspected by :mot-�2�: (Z.,.-c--�,��� . Date a L' /� � /o AV �,• 1 i Y •" T ��*N+ClA,3vvi�.i WrT.,N;'k,,;•%'i*., *�"4't'+'f4't"or �,,,',r�yq,w,µ,%rti irr+:-a ..i.-} "�?,�.:s ;..4{' rt''�G,:`s'! ,.. -^,;. -Y*.. �,`,..t.�}•+ r'*�" . ... sFK• H �. -.h..1 i•�hh n^11:.+��i','3 e t is�,�s: Town of Barnstable9 Regulatory.Services BARNSTABLE. p 6 Building Division rFD MAC a 200 Main Street,Hyannis,MA 02601 s � Office: 508-862-4038 Fax: 508-790-6230 1 . r Inspection Correction Notice YP .� P T e of Ins ection 'I Location Permit Number —Q-o r Owner Builder lv�e One-notice to remain on job site, one notice on file in Building Department. E .The following iteihs need correcting: J`�vtc. �� ��u�c/6 �+✓emu/ '. SAC Ad/r��� Voss-r- ` l LV Please call: 508-862-441;8.for re-inspection. ," K Inspected.by � ^'� , Date ( �� To t r Town of Barnstable *Permit# b0 (p � PERMIT Fxpfres 6 months from issue date )(-P ASRegulatory Services F -7/1 DEC 2007 Thomas F.Geiler,Director 4z Building Division TOWN OF BARNSTABLF- Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.townbarnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 EXPRESS PERNIIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number y �ltJ Property Address 49lu 1 T (VResidential Value of Work 11,.5(.L , Minimum fee of$25.00 for-work under$6000.00 Owner's Name&Address I ':� ,c �• i L/' - t Contractor's Name Telephone Number Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ am a sole proprietor I am the Homeowner I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on rile. Permit Request(check box) A [/Re-roof(stripping old shingles) All construction debris will be taken to (�,cup e- Cu ❑Re-roof(not stripping. Going over existing layers of roofl ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required; Issuance of this pemvt 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. ft , 3IGNATURE: jv 2Torms:expmtrg tevise%1306 ' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111' www.mass gov/din ' Workers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information ..Please Print Le ' 1 Name usiness/Orgarizationlfndividual): i t' r,� t'�":lr�a Address• 1'U� �''1i'✓►e/tn City/State/Zip: (��7't 7a t O `� Phone.#: 4 7 _ ri Are you an employer?Check the appropriate boa: :Type of pioject(required):, 4. I am a general contractor and I 1.❑ I am a employer with 6. ❑New construction..employees onstruction''employees(full and/or part time).*• Have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- ]isit;d on the'attached sheet. 7. ❑Remodeling ship and have no employees . These sub-contractors have 8. ❑Demolition *orldng for me in any capacity.acitY• employees and have workers' imp insurance#' 9. ❑Buulding addition [No workers comp.insurance required] 5. We are a corporation and its 10.[�Electrical repairs or additions '3` .I am a homeowner doing all work . officers have exercised their 11.❑Plumbing repairs or additions ' myself.[No workers' comp. right bf exemption per MGI; 1 . Roof repairs insurance.required.]t c. 152, §1(4),and we have no employees.[Na workers' 13. other_' comp.insurance required,] *Any'applicant that checks box#1 must also fill out the section below showing then worl=s'compensation policy information. t Homwwncrawho submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating inch. �Conttaetors that check this box must attached an additional sheet showing the name of the sub-contractors and state wbetber ornot those entities have employees. If the sub-contractors have employees,1heymust provide their workers'comp.policy number. . I am an employer that is providing workers'compensation insurance for my employees. Below isthe policy and job site information. Insurance Company Name' Policy#or Self-ins.Lic.P Expiration Date: Job Sitm Address- City/State/Zip: Attach a copy of the workers'compensation policy declaraflou page'(showing the policy number and expiration date). Fatiure.