Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0080 HARBOR HILLS ROAD
,f t�+��- u � w i i I �. ., �' pp p i a a z a v � a - _ i .. ,� ,. � o ., �'- :� .. '. ¢�' ., ,. � °I .. e _ .. � - � �. a ..., - 6 .. o i M F ,. r _ _... ' -. ' d 0 o PLOT PLAN JARVIS LAND SURVEY, INC PREPARED FOR r .. 29 GRAFTON CIRCLE `' S-iH�REW S B U RY, MA 01545 KEN CURRY ' TEL. (508) 842-8087 80 HARBOR HILLS ROAD tl OCT 24 fte:(SQ8) 842-0661 i CENTERVILLE, MASSACHUSETTS EMAIL: JARVISLAND AOL.COM OCTOBER 21, 2008 - SCALE: 1 INCH = 20 FEET t�It �o 1.THIS PLAN HAS BEEN PREPARED 6VITHOUT THE BENEFIT OF A T!TLE REPORT AND IS SUBJECT TO THE ASSESSORS MAP 247 FINDINGS SUCH A REPORT MIGHT DISCLOSE. LOT 87 k' 2.THIS PLAN HAS NOT BEEN PREPARED FOR RECORDING PURPOSES: 33HE LICENSED MATERIAL CONTAINS VALUABLE PROPRIETARY INFORMATION BELONGING EXCLUSIVELY TO JARVIS LAND SURVEY,INC. THE LICENSED MATERIAL AND THE INFORMATION CONTAINED THEREON ARE COPYRIGHTED INSTRUMENTS OF PROFESSIONAL SERVICES AND SHALL NOT BE USED,IN WHOLE OR IN PART,FOR ANY PROJECT OTHER THAN THAT FOR WHICH THEY WERE CREATED,WITHOUT THE EXPRESS WRITTEN CONSENT OF JARVIS LAND SURVEY,INC.YOU AGREE NEVER TO REMOVE ANY NOTICES OF COPYRIGHT,NOR TO REPRODUCE OR MODIFY THE LICENSED MATERIAL. R 081 5 6205040" E 75.0$1" 5h D Mori) LOT 20A 41 - J , f ;. 5.4' . J U-, OF Mq N 0 10.5' f r 7' 2.5 -o KEVIN 0 00 N NO o JARMS �' 1 hOU5E o �cv N 40044 z #(50 cf� 1.0' 10.9' . FOUNDATION; l o °D, 24.0' cq A O { s 75.00' ------ N`G 1 05 2'30" w i h ARBO R h I LL5 ROAD 08-552 a Town of Barnstable *Permit# Expires 6 months from issue date 4 20'fi Regulatory Services Fee �- % BARNSTABLE�; s MASS b�p \\{� ABL�Richard V.Scali,Director 9�ArF ,` Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY l �� Not Valid without Red X-Press Imprint Map/parcel Number4 1 2 �y l Property Address ao r H % 0s . Ro0A R o Residential Value of Work$13 j`�1�� Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address I V l Q,rE- Hen r SD l i 1 �S vi I MA 0263Z ,t.0 to vS S vec.. Scar en Contractor's Name & r Telephone Number%V-IG3"045Z Home Improvement Contractor License#(if applicableO)I"TSGd-7 Email:�,SVf=-CO83 GG►'ha t CO Zvi Construction Supervisor's License#(if applicable) -! ` G I q XWorkman's Compensation Insurance Check one: ❑ 1 am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Ace Insurance Company Name e Awill9 r%ca✓i :1-"su rQ Vie e C o . Workman's Comp. Policy# W L--RC 4 86 9 Z,A 1 Copy of Insurance Compliance Certificate must accompany each permit. ` Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ❑ Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows oors/ ders. U-Value i3 a (maximum .32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical& Fire Permits required. *Where required: Issuance ofthis permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: . Property Owner must sign Property Owner Letter of Permission. A copy of the Ho a Improvement Contractors License&Construction Supervisors License is e ired. i SIGNATURE: C:\Users\Decoll I\Microsoft\Windows\Temporary Internet Files\Content.Outlook\2PI DHR\EXPRESS.doc Revised 040215 I b� 6 . OF THE Tp� �O + mRNSrA6LE, M039."ss Town of Barnstable ATfD N1A'�A Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I V) Lk r5 7 as Owner of the subject property ' , r hereby authori e ��r h[�+.7 C V�/ to ct on my behalf, Betas S in all matters relative to work authorized by this building permit application for: r 60 r i (Address of Job) Signature of Owner ate Maryburs(--7:� Print Nam If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Deco)Iik\AppData\Local\Microsoft\Windows\Temporary Internet Fi1es\Content.0ut1ook\2PI01 DHR\EXPRESS.doc Revised 040215 The Commonwealth of Massachusetts W Department of Industrial Accidents . 1 Congress Street, Suite 100 Boston,MA 02114-2017 wM 0''s www.mass.gov/dia 11'orkers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED NVITH THE PERMITTING AUTHORITY. Applicant Information Please Print Let=_ibly Name (Business/organization/Individual):Sears:Home Improvement Products Incorporated Address: 1024 Florida Central Parkway City/State/Zip: Longwood, FL. 32750- Phone #: 860-753-0452 Are you an employer?Check the appropriate box: Type of project(required): 1.®I am a employer with employees(full and/or part-time).* 7. ❑New construction 2.❑1 am a sole proprietor or partnership and have no employees working for me in 8. ❑Remodeling any capacity.[No workers'comp. insurance required.] 9. El Demolition 3.®I am a homeowner doing all work myself.[No workers'comp.insurance required.]' 4.El am a homeowner and will be hiring contractors to conduct all work on my property. I will 10 ❑Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.0 Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.❑1 am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13 ❑Roof repairs These sub-contractors have employees and have workers'comp.insurance. . 1 6.[D We are a corporation and its officers have exercised their right of exemption per MGL c. 14.A Other e �t C 152,§1(4),and we have no employees.[No workers'comp.insurance required.] *Any applicant that checks box#] must also till 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. !am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Ace American Insurance Company / Phone:866-283-7122 Policy#or Self-ins.Lic.#: WLRC48609247 Expiration Date: 08/01/2017 Job Site Address: Harbor 8, I IS R City/State/Zi rVi �(�V�'J 2 Attach a copy of the workers' compensation policy declaration page(showing the policy number and ex irati n date . P g ( g P Y P ) Failure to secure coverage as required under MGL c. 152,§25A is a criminal violation punishable by 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.