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 maybe forwarded to the Office of' Investigations of the DIA for insurance coverage verification. I do hereby certify un er the pains aisd penalties of perjury that the information provided above is true and correct Si tore: Date: Phone# /� Official use only. Do not write in this area, to be completed by city or town:official e City or Town: ' Permit/License# Issuing Authority(circle one): J.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6. Other ` Contact Person: Phone#: I P �oFtIKE r�� Town of Barnstable Regulatory Services sAxxsrAare, ; Thomas F.Geiler,Director 9 MASS. qp �639 p�0 Building Division rED MP't Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 R"VVNv.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: lg /U 7 JOB LOCATION: 7 - number street village r_ ram' t f "HOMEOWNER": I l�: V L'1 if,I # name home phone# work phone# [0 CURRENT MAILING ADDRESS: P►d '-vt G'✓Vi 6d, 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. f 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 Signatireld Homeowner f A; 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 1 `"E' Town of Barnstable ' Regulatory Services MRNSTABM 4 Thomas F.Geiler,Director �EDMA'la,�� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work autho d by this building permit application for: (Address of Jo Signature of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:O W NE RP ERM I S S ION Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ - Commercial ❑Yes ❑No If yes, site plan review# Current Use - - -- - Proposed Use - BUILDER INFORMATION Name Telephone Num er �ZcDSC� Address C064,211 License# c.._yl 4,211 K Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO fi�/JYT�e— Ccr✓I,�l-�V�� SIGNATURE / DATE p/1 FS 2oD 7 l T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 62 Map Parcel ( 3) -Application# �co� J�Y� J-1 Health Division " . Date Issued Conservation Division Application Fee i r r Tax Collector Permit Fee Al� Z Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic e-V V%.— r Project Street Address f ?�V O Village - If Owner �C G t Gr,[ ��,�yl�it P� Address 5 aM=-e-- Telephone 5-016 4 Zo Ce 9 S_0 3 _0V L 1 1 II Permit Request eDl a(� w i ad o_K;0 . (`ti a.��r OQ�-�', ���(a C-e ro�e�t 4o rese.,riu t h i S ceAaw"a. An < Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay ' Project Valuation C7 Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure _7.5_~ Historic House: ❑Yes ❑No On Old King's Highway: O,Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) S�' -� Number of Baths: Full:existing new' Half:existing ` new Number of Bedrooms: existing new c Total Room Count(not including baths):existing new First Floor Roorr Count , Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing LJ new size Barn:❑existing ❑-new size _ Attached garage:❑existing ❑new size , Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name �)C/01'� cfa Telephone Number 2 7V-68S3 y Address qMi A _Home provement ont a for# Wor is Compen ation# ALL CONSTR CTION DEBRI LTING FROM T IS PROJEC E TAKE TO SIGNATURE 7,i DATE 0 0 FOR OFFICIAL USE ONLY L APPLICATION# } DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE r OWNER i DATE OF INSPECTION: x FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDINGO Ko 1�114 6 T/� S DATE CLOSED OUT. 4 ASSOCIATION.PLAN NO. R r The Commonwealth of Massachusetts rt ''Department of Industrial Accidents Office of Investigations a 600 Washington Street Boston,MA 02111' wlvw.mass.gov/dia ' Workers}Compensation Insurance Affidavit: Builders/Contractors(Electricians/Plumbers A licant Information .Please Print Le ibl Name(Business/Organization/Individual):. Address: 119 -tu V✓ji City/State/Zip: Phone.#; Are you an employer?Check the appropriate bog: :Type of project(required):. 1.❑ I am a employer with 4. E] Lam a general contractor and I * have hired the sub-contractors 6. ❑New construction . employees(full and/or part time). Remodeling 2.❑ I am a'sole proprietor or partner- listed on the'attached sheet. 7• ❑ � ship and have no employees These sub-contractors have g, ❑Demolition �yorkin for me in an capacity. employees and have workers' g Y P ty t. 9. [],Building addition [No workers' comp.insurance comp. insurance. 10.