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. Ldohterek,cer y ur er the pain nd penalties of perjury th t the infor anon provided above is true and correct. Y Date: d Phone#: 860-753-0452 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): L Board of Health 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5. Plumbing Inspector 6.Other Contact Person: Phone#: RESETFFORM, CERTIFICATE OF LIABILITY INSURANCE DATE(MM/07128/2016 Y) 076 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 have ADDITIONAL INSURED provisions or be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT _ d NAME: Aon Risk services Central, Inc. PHONE (866) 283-7122 (800) 363-0105 `y Chicago IL office - (A/C.No.Ext): AIC.No.: 200 East Randolph E-MAIL p Chicago IL 60601 USA ADDRESS: _ _ INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURERA: ACE American Insurance Company 22667 Sears Home Improvement Products Inc.1024 Florida Central Parkway INSURERS: ACE Fire Underwriters Insurance Co. 20702 Longwood FL 32750 USA INSURER C: INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: 570063227480 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. Limits shown are as requested INSR TYPE OF INSURANCE A D S C R pOLJCY NUMBER POL F POLICY XP I LTR INSD WVD MMIDDIYYYY MMIDDIYYYY LIMITS A X COMMERCIAL GENERAL LIABILITY HDOG27 17 08/01/201608/01/2017 EACH OCCURRENCE $5,000,000 CLAIMS-MADE X❑OCCUR AMAG N $S,000,OOO PREMISES Ea occurrence MED EXP(Any one person) EXCI uded PERSONAL&ADV INJURY $S,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $5,000,000 N PRO- X POLICY ❑JECT LOC PRODUCTS-COMP/OP AGG $S,000,OOO OTHER: o A AUTOMOBILE LIABILITY ISA'H0904419A 08/01/2016 08/01/2017 COMBINED SINGLE LIMIT ISA H09044188 08/01/2016 08/01/2017 $5,000,000 A Ea accident A ANYAUTO ISA H09044176 08/01/2016 08/01/2017 BODILY INJURY(Per person) ZO X OWNED SCHEDULED BODILY INJURY(Per accident) tv AUTOS ONLY AUTOS PROPERTY DAMAGE X HIREDAUTOS X NON-OWNED U ONLY AUTOS ONLY Per accident N UMBRELLA LIAB OCCUR EACH OCCURRENCE C) EXCESS LIAB CLAIMS-MADE AGGREGATE DED RETENTION A WORKERS COMPENSATION AND WCUC48609259 08/01/2016 08/01/2017 X PER STATUTE I OTH- EMPLOYERS'LIABILITY YIN OH, WA, WV ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT S2,000,000 A OFFICER/MEMBER E%CLUDED? NIA WLRC48609247 08/01/2016 08/Ol/2017 (Mandatory in NH) All Other States - E.L.DISEASE-EA EMPLOYEE $2,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below _ E.L.DISEASE-POLICY LIMIT $2,000,000- DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Evidence of Coverage. a� =-i CERTIFICATE HOLDER CANCELLATION a SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE je POLICY PROVISIONS. Sears Home Improvement Products AUTHORIZED REPRESENTATIVE ILr- 1024 Florida Central Parkway Longwood FL 32750 USA ©1988-2015 ACORD CORPORATION.All rights reserved. ACORD15(2016/03) The ACORD name and logo are registered marks of ACORD - t AGENCY CUSTOMER ID: 570000034159 a LOC#: ARo® ADDITIONAL REMARKS SCHEDULE Page _ of AGENCY NAMED INSURED Aon Risk services Central, Inc. Sears Home Improvement Products Inc. POLICY NUMBER See Certificate Number: 570063227480 CARRIER NAIC CODE See Certificate Number: 570063227480 EFFECTIVE DATE: ADDITIONAL REMARKS THIS ADDITIONAL REMARKS FORM IS A SCHEDULE TO ACORD FORM, FORM NUMBER: ACORD 25 FORM TITLE: Certificate of Liability Insurance INSURER(S)AFFORDING COVERAGE NAIC# INSURER INSURER INSURER INSURER ADDITIONAL POLICIES If a policy below does not include limit information,refer to the corresponding policy on the ACORD Certificate form for policy limits. INSR ADDL SURR POLICYNU:MBER POLICY POLICY LIMITS DATE DATE DATE ON LTR TYPE OF INSURANCE INSD WVD F.FFF.CTIVF. EXPIRATION (pIM/UD/Y\'YY) (MNI/DD/YYYV) WORKERS COMPENSATION B N/A SCFC48609260 08/01/2016 08/01/2017 WI ACORD 101(2008/01) ©2008 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD C.� Office of Consumer Affairs nd. Business Regulation 1() Park Plaza- Suite 5 t 70 Boston, Massachusetts 02116 Home 1Mta «ti°ement C`6,iitrac,toi,- Registratlian Registration, 148607 r'? Type: Supplement Card _ I Expiration: 10/11/207 SEARS HOME IMPROVEMENT PR`0- DUt---T� I', � LUBOS :SVEC. 1024 FLORIDA CENTRAL PKWY LONGWOOD, FL 32750 v__...__.._. z._ update Address and return card.Mark reason for change. Address Renewal ? k niploynfent t�ost Card SCA ti ?0$4.06 t rI,fIF t'�N71�LF?PFfSC�l f� 7f 6f (f/.7 d - •.: .._ _ pf'Iicccfionsan�crflffmr �C.(3i�5�nessRegu{atimi ' (.;icensetrtre i5tr.loansalid:.1,arfntliviclutttaseiant i� before the expiration,date If,found return to: Es "aAiOME IMPROVEMENT CONTRACTOR � �� office of Consumer xff tars and kluciness�R�egulatian Registration 148,607 TYRe tt)Park Plaza-Suite 7170 .,s _ °' Expiration ,1t011i11201 Z —Supplement Card s`;, Boston,MA 02116 SEARS HOME lMPROVEMEN,T PRODUCTS INC. ix LUSOS SVEC " 1024 FLORIDA CENTRAL PKWY LONGWOOD.FL 32750 Undersecreta Not valid tiv ithont signatuCc .. ' 3 F � Massachusetts Department cat Pub4c Safety t Board of Buildirtrg�Re�u�latiO sand Sta dards License: CS-097519 � x. COnstruction Supervisor � ? M: • LUBOS SVEC , 827 THOMPSON ROAD THOMPSON CT 06277 s,• �.ve Expiration:: Commissioner. 08/81/2018 s r 9 Office Location: BOSTON Proposal Date 09/21/2016 IJobNumber 21025078 Sears Home Improvement Products,Inc. Customer Name rrs P.O.Box 522290 MARY ELLEN DURso � 1024 Florida Central Parkway Customer's Home Phone Customer's Work Phone Longwood, FL 32750-7579 (S08) 957-2114 Home Improvement Products Phone(800)469-4663 Street Address ESTIMATE AND PROPOSAL Contractor License/Registration Number 80 HARBOR HILLS RD MA(148607) City State I Zip code Doors All plumbing and electrical services performed by CENTERVILLE MA 02632 Is installation within city limits? licensed subcontractors Installation Address County BARNSTABLE (Yes/No): NO FEIN 25-1698591 Billing Address(if different from above) City State Zip Code Project Consultant Name&License No.(if applicable) GIL RABINSVSKY 578646018 Description of the Project and Description of the Significant Materials to be Used and Equipmentto be installed Entry Door 1 Location: FONT DOOR Entry Door 2 Location: Style:400 DOOR STYLE Style: Jamb(Full/L Frame): FULL Material(Steel/Fiberglass):STEEL Jamb(Full/L Frame): Material(Steel/Fiberglass): Configuration(Single/Double/Patio):SINGLE Configuration(Single/Double/Patio): Slab Type(Grain ed/Smooth/VL Smooth): Slab Type(GrainedlSmoothNL Smooth): Colors EXt ENZIAN BLUE OUTSIDE Int SNOW MIST Colors Ext Int Grid/Blind Colors Grid/Blind Colors Ext Int Ext Int © Glass Style:PRIVACY GLASS ❑ Glass aStyle: Finish (Bright Brass/Antique Brass/Satin Nickel/Aged Bronze):SATIN NICKEL Finish (Bright Brass/Antique Brass/Satin Nickel/Aged Bronze): ❑ Standard Hardware Package ❑ Door Cutdown ❑ Standard Hardware Package ❑ Door Cutdown Additional Options: DOUBLE KEY DEADBOLT Additional Options: WI INSWING(LH/RH): RH ❑ OUTSWING(LH/RH): ❑ INSWING(LH/RH): ❑ OUTSWING(LH/RH): Casing (Modern-Ranch/Col onial/3.5 Colonial): Casing (Modern-Ranch/Coloniall3.5 Colonial): Casing Color: Casing Color: ❑ Door Cutdown Patio Door Screen Color ❑ Door Cutdown Patio Door Screen Color Jamb (Standard/Extended): Jamb (Standard/Extended): Jamb Cladding Color: Jamb Cladding Color: Door 1 SIDELITES STORM DOORS Location: Model: Model: Jamb(Full/L Frame): Material(Steel/Fiberglass): Colors Ext Int Configuration(Single/Double/Patio): ❑ Tinted Glass (Bronze/Gray/Green/Low'E'): Slab Type(GrainedlSmoothlVL Smooth): ❑ Standard Hardware Package (Black/White): Colors Ext Int ❑ Specialty Hardware: Grid/Blind Colors Ext Int ❑ Glass Style: Finish (Bright Brass/Antique Brass/Satin Nickel/Aged Bronze): Door 1 TRANSOMS Model Number: PLEASE NOTE:Contractor is not liable for the condition or . Grid Colors Ext Int operation of rehung storm doors. ❑ Glass Style: Additional work to be done:PUT BACK STORM DOOR AFTER INSTALATION Work NOT to be done: NOT REPLACING THE STORM DOOR SPECIAL INSTRUCTIONS:CUSTOMER WANT TO KEEP THE TOP AND SIDE TRIM INSIDE All of the above check boxes, "Work NOT to be done," "Additional work to be done," and Customer(s)initials "Special Instructions"sections have been reviewed and explained to me. SDI-MA (Dig.) Rev 06/07/2016 Page 1 of 3 Job Number: 21025078 a APPROXIMATE START DATE and APPROXIMATE COMPLETION DATE: The work will start approximately 4.To 6 WEEKS (Approximate Start Date) It will be substantially completed by approximately 4 To 6 WEEKS (Approximate Completion Date) These dates are subject to change at the time the contract is accepted by Sears Home Improvement Products, Inc. ("Sears")or at any other time by mutual written agreement. Customer understands that the Approximate Start Date is only an estimated date and the Customer will be contacted prior to this date to schedule the actual start date. ASBESTOS ABATEMENT: This Estimate and Proposal assumes that there are no asbestos containing materials ("ACMs") that would be disturbed in the performance of the installation work. If upon further inspection by the contractor or others it is learned that ACMs have to be disturbed to perform work,then Customer must arrange and pay for abatement of asbestos by a qualified person prior to the start or continuation of work. If Customer fails to arrange for necessary asbestos abatement within thirty (30) days, Sears may cancel this contract upon Customers initials // written notice to Customer. ( ) fit° a- The TOTAL PRICE including all labor,material,taxes and any applicable discount is$ 3,488.95 Contract Price $3,488.95 Initial Payment(not to exceed 30%of Total Price unless Special Order)$ 1,046.68 State Sales Tax( 0.00 %) $ 0.00 Final Payment(balance payable upon completion of job)$ 2,442.27 Local Sales Tax( 0.00 %) $0.00 The Initial Payment is due prior to Sears ordering products. Total Amount Due $3,488.95 The form and method by which the Customer(s)will pay is described in a separate Cash/Credit A, Card Payment Addendum made a part of and incorporated into this contract by reference. Customer(s)initials NOTICE TO BUYER: YOU, THE BUYER, MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY (FIFTH BUSINESS DAY IN ALASKA, FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER)AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. ADDITIONAL PROVISIONS Proposal and Approval.Sears offers to furnish the materials and arrange for their delivery and installation as specified on the first page and/or the attached sketches and specification sheets for the TOTAL PRICE shown.This offer must be approved by the Installation Department. If this is a credit sale or a payment on completion sale,it must be approved by the Credit Sales Department. If this proposal is not approved or the installation cannot be made in accordance with the law,this offer will be withdrawn and any payments you have made will be refunded to you.Any materials left over after the installation has been completed are Sears property and will be removed by Sears. Installation. I understand that Sears will not install the materials but will arrange for the installation. Sears is not responsible for materials or installation NOT furnished or arranged by Sears.Sears'installation contractor(s)will obtain all building permits required by local law. For homes located in historic or landmark, zoning districts,Customer will be responsible for obtaining required approvals and related permits prior to the commencement of work on this contract. Authorization. I authorize Sears to: (1)arrange for a contractor(licensed where required by law)to make the installation of materials; (2) issue a work order for this installation to a contractor; (3)inspect the installation; and (4)pay the contractor when the installation is complete if I have signed a certificate that the installation has been completed to my satisfaction. Delays in Installation.I agree that Sears is not responsible for delays in delivery or installation due to weather,fire,strikes,war,government regulations or any causes beyond Sears'control Oral Agreements and Changes in Contract.I understand that there are no oral agreements between Sears and me.Everything I expect Sears to do has been included in writing in this contract.Nothing can be changed in this contract unless it is in writing on a separate form accepted by me and Sears. Responsibility of Buyer. I agree that any information or measurements that I give to Sears are correct and complete. I am responsible for any special work described in this contract. Electrical& Plumbing Service. I will provide adequate electrical and/or plumbing service(s)to run any newly installed appliances or other furnishings. If the electrical and/or plumbing service(s)do not meet the standards of the utility company or electrical and/or plumbing codes, I will make the necessary changes at my expense unless Sears has agreed in this contract to make the changes. ° Payment. I will pay Sears the cash price that covers the price of material and installation as shown on the first page. Warranty Information.Appropriate product warranty documents will be given to me by Sears.Sears'Warranty on Installation is: SEARS'LIMITED WARRANTY ON INSTALLATION In addition to any manufacturer warranty extended to you on the product(s)used(which warranty becomes effective the date the merchandise is installed),if the workmanship(or application)of any Sears'arranged installation proves faulty within three years on Custom Craft products and one year on all other products, then upon notice from you Sears will cause such faults to be corrected by repair at no additional cost to you. If Sears determines that repair is not commercially practicable or cannot be timely made,then,at Sears'sole discretion,Sears may elect to provide replacement or refund.Service under this Limited Warranty is available by calling Sears Home Improvement Products at 1-800-222-5030,Option 4.This warranty gives you specific legal rights,and you may also have other rights that vary from State to State. SD1-MA (Dig.) Rev 06/07/2016 Page 2 of 3 Job Number: 2102SO78 NOTICE TO BUYER 1. DO NOT SIGN THEAGREEMENT IFANYOFTHE SPACES INTENDED FORTHEAGREED TERMS TOTHE EXTENT OFTHEAVAILABLE INFORMATION ARE LEFT BLANK. 