❑Electrical r airs or additions required.] 5. ❑ We are a corporation and its �- 3X 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.ElRoof repairs .d insurance.required.]t c. 152,§1(4), and we have no 13.❑Other 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 mutt submit anew affidavit indicating'such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I4M 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.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL e. 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 thq violator. Be advised that a copy of this statement maybe forwarded to the Office of Investi ations of the DIA for insurance coverage verification. I do hereby certify under the ains aetd penalties of perjury that the information provided above,is true and correct Si_atiue� C S Phone# '�iO k �2� D�S Sb Official use only. Do not write in this area, to be completed by.city or town official. City or Town:. Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: ' x °f114E, ti Town of Barnstable Regulatory Services vsn MASS.i.Eg Thomas F.Geiler,Director `bArEp ,�A`` Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence.or building be done by registered contractors,with certain exceptions,along with other requirements. J ,, Type-of Work: i - _i �Estimated-Cost- /z-C� Z-0 Address of Work: f � nClt/j , I VL `~ ` Owners-Name:— 16,ok'c UgJ_&:�n6Q�z� Date of Application: lo it�t I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 Building not owner-occupied wner,pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. OR Date Owner's Name Qlotmslomeaffidav �oF1Ht, Town of Barnstable Regulatory Services suuvsTesct Thomas F. Geiler,Director gb,,r 1639. A.�� Building Division ED MA'I 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 LICENSE EXEMPTION Please Print � � ` JOB LOCATION:_ ��� IP/!i(yl e '6, n (0hu.. - �' number sir et i village HOMEOWNER.: ���{ (��l�,��✓ name vim— home phone# work phone# CURRENT MAILING ApDR_ESS: 2� d 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 Homeowner S�. Approval of Building Official Note: Three-family dwellings containing 35,060 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. } Roo 20 I w►VJaow (Z.F- A JET RE pjAciF�F� FxTeezio�t Flo rtr V,.Fu) J GV -PFI ram`' �Q�bM2 (,�►�C,L+ Sl L L iZ FPl,4(-eWlFA)I �►42 0� 3A-R�J \14i Ncis �O7q on � �' r Tope}G i . 2lv A M q � \ &noun Q COMMONWF—ALTH OF MiASSACHUSET DFrA-TZT lfo:�NT OF INDUSTR3AL,ACCIDENTS ' . t 600 WASHrNGTON STRLET liOSTON, MASSACHUSL I-TS 02111 jart,es Gamoaee �c--r:ss•o�e WORKERS' COMPENSATION INSURANCE AFFIDAVIT e I' (l;ccnscc/pc iacc) with a principal place of business/residcnoc.at: . (Ciry/StatclZip) do hereby eertifj; under the pains and pcnalties of perjury; that: 1 am an cmpiovcr providing the following workcrs' compcnsation covcrabc fo:mycmployco orl:;ng on this job. Insurancc Company Policy Numbcr J 1 am a sole proprictor and havc no onc working for me. 'who I am a sole proprict;WOrkc--.-'compc=tion gcnerzl eontnaor or homeowner(eirdc one) and havc hired the contractors listed below havc t c o owing insurance politics: N-2mc of Contractor Insurance Company/Policy Numbcr amc of Contractor Insurance Company/Policy Numbcr N7mc of Contmaor Insurance Compmy/Policy Numbcr Q i am-a homeowner performing all the work myself wboemployrons toonintaacN07E Plcasc be aw:rc that whie boacowcs eoastruaioa or repair.Morlc on a ,Jwclling of not more tbaa tbrcc units in wb;cb the homeowner also resUct.of oa the grounds apputunmt tbcrcto arc not generally cons;dcrcd to be employers tmdcr the Worlcri Cotupcasat;oa Act(Gl—C.152.sect. 1(5)).application by a bomcowacr for a liccDSc or perrnit may cvidcocc the 1c€J staus of:=cr_rloycr uodcr the Workcrs'Corapcnsat;on Act. i undcrstanc tract a copy of iris st:t<ncnt w;i:oc for,•ardcd to tnc Dcpr:-cnt of Industrial Acodcnts'OGscc of lssum:na for.covcrazc ---crification and'that failure to secure covcrgc:s rcSu;rcd undcr Scction 25A of MGL 152 can kad to the impos;uon of rsiminal pcna ks consisting of a tint of up to S1500.00 andlor imprisonment of up to onc year and