2. YOU ARE ENTITLED I D TO A COPY OF THIS AGREEMENT AT THE TIME YOU SIGN IT.KEEP IT TO PROTECT YOUR LEGAL RIGHTS. 3. YOU MAY PAY OFF THE FULL UNPAID BALANCE DUE UNDER THE AGREEMENT AT ANY TIME,AND IN SO DOING YOU SHALL BE ENTITLED TO A FULL REBATE OF THE UNEARNED FINANCE AND INSURANCE CHARGES. 4. YOU MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR TO MIDNIGHT OF THE THIRD BUSINESS DAY[FIFTH BUSINESS DAY IN ALASKA, FIFTEENTH BUSINESS DAY IN NORTH DAKOTA IF YOU ARE AGE 65 OR OLDER]AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORM FOR AN EXPLANATION OF THIS RIGHT. FAILURE TO EXERCISE THIS OPTION, HOWEVER, WILL NOT INTERFERE WITH ANY OTHER REMEDIES AGAINST THE RETAIL SELLER YOU MAY POSSESS, IF YOU WISH, YOU MAY USE THIS PAGE AS NOTIFICATION BY WRITING"I HEREBY RESCIND"AND ADDING YOUR NAME AND ADDRESS.A DUPLICATE OF THIS RECEIPT IS PROVIDED BY THE SELLER FOR YOUR RECORDS. 5. IT SHALL NOT BE LEGAL FOR THE SELLER TO ENTER YOUR PREMISES UNLAWFULLY OR COMMIT ANY BREACH OF THE PEACE TO REPOSSESS GOODS PURCHASED UNDER THIS AGREEMENT. NOTICE TO MASSACHUSETTS RESIDENTS ONLY In addition to the Notice to Buyer shown above, Massachusetts law requires that contracts for home improvement work state that all home improvement contractors and subcontractors shall be registered and that any inquiries about a contractor or subcontractor relating to a registration should be directed to: Office of Consumer Affairs and Business Regulation Ten Park Plaza,Suite 5170 Boston,MA. 02116 Telephone: (617)973-8700 Please note that owners who secure their own construction-related permits or deal with unregistered contractors shall be excluded from access to the Guarantee Fund. Notwithstanding any other language in the contract or associated documents, Sears will not remove, replace, or install any heating or air conditioning system, or any portion thereof, if asbestos or asbestos-containing material is known or likely to be present in that heating or air conditioning system, or any portion thereof. If it is determined or reasonably suspected that asbestos is present, either before commencement or during performance of the work, it shall be the customer's responsibility to select, retain and pay all costs of a Division of Occupational Safety ("DOS") licensed Asbestos Contractor to remove all asbestos or verify that none is present in the components involved in the job. If the determination or reasonable suspicion of the presence of asbestos arises after Sears has started the work, Sears will immediately cease performing the work until a DOS licensed Asbestos Contractor, hired by the customer, removes all asbestos from the components scheduled for repair or replacement in accordance with 310 C.M.R. 7.00 and 453 C.M.R. 6.00 or verifies that none is present. By signing the contract the customer agrees that it understands the above. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES 09/21/2016 09/21/2016 Customer's signature Date Customer's signature Date Accepted by Sears Home Improvement Products, Inc.("Sears")on 09/21/2016 by. Date Management Representative SDI-MA (Dig.) Rev 06/07/2016 Page 3 of 3 e. Town of Barnstable *Permit�(,� I Expires 6 months from issue date Regulatory Services Fee ; , BABNBTABLB, �- 9 " 39. n Thomas F.Geiler,Director QED MA't, Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.m-a.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY 1(�^�Map/parcel Number Not Valid without Red X-Press Imprint .��jL. l Property Address 1S (�sr�jp�rA �,$ nVResidential Value of Workd$ rnMinimum fee of$35.00 for work under$6000.00 rr Owner's Name&Address 0 S'�[It .7/it 1—.50 ^ Contractor's Name �f YV �r �rl(kN W,,L1W'elephoneNumber q0I Home Improvement Contractor License# (if applicable) 173 Email: Construction Supervisor's License# (if applicable), 0 ` 5 ` r ESS P R,p,'T [�Workman's Compensation Insurance SEP 25 2013 Check one: ❑ I am a sole proprietor ' ❑01,am the Homeowner TOWN OF BARNSTABLE CAI have Worker's Compensation Insurance Insurance Company Name l'1 1 q 0/JCLU" Workman's Comp.Policy# Pf-I Copy of Insurance Compliance Certificate must accompany each permit: Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to ` ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) `r side ; Replacement Windows/doors/sliders.U-Value ® 0 3® (maximum.35)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors'4 floor plans marked with red'S and inspections required. Separate Electrical&Fire Permits required. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission, A copy of the Home Improvement Contractors License&Construction Supervisors License is requir ' SIGNATURE: C:\Users\decollik\AppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outlook\8R76BDVA\EXPRESS.doc Revised 061313 Southern New England Windows d.b.a Renewal by Andersen of SINE Massachusetts-Department of Public Safety Board of Buildin 'Re ulations an t 9 9 d S andards Construction Super%isor License: CS-095707 s BRIAN D DENNISON 7 LAMBS POND EIRCL'E Charlton MA 01 Iti , .`%/ � ., ,.