civil pcnahics in the form of:Stop Vork Ordcr and a I fine of S100.00 a day against mc. Signcd this day of . I9 Liccn��cJPcrm�irccc Liccnsor/Pcrmiaor ' S£9ZA dN 10103 aoiVULSININGV Pb Puod Stnal 9ZI Xljuadaej p q .e ja6oa not eatdx3 . y 9/80/90 a f / s r 1df1DIAIDNI - adAl S£AAAi uotleilsibaa y, NOl N3 MI 3 OVb1N00 N3AD OH� d1! j' ry�aan�✓vrmrr`� o wta�rio0' al� \—� _ jjj(((,yyy{ I Z\ COMMONWEALTH ) DEPARTMgNT OF PUBLIC SAFETY F sftre is possess&current P OF ONE ASHBORTON PLACE s cbesettlStatlBulldfng . MASSACHUSETTS` BOSTON,MA 02108 � „�eiraauwtorrAlrooation - of its tj*•eie „ ��. L I Cl N S E t EXPIRATION DATE < CONSTR. SUPERVISOR CAUTION 01 /25/1996 RESTRICTIONS �n�J EFFECTIVE DATE LIC-NO. FOR PROTECTION AGAINSTt NONE - ' - 'THEFT; PUT RIGHT THUMB 0 6/3 0/1 9 9 3"` 017111 PRINT IN APPROPRIATE ' BOX ON LICENSE. I'6 g. .ROGER B REID _ ) . . o S5 032-2$-7448 _" J PO BOX 145 BLASTING OPERATORS-_; COTUIT MA 02635 ,MUST INCLUDE PHOTO. . .. PHOTO7(BLASTINGOPR F 0a.no NOT VALID UNTIL SIGNED BY LICENSEE AND OFFICIALLYHEIGHT STAMPED-OR-SIGNATURE OF THE COMMISSIONER DOB:01 /25 /19 41 THIS DOCUMENT MUST BE « SIGN NAME IN FULL ABOVE SIGNATURE LINE C THE HOLDERIED ON PERSON EN- SIGNATURE OF LICENSEE I THE HOLDER WHEN EN- OTHERS-RIG `1! - J' ' w• - HT THUMB PRINT GAGED � VVV r►,` � TONER Assessor's office(1st Floor): Assessor's map and lot number 3 6` 3'7�-�.� �o`THE to �Q �O Board of Health(3rd floor): e Sewage Permit number Engineering Department(3rd floor): aMa MyesAG& c 2 r House number i°so Definitive Plan Approved by Planning Board 19 �F0 rir b• APPLICATIONS PROCESSED 8:30-9:30 A.M.and 1:00-2:00 P.M.only TOWN OF .BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO Q O /7- y1 1 TYPE OF CONSTRUCTION A,10V 19 3 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location /o P y �� N / /A/4 Proposed Use Zoning District / Fire District C-© 700 Name of Owner.&i,* wA Ile- , & 3 Tp-iA/ Address Ad -l' ' 6 o Name of Builder ,I� �-�,� A,�s �rY Address /5 w<s����� C (n /2)i/ / ,4 0 3S— Name of Architect Address Number of Rooms Foundation Exterior Roofing L- / Floors Interior ZHeating Plumbing iz Fireplace Approximate Cost a Area Diagram of Lot and Building with Dimensions Fee L 0. F / � I 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 ✓i" Construction Supervisor's License d J ,y HOLDSTEIN, WALTER No 36348 Permit For RE—ROOF Single ,Family Dwelling Location 10 Putnam Avenue ' Cotuit ` Owner Walter -Holdstein Type of Construction Frame Plot Lot -~ �.• y Permit Granted November 2 2, 19 93 Date of Inspection 19 ' Date Completed 19 • d t Engineering Dept. (3rd floor) Map &3 6o Parcel © eid _ Permit# � 1 House# Date Issued ?S�`i Board of Health(3rd floor)-(8:15 -9:30/1:00-4:30) Fee Conservation Office(4th floor)(8:30- 9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) ' �,KE rq Definitive Plan Approved by Planning Board 19 • BARNSTABLE, RFD,39. TOWN OF BARNSTABLE Building Permit Application Project Street Address j() 1°Ul,VAhn A'CxQ Village Owner . Sall Address !f J Telephone Permit Request ►VIS First Floor square feet Second Floor square feet Construction Type Estimated Project Cost $ /Z 000 — Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family ❑ . Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half: Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# - Current Use Proposed Use Builder Information Name OQ,(cA.) iCIL&.S�M Telephone Number Address `7 / j i+ncQ,.c -Yx 0//7 License# Home Improvement Contractor# Worker's Compensation# / 3/synt 3463 an NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ��tijpzzoLYy , SIGNATURE DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) 031 I I'wMA A JIA 4�.:o eI L n �IJ FOR OFFICIAL USE ONLY -r PERMIT NO. wai6{ DATE'ISSUED MAP/PARCEL NO. ADDRESS VILLAGE j ~ OWNER - DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: +rfr' ROUGH FINAL FINAL BUILDING -a o?- Z7 DATE CLOSED OUT ASSOCIATION PLAN NO. Engineering Dept.(3rd floor) Map Parcel h _3,� - Permit# - House#. Date Issued 3 Board of Health(3rd floor)(8:15 =9:30/1:00- ) ` Fee 2S� Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Planning Dept.(1st floor/School Admin. Bldg.) �TNE Definitive.Plan Approved by Planning Board 19 BARNSTABLE, �(7 TOWN OFtBARNSTABLE lFON�"a` Building Permit Application Project Street A ress I"O PJl-rUvin �c�Q Village'__} Y �c>�tt, - Owner I I $ rM 01-� 5;.Ce Address ~.Telephone i Permit Request I& Co _First Floor Osz square feet Second Floor square feet 'Construction Type Estimated Project Cost $ S��O Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House ❑Yes ❑No On Old King's Highway ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: Existing New Half. Existing New No.of Bedrooms: Existing New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove ❑Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) t ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name 4Q2aM L' taA�c� Telephone Number Address "7 7A 62GtG�^ r(7 License# C04- J 1'YI Home Improvement Contractor# /LCDL�IE Worker's Compensation# 6 31S�6 2 3 d O d/ 7 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Va 62 La SIGNATURE DATE 9- BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) t ; � FOR OFFICIAL USE ONLY PERMIT-NO. DATE ISSUED MAP/PARCEL NO: ADDRESS VILLAGE OWNER DATE OFINSPECTION: FOUNDATION FRAME INSULATION FIREPLACE r _ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ' GAS: ROUGH FINAL ' , FINAL BUILDING DATE CLOSED OUT. ASSOCIATION PLAN NO. I The Town of Barnstable 1�8 Department of Health Safety and Environmental Services Building Division 367 Main Strew,Hyannis MA 02601 •Office: 508-790-6227 Ralph CrossonBuilding Commissions Fax: $08-790-6230 For office use only Permit no. I Date AFFIDAVIT, HOME IMPROVEMENT CONTRACTOR LAW ' SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization. conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than tour dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work• ' • I L� lL<1 Est.Cost A 61M Address of Work:_ p" L'I ]^a,1A ?'q1U__P Owner's Name r Fe �S� Date of Permit Application:_ *a IQ 8 I hereby certify that: Registration is not required for the following renson(s): __Work excluded by law Job under S1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS .PULLING .'THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a.permit as the agent of the owner: C Date Contractor Name Registration No. OR Date Owners Name The Commonwealth of Massachusetts Sj Department of Industrial Accidents Ar : _�..f --- _, , �_... Office of/mrest offens = I R 600 Washington Street +r Boston,Mass. 02111 ,.� Workers' Com ensation Insurance Affidavit �_Q CVV\ name L T- location L 4 R"-n CA_C 6-,_ f R city CC) `t-' ro phone# ❑ I am a homeowner performing all work myself. " ❑ I am a sole proprietor and have no one working in any capacity ------------ M1 am an employer providing workers' compensation for my employees working on this job. comaanv name address city hone#: insurance co. )U olicv# 1ST 3d3d1 ❑ I am a sole proprietor,general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: ... com anv name: address: hone# city: : insurance co. aiR/w/iaa cam anv name: address: hone#. city: :.......': . . . ollev# insurance co. Failure to secure coverage as required under Section 25A of�iGL 152 can lead to the imposition of criminal penalties of a tine up to S1,500.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. I understand that a copy of this statement may be forwarded to the Onice of Investigations of the DIA for coverage veriflcation. I do hereby certi der th p and=of perjury that the information provided above is truo and correct Date Signature �a _ Print mate Phone# official use only do not write in this area to be completed by city or town official city or town: petmit/ncense# ❑Building Department ❑Licensing Board ❑Selecanen's Office ❑check if immediate response is.required ❑Health Department contact person: phone#-. ❑Other (rant 9/95 PIA) Information and Instructions , rs nsation for ir Massachusetts General Laws chapter 152 section Qe requires d as every ersonployers to Provide Nvo in the serviceeof another under any contra c employees. As quoted from the"law",an employ every P of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association. corporation or otherlg deceasedtity or employer, or the receiver . two or more of P the foregoing engaged in a joint enterpnse, and including the legal representatives o employees. However the owner of a trustee of an individual, partnership, association or other legal entity, employing emp house of dwelling house having not more than threeapartments on or rides epairherein, or the occupant of the work n such dwelling house or ongrounds o: another who employs persons to do maim , ,._ L. __ ployer building appurtenant thereto shall not because of such employment be aecineu w 0. .s•l employer. he ce or renew chapter 152 section 25 also states that every construc state or tcal sing agency shall withhold in the commonwealth for any applicant who ha of a license or permit to operate a business or g not produced acceptable evidence of compliance with the insurance coverage ns shall enter into any contract for the iperforAdditionally, ance o publi neither until commonwealth nor any of its political subdivisio quirements of this chapter have been presented to the coimacting acceptable evidence of compliance with the insurance re authority. Egg N� WWI Applicants t completely, by checking the box that applies to your nrtin and Ple ase fill in the workers' compensation affidavi a be supplying company names, address and phone numbers along with a certificate of insuraiiign submitted to the Department of Industrial Accidents for coonfirmatiiofinin ante cot the verage. e. Also the peer ure or o sense is d date the affidavit. The affidavit should be returned to the city or being requested, not the Department of Industrial llicAccidents. d lease call the Du have any artnent aquestions the numbeg listed below.arding the w or if y ou are required to obtain a workers' compensation po -, p eP MEN N City or Towns Please be sure that the affidavit is complete and p��esti legibly. i has to contact you reg ding the applicant. Provided a space at the lease affidavit f the affidavit for you to fill out in the event the Office of In g be sure to fill in the permit/license number which will be used as a reference been made.number. The affidavits maybe returned i^ the Department by mail or FAX unless other arrangements The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions• please do not hesitate to give us a call. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents 0111ce of Investigations - 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 � _. : . The Town of Barnstable • uxrrsrnsi.E. • 9ebNIAM ,0�' Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner For office use only Permit no. Date /.�S 1/5-./� AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the "reconstruction, alterations, renovation, repair, modernization, conversion, improvement, removal, demolition, or construction of an addition to any pre-existing owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors, with certain exceptions,along with other requirements. Type of Work: �P S� Est.Cost lS70-�O Address of Work: ko &Jhn1vx A ,d e;*C1y1 & Owner's Name Date of Permit Application: d�/132 R I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under$1,000. Building not owner-occupied Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: y �s1r1 7)7& 6 to Contractor Name Registration No. ` OR Date Owner's Name The Commonwealth of:1tassachuseas ►1 - Department of Industrial Accidents ! officeallnvesMil/offs 600 Jf US11ttr,'1orr Street Bostotr.Jfa.Y . (12111 Workers' Compensation Insurance Affidavit AIijli61 tinformation: — Plcise PRINT Ie j j"'"'"•""�"' "�' "^`" - _ nam Lt_4_0� r Incation: �7/ /�oy-, cm city l?O y%4A--r nhone I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity �j I am an emplover providing workers' compensation for my employees working on this_job. coultm tv name: �✓�-C�-�/l / • address' city: ohnne#• incur-ince co I ' In 'J�/ Mtn polies•# ItZ / 3/5 �If a M, [I I am a sole proprietor. general contractor, or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: comnam• name: address• cin.: phone#• insur-incr co. noliev# � .. rt„ .�.... _ _ ....1..-t..__ .. __ — lr�:,::�^t<iT"r!1wwy�1:♦ .�1T._.__ ...e.ti....i�_.�... cmmrianv name: address: riff•: phone#• insurance co. policy Attach additio_nal sheet ifneces_satY, �- �_--+�_: - __"�":e:%' w'�,�'� •=" r^��'�'= -•' Failure to secure coverage ns required under Section:SA of DIGL 152 can lead to the imposition of criminal penalties of a lineup to S1S00.00 andior unc y cars' imprisonment:is well as civil penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. 1 understand that a cope of this statement may be forwarded to the Once of Itivestigations of the DIA for coverage verification. !do hereAr enaltics of perjury that the information provided above is true and correct. Si:naturc Datc O Print name r t -� C neO✓VA #C_At4A-L Phone# _� err ofrjcial use unly do not write in this area to be completed by city or town official city or town: permit/license# r•tlluilding Department " ' C3Liccnsing Boardcheck if immediate response is required OSeleetmen's Office (:]Ilcalth Department contact person: phone#: r Other , •[•ire::: uiq} - .. Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "law-. an emplgree is defined as every person in the service of another under any contract of hire, express or implied. oral or written. An enrplt rer is defined as ail individual. partnership, association. corporation or other legal entity. or any two or more . t er rise and including the le�_al re rescntativcs of a deceased em lover, or the the fore otnu, cimaued in a joint ct t p � p p receiver or trustee of an individual , partnership. association or other legal entity, employing employees. However the owner of a dwellin�u, house having not more than three apartments and who resides therein, or the occupant of the dwcllint: house of another who employs persons to do maintenance , construction or repair work on such dwelling hour or oil the ;,wounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that even• state or local licensing agency shall withhold the issuance or renewal of license or permit to operate a business or to construct buildings in the commontrenitli for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally. neither the commonwealth nor am'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 Ila been presented to the contracting authority. Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the cite 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 i olic lease call the to obtain a �wori:ers' compensat n y. Department at the number listed below. p o p - City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event'the Office of Investigations has to contact you regarding tite applicant. Pleas be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations .would like,to thank you in advance for you cooperation and should you have any questions. please do not hesitate to an us a call. . Tile Department's address. telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents ...`r office of Investigations 600 NVashington Street Boston,Ma. 02111 fax#: (617) 717-7749 ,� phone #: (617) 7274900 ext. 406, 409 or 375 PAR Real Estate System - General Property Inquiry Help Parcel Id: 036 033- - Account No: 21746 Parent : Location: MAIN ST & 10 PUTNAM AVE Neighborhood: 04AA Fire Dist : CT Devel Lot : Lot Size : . 78 Acres Current Own: EDELSON, JILL & State Class : 101 HARLEY, MARGOT ETALS No. Bldgs : 1 Area: 3435 136 UNADILLA RD Year Added: RIDGEWOOD NJ 7450 Deed Date : 010195 Reference : 9541/217 January 1st : EDELSON, JILL & Deed MMDD: 0195 Deed Ref : 9541/217 Comments : Values : Land: 124500 Buildings : 156700 Extra Features : 3800 Road System: 718 Index: 951 (MAIN STREET (COTUIT) ) Frntg: 177 Index: 1324 (PUTNAM AVENUE ) Frntg: 195 Control Info: Last Auto Upd: 052596 Status : C Last TACS Update : 082195 Land Reviewed By: Date : 0000 Bldgs Reviewed By: ML Date : 0995 Tax Title : Account : Taken: Account Status : Hold Status : Cancel Press XMT for more data Next screen PAR Action Owners Name Road Index Road Name Parcel Number 036 034 RCV F (G3) 1