& >I 1�1 Expiration Commissioner 09/08/2014 Cl�ie �pom�n�uo ��'�acc��������� lei. • Office of Consumer�is;o n�Busmess'Regul�ation 10 Park Plaza-Suite 5170 Boston,Massachusetts 02116 Home Improvement Contractor Registration . Registration: 173245. - Type: Supplement Card SOUTHERN NEW ENGLAND WINDOWS LL' Emlraton:.91119n014 DENNISON BRIAN 1137 PARK EAST DRIVE WOONSOCKET,RI 02895 Update Address and returncard.Mark reason for change. a - S s o zcrwsn C)Address [j Rew enal I]Employment'0 Lost Card - .. /....o-/4_ 111reofCoosvaur ARain&Badness Reg Itioa License or registration valid for Individul me only 0dPR - OVEMENT CONTRACTOR before the expiration date.If found retuiv to: Office ofConsumer Affairs and Business Regulation - Registration: 173245 Type: 10 Park Plara-Solte 5170 - E4plrEdID& en912 m D14' Suppleent Card Boston,MA 02115 . SOUTHERN NEW ENGLAND WINDOWS LLC. RENEWAL BY ANDERSON DENNISON BRIAN ^`\ 1137 PARK EAST DRIVE '�' v�.— - _ +•=i"'� - �s, WOONSOCI(ET,RI 02895 Uudermcremry Not valid without signature ., �.� r.sue'"—'1""n,of •�i c�. - `'� The Commonwealth of Massaclt.usetts 5� Department o Industrial Accidents Office of Investigations ' 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leaibl Name(Business/Organization/Individual): �N LLB Address City/State/Zip: L/A/CDlN � /��.�� �.2.245 Phone#: ydf Are you an employer?Check the appropriate box: Type of project(required): 1.L1p I am a employer with A t) 4. [] I am a general contractor and I 6 New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' 9• Building addition (No workers' comp. insurance comp.insurance.t required.] 5. [] We are a corporation and its IDTI Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their I I.[]Plumbing repairs or additions myself.[No workers' comp. right of exemption per MGL 12.❑ oof rep 'rs insurance required.]t c. 152,§1(4),and we have no employees.[No workers' I3. Other LZ comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: SIJi`A,�tl �✓ Policy#or Self-ins.Lic.#: d 02 Expiration Date: Job Site Address: go I70� 5 City/State/Zip: t°�"T - t l�Lr t l � `� _-��. l 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 Investiizations of the DIA for insurance coverage verification. I do hereby certifjLunder the pains and penalties of perjury that the information provided above is true and correct Signature: Date: _ Phone 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): w , 1. Board of Health'2. Building Department 3.City/Town Clerk 4. Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person:, Phone#: _Client#:30124- SOUTNEW ACORD,M -CERTIF-ICATE OF LIABILITY INSURANCE DATD/YYYY) 8/06/206/2013 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). PRODUCER CONTACT Anita Little NAME: Willis of New Jersey,Inc. PHONE 856 914=4660 ac No): 856-914-1881 AIC No Ext 1015 Briggs Road,PO Box 5005 n AIL anita.little@willis.com PO Box 5005 = INSURER(S)AFFORDING COVERAGE NAIC# Mount Laurel,NJ 08054 _ INSURER A Selective Insurance Co of the S 39926 INSURED INSURER B(Argonaut Insurance Co. 19801 Southern New England Windows LLC INSURER Beacon Mutual Ins.Co. 24017 D/B/A Renewal by Andersen INSURER D; 26 Albion Road INSURER E: Lincoln,RI 02865 1 , - 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 CONTRACTOR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE'AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL, THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.' LTR TYPE OF INSURANCE ADDLNSR SUBR WVD POLICY NUMBER POLICY EFF MMIDDY EXP LIMITS A GENERAL LIABILITY S202945900 8/10/2013 08/1,012014 EACH OCCURRENCE $1 OOO 000 X COMMERCIAL GENERAL LIABILITY PREMISES EaEun�e $1 OO OOO CLAIMS-MADE OCCUR MED EXP(Any one person) $1 O 000 PERSONAL&ADV INJURY $1,000,000 . -. _ -• - GENERALAGGREGATE $3,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: ;' PRODUCTS-COMP/OP AGG $3,000,000 POLICY JE a El LOC - $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1 A S202945900 8/(10/2013 08/10/201 Ea'accdent ,000,000 X ANY AUTO - BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS AUTOS X HIRED AUTOS X NON-OWNED PR eoaccidentDAMAGE $ AUTOS i $ A X UMBRELLA LIAB OCCUR �, S202945900 - 8/•,10/2013 08/10/201 EACH OCCURRENCE s5.000.000 EXCESS LIAB CLAIMS-MADE - AGGREGATE s5,000,000 DIED RETENTION$ $ C WORKERS COMPENSATION 0000068028-RI 8/21/2013 08/21/201 X;WCsTAZ OTH- AND EMPLOYERS'LIABILITY IFR B ANY PROPRIETOR/PARTNER/EXECUTIVE- AIC927818352394 8/21/2013 08/21/201 E.L EACH ACCIDENT $1,000,000 OFFICER/MEMBER EXCLUDED? N N I A (Mandatory In NH) E.L;DISEASE-EA EMPLOYEE $1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $1,000,000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION _ _Southern NE LLC SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 26 Albion Road ACCORDANCE WITH THE POLICY PROVISIONS. Lincoln,RI 02865 .k AUTHORIZED REPRESENTATIVE x l ©1988-2040 ACORD CORPORATION.All rights reserved. ;ACORD 25 2010/05 '' ; ( ) 1. of 1 The ACORD name logo are registered marks of ACORD t> ,z AXL #S215109/M215088 r�Aug_._14.2013 20:27 PAUL CONBOY RENEWAL ANDER 781 545 1293: PAGE. 5/ " 6 1 V..1 R.Y V G#�- -- tl Waenx 173245 ' y Mn le�n,eC fll7S'L45 RAnderse l RENEWAL BY ANf)FRSEN• t l liconwr+aen4555 WINDOW REPUCEeEeu en AndmrnW,aM�Y 26 Albion Road Lincoln,RT 02Afi.5 iead firm N1237 Phone 866.363.2235•lax 401,633.6602 Fedond•rux 11)1146-Mi6b.10 Southern New England Windows,LLC d/b/a Renewal by Andersen of Southern New England CUSTOM WINDOW AND DOOR REMODELING AGREEMENT &rycr(s)Name: `�" � �_`��//'' 1- Dam off Agreement-......... />�" Buyer(a)SveecAddress,City Stite,and Lp Code f P.O.:Banc t� �`•^'" i'"!== — •y'�'J--rrW_ _.--- Q -J? /1[l � E-MallAddrasn �C y �Q.'�GC57 _HomeTclephomNU b WorkTelephoneNumber: .__.. Ruycr(x)hemhyjointly and severally agrees to purchase the pruducts and/or srtvices of Southern New L••ng)andMn� tlowx,LIA;d/b/u kencwal by Audencn of Southern New Lnglend("Coninwinr"),in acurrdaulce with the terms and eunditonx(Inscribed on the flunt and the revriw of this agn;caur.n(and on the attached nperif ication shect(s)(collectively,this"Agreement"), 0 Historic ❑Condo ❑HOAT TotaljobAmounc _,�6v_ Estimated Starting Pate! Method of Payment: U Check U Cash �nanced IF Deposit Receive Hem):A.-._._... Credit Cards are accepted for deposit only-maximum 1/3 of the job 33%): —_ project cost.(Please see Credh Card Payment Form.)By signing this Balance at Start of j ( Estimated Completion Data; Agreement,you acknowledge that the Balance at Start of Job and the Balance on Substpdal �{ems,{ e✓ /` Balance on Substantlal Completion of job cannot be made by credit tS-_V_. card and must be made by personal check,bank check,or cash. Completion of job{Mo),/V/. Buyer(s)agrees and understands that this Agreement constitutes the entire understanding between the parties,and that there are no verbal understandings changing any of the terms of this Agreement.Buyer(s)acknowledged that Buyer(s) (1)has read this Agreement,understands the terms of this Agreement,and has received a completed,signed,and dated copy of this Agreement,including the two attached Notices of Cancellation,on the date first written above and(2)was orally informed of Buyer's right to cancel this Agreement.AO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES. (Rhode Island Sales Only)Notice to.Buyert(1)Do not sign this Agreement if any of the spaces intended for the agreed terms to the extent of then available information are left blank.(2)You are entitled to a copy of this Agreement at the time you sign it.(3)You may at any time pay off the full unpaid balance due under this Agreement,and in so doing you may be entitled to receive a partial rebate of the finance acted insurance charges.(4)The seller has no right to unlawfully enter your premises or commit any breach of the pence to repossess goods purchased under this Agreement..(5)You may cancel this Agreement if it has not been signed at the main office or a branch office of the seller,provided you notify the seller at his or her main office or branch office shown in the Agreement by registered or certified mail,which shall be posted not later than midnight. of the third calendar day after the day on which the buyer signs the Agreement,excluding Sunday and any holiday on which regular mail deliveries are not made.See the accompanying notice of cancellation form for an explanation of buyer's rights. ' Buy e s prpvl e by I. V. o c s•uc ut (Buyer's GlilirrleJ Renewal by en offSS utthZZh New England Buyer(r Buyer(s) By: �' ` ' r rtturr of Product anager Si Mato}` Signature Print Name.of Product Managor Print Nantr Print Name YOU, THE BUYER(S), MAY CANCEL THIS TRANSACTION AT ANY TIME PRIOR.TO•MIDNIGHT OF TIME THIRD BUSINESS DAY AFTER THE DATE OF THIS TRANSACTION.SEE THE ATTACHED NOTICE OF CANCELLATION FORMS FOR AN EXPLANATION OF THIS RIGHT. :K- - - - - - - •- - - - - - - -11C• - - - _ -6.4 - - - - - - - - - - - NCYrICEQF CANCELLATI Jig NOTICE OF CAI�CFLLATION Date of Transaction �y-� _.You may cancel Date of Transaction .You may cancel this transaction,without:any penalty or obligation,within this transaction,without any penalty or obligation,within three business days from the above date.If you cancel,any I three business days from the above date.If you cancel,any property traded in,any payments made by you under the l property traded In,arty payments made by you under the Contract or Sale,and any negotiable Instrument executed I Contract or Sale,and any negotiable Instrument executed by you will be returned within ten business days following I by you will be returned within ten business days following receipt by the Seller of your cancellation notice,and any I receipt by the Seller of your cancellation notice,and any security interest arising out of the transaction will be security Interest arising out of the transaction will be canceled.If you cancel,you must make available to the Seiler I •canceled.If you cancel,you must make available to the Seller at your residence,in substantially as good condition as when I at your residence,in substantially as good condition as when received,any goods delivered to you under this Contract or I received,any goods delivered to you under this Contract or Sale;or you may,if you wish,comply with the Instructions of I Sale;or you may,if you wish,comply with the instructions of- the Seller regarding the return shipment of the goods at the the Seller regarding the return shipment of the goods at the Seller's expense and risk,If you do make the goods available Sellees ense and risk.If you do make the goods available to the Seller and the Seller does not pick them up within 1 to the Seller and the Seller does not pick them up within twenty days of the date of cancellation,you may retain or I twenty days of the date of cancellation,you may,retain or dispose of the goods without any further obligation.If you I dispose of the goods without any further obligation.If you fail to make the goods available to the Seller,or if you agree 1 fail to make the goods available to the Seller,or If you agree to return the goods to the Seller and fail to do so,then you I to return the goods to the Seller and fail to do so,then you. remain liable for performance of all obligations under the I remain liable for performance of all obligations under"the •n mail or de liver a signed echo tTocan eel this transaction,r deliver n tr c . g'I o de Ir r a signed Con a 1 n ract.To cancel this transaction mat Cot r and dated copy of this'cancellation notice or any other I and dated copy of this cancellation notice or any other written notice,or send a telegra to Renewal byAndersen of I written notice,or send a telegram to Renewal byAndersen of m Southern New England at 26 Albion Road, ncoln, 02865, I Southern New England at 26 Albion Road,Lincoln,RI 0286S, NOT LATER THAN MIDNIGHT OF I NOT LATER THAN MIDNIGHT OF _ (Date) I (Date) : THISTRANSACTION. ` �.HEREB Y CANCEL THIS TRANSACTION. HEREBY C ANCEL IH 1 - .Buyeea Signature - Print Name Date BuyeWa Signature print Name Date RbA Copy:White Buyer Copy:Yellow Buyer Copy:Pink �b , � 6 v `'' i � 4 G r --- -_� ' �__. �t� � o� g���� 3v SINE TOWN OF BARNSTABLE Buildin-g °�► Application Ref: 20OB05027 BARNSTABLE, Issue Date: 10/06/08 Permit 9 MASS, �A i639• A�� Applicant: Permit Number: B 20082194 rF0 MA't Proposed Use: SINGLE FAMILY HOME Expiration Date: 04/05/09 Location 80 HARBOR HILLS ROAD Zoning District RB Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 247087 Permit Fee$ 382.50 Contractor KENNETH M. CURRY JR. Village CENTERVILLE App Fee$ 50.00 License Num 75966 Est Construction Cost$ 75,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND 1 OX24 FT ADDITION AND INTERIOR WORK:NEW BR AND BATH,C APES CARD MUST BE KEPT POSTED UNTIL FINAL OUT ALL WINDOWS,NEW ROOF,NEW BULKHEAD DOOR INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record:.DURSO,JOSEPH D 8i MARY ELLEN BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 2204 LEWIS O GRAY DR INSPECTION HAS BEEN MADE. SAUGUS,MA 01906 Application Entered by: JL Building Permit Issued By: - THIS-PERMIT CONVEYS NO RIGHT.TO OCCUPY ANY`STREET;ALLV,bR SIDEWALK OR AN PART;THER F H TEMPORARILY OR PERMANENTLY: ENCROACHEMENTS ON PUBLIC.PROPERTY;NOT SPECIFICALLY PERMITTED:UNDER THE BUILDING,CODE�MUST:BEAPPROVED BY,THE JURISDICTION. STREET'OR ALLY GRADES`AS WELL AS DEPTH AND;LOCA ITON,.OF PUBLIC SEWERS MAY,BE:OBTAINED.TROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE AP,""P,LICANT FROMsTHECONDITIONS OF ANY APPLICABLES,UBDIVISION RESTRICTIONS MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5:INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). IMI. 0 ILA p o e a BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS APPENDICES Construction Checklist Single-&Two Family_Dwellings If required by the building official,�this form shall be submitted at the completion of the work,�prior to the issuance of a certificate of occupancy,or completion,by the licensed-construction snpervrvisor,registered professional or homeowner(responsible party),as applicable,the municipal and/or state building official in verification that,to the best of his/her knowledge,the work has been executed in accordance with the provisions of the applicable state building code(code)and reference standards. The date shall indicate the date on which the responsible party viewed the building activity to ensure compliance with the code and/or reference standards. This date may or may not correspond to the date on which the activity was inspected for compliance by the municipal and/or state building official. Note any deficiencies that were discovered(if any)and corrective action Activity Date taken to ensure compliance with the code and/or reference standards Foundation a. Location/excavationt b. Preparation of bearing soil c. Placement of forms/reinforcing d. Placement of Concrete - e. Setting weather protection methods f. Installation of water/dampproofing g. Placement of backfill Structural Frame a. Floor b. Walls c. Roof/ceilings d. Masonry or other structural system Energy Conservation a. Insulation/vapor and air infiltration barriers b. NFRC rated window C. HVAC equipment with proper - efficiencies Fire,Protection a. .Smoke b. Heat c. Carbon Monoxide d. Other Special Construction a Chimneys b. Retaining Walls c. Other3 1: If encountered in excavating for foundation placement,the responsible party shall report-the presence of groundwater to the building official and shall submit a report detailing methods of remediation. 2. Frame shall_include the installation of all joists,trusses and other structural members and sheathing materials to verify size,species and grad,spacing and attachment methods. The responsible party shall ensure that any cutting or notching of structural members is performed in accordance with the requirements of this code. + 3.The building official may require the responsible party to be present on site at other points during the construction, reconstruction,alteration,removal or demolition work as he/she deems appropriate. 3/23/07- (Effective 4/1/07) 780`CMR-Seventh Edition 1025 I 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDS THE MASSACHUSETTS STATE BUILDING CODE NOTES In signing this form.the licensed construction supervisor,registered professional or homeowner(responsible party),as applicable attests to the fact that,to the best of his/her knowledge,the work as described on the referenced permit number and associated plans and specifications has been executed in accordance with the provisions of the applicable state building code(code)and reference standards. Name of Responsible Party Signature of Responsible Party Construction Home Improvement Registered Registered Sup ervisor License Contractor Registration Professional Engineer g Architect Number Expiration Date Number xpiration Date Number Expiration Date Number IFxpiration Date This form is submitted for the following project Permit Number Property Address 1026 780 CMR-Seventh Edition 3/23/07 (Effective 4/1/07) TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION.,., Map Parcel 'Application # Health Division Date Issued Conservation Division Application Fee l Planning Dept: 'Permit Fee Date Definitive Plan Approved by Planning Board Historic _ OKH, _Preservation/ Hyannis Project Stree . ddress Village Owner US . O Address JS Ll Telepho l ( � - _. — 6 Y-7 4 Permit Request n Square feet: 1 st floor: existing proposed nd floor: existing proposed Total new Zoning District Flood Plain Groundwater'Overlay Project Valuation Construction Type Lot Size Grandfathere'd: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0 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 Number 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 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# Q' c.n t t Current Use Proposed Use =x APPLICANT INFORMATION m + (BUILDER OR HOMEOWNER) Name OFA, f Telephone Number 61-7- e -6 72 A dress C �Va ��Y 1 S 1�U0�� License # Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE z i • FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. - } ADDRESS VILLAGE -OWNER t DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH ' 'FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL III FINAL BUILDING S136cf m iu—isi DATE CLOSED OUT ASSOCIATION PLAN NO. I� ptr1NE►gpti Town of Barnstable Regulatory Services 9� IE$` Thomas F.Geiler,Director F0;�,rA 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 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR owner of property located at lis NanfdP fog hereb certi _ that,, y . r is no longer Construction Supervisor listed on the application for the project under construction as f authorized by building permit# J issued on 20 I understand that the project under construction must cease until a successor licensed Construction Supervisor, is-submitted on the records of the Building Division. M. - "TY DAT q/forms/newcontrowner reference R-5 780 CMR rev:011608 Town of Barnstable P�pf SHfc r � `�. Regulatory Services t BA SrAB Thomas F.Geiler,Director MA9.4 - - �{, 16'f9 .•� Building,Division jDrfo ru•'�" Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 026.01 vtyv.town.b arnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 B[OhIEOWNER LICENSE EXEMPTION Please Print DATE: D JOB LOCATION: number street/ ( village "HOMEOWNER": S U k0/ / / C name /home phone# work phone# CURRENT MAILING ADDRESS:,) U! city/ ✓ state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINTITON 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 undersigne "homeowner"certifies that.he/she understands the Town of Barnstable Building Department Mspe on proc9dures and requirements and that he/she will comply with said procedures and re 're eowner 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 caret amend and adopt such a form/certification for use in your community. Q:forms:homeexempt- s *ati Towns of Barnstable, J Regulatory Services • BARNSTABL.E, MAss. Thomas F. Geiler,Director 'b,,rfo146.��. Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us f Office.: 508-862-4038 Fax: 508-790-6236 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 authorized by this building permit application for: (Address .of Job) Signature.of Owner Date - s Print Name If Property Owner is applying 1 'ng for permit P lea Pse com lete.the Homeowners License Exemption Form on the reverse side. Q:FQR-MS:0 WNERPERMISSI0N The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 600 Washington Street Boston, MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Inform tion (( / n/ Please Print Le ibl Name(Business/Organization/Individual): 96Ud Address: /S City/State/Zip: Y Phone.#: 41117-;�k, 0 Y;70� Are you an employer? Check the appropriate box: Type of project(required): L❑ I am a employer with 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• # 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' 13.0 Other comp.insurance required.] *Any applicant.that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Icontractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine 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 statemerit may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby r fy u he ains and penalties of perjury that the information provided a ve is true and correct Si store: Date: Phone Official use only. Do not write in this area,tb be completed by city or town offlciaL .City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspecior 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their.employees. Pursuant to this statute,an employee is defined as"...every person in.the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association, corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the NO . dwelling house of another who employs persons to do maintenance;constnrction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the,issuance or renewal of a license or permit'to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for.the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-cont=actor(s)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies.(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address" the applicant should write"all locations in _(city or town).".A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where'a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Dep tment of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 i Revised 11-22-06 www.mass.gov/dia IMPORTANT-UPGRADE REQUIRED — STATE BUILDING CODE REQUIRES THE UPGRADING OF SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN '•t - - ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED, t NOTE: A SEPARATE PERMIT IS,REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS—THE ELECTRICAL - PERMIT DOES NOi SATISFY THIS REQUIREMENT, _ ❑❑ -- - . SMOKE 0 D T R REVIE WED A AFL UUILDING DEPT O b Q✓r. _._ .. DATE GRADE - . I aT-4x4'PO I _ I I• I.• �' FIREDERARTMENT DATE D StacPb I I I I I I I .BOTH SIGNATURES ARE REQUIRED FOR PERMITTING Se- '-B'----I-I _______I ------------ t L----------1---------- - --.----_I --- .II i fLL------------------------i FRONT ELEVATION ---------------------- 1 CARBON MONOXIDE ALARMS MUST BE INSTALLED PER ND OF HOUSE TO BE VINYL - . SHAKES - NOTE:' ALL ASSOCIATED SUB CONTIkACTORS D1145. MUST.CONFORM TO HASS.WILDING CODES. GRADE I I TI 4------------------------------i ------------------- ----------_-------------------J� T�_ '--------------------1-------------------------------' A�5raftng Designs RIGHT SIDE ELEVATION " Nao[v Na olszo am.>,o-a3s3 � PROPQSFD ADURION SIS'A'I'IONS w_2 . SOIWIBQt HILL RD.6M9LYn�F MA M SI>•S CKtpl¢R 'xc yEN,CONTRACTORS R[v N)'RNNIS'Ma '1 SGLC 1/.•1'RvN YT aJD CNIL Bi Ra7E' 1I19/[R C.VIL7�.`� J M u-1" - ►L L_ .f CONCRETE FOUNDATION W.�LL ----------- .±-- -- i OS1P5�a4i1p56- ` `.. W/10".X 2o-r-okcRETQ'FOOTIN�s ------------1 I f°- 1 ! G[ I I I ..11 •(U bl'�L� �� I I I 1 I l _ T"RIGID INSULATION I I I I I { I I I I I 4°coNCl�TE SLAB IW/W.WV.-Dp{ArVA-L: 1 0 1 1 1 1 I s I I I I %. •�•: I 6 I I 1 1 I I I I I D 1 I I D I I I I I I I i SECTION A-A SCALE&,V-Id STING FOUNDATION --------=----------- 10"DIA,CONCRETE PIERS O ----- ---roue -J I I W/MUSHROOM FOOTINGSVb _____ - ----------- ----�• ---.----r- J I f - .TO BE 4'-0"BELOW GRAbE FOR FORCH SU rr ---------- I 1 . XISTING FOUNDATION I 1 ♦ 1 IP"CONCRETE.�TAININO..WALL I I " I CRAWL SPACE ty 1 1 y ✓ W[10"X 1¢1"GON:RETE FOOTING A 1 P I I. 1 IIIlI -# --------� - ----- -- N w1R. 4-r-pNCREIE SLAE'(.---m). 21 . C°N'oT A J Drafting NOTE; «Do lv g Designs im-a°Si:i»a SECTION B+B ALL A950GIATED SUB bCAL Dw nnr Dw p0. E�B•eT.Q` ''40NTRACTORS.DQKnS; PROPOSEDAM—low——w MUST cbsFORNI TO MASS.BWILDING eorARRa eatxn.muaavRzaau S-1' QODES. D e f/l2C ORtOKR KxC GCN,CONiRACTDRS R[v. • iQ/i v t^l is tl-oofi,q 3 0 0 m, 0.' v HYANNIS NA. + SCAIC-.1•1DVN DY AJD l IWE 8119 S>2 —4I r f o o • I t EXISTING j KITCHEN I� EXISTING s 5 I I y h SUN ROOM II I EXISTING - •I LIVING (REPLACE NEW PORCH IA��7N NG-1FjJEERRED'L/V� " &X6 MOST ;OR EX15TINy - ;OR SUPPO T �/ „. • )`74.4%1V~L•J L• ` Q - NOF MAS MICHELE T l -_ — — S Z CUDILo sig o NO.34T74 - U STRUCTURAL gEGISfEP�-? Sit A, • n`l�r� s,4s l�frt-zs ✓ I re+�L t c>wti TS A Drafting� NOTE: W. ..6TD15PD Designs ALL ASSOGI,4TED.SUB °N" H-.nr CONTRACTORS OU 30. pVG 11'a enoeoseq wnomoN iyrFLruK MUST ONFOF'M TO MASS,al"DINWo .°wxeoµxnE.n,gKrmvws AAGODE�. In cMt KMG GEMCIgAKACT[IRS C I• NYANNI$ NA. S—C 00-1�D— 1 A BT 5WE .n4Ae wo¢e R Legr+Tree ii I�II►�F .lxb fie, , `�� ' .. AerR��rl.Aee Me•CDx .. RTC{T( ROQ eNgmee TO MATCH,�rsu i NQ.69 (]!TE4R] ! - 6 Dp'MO OTdRtirtR 2x(z (6 Xipr le _ - O`R•!I FIB fdA04 9!R-M FIB 4A-A . gJOR.. F D W PIN KRMT PACED Lepvft WA YEW=OdIR - ALL G tVGO - - 1•`D.0 CELLMO ENDwpelgtD LVL �J LERgq rg10i TIYEK oFt EOIN. N G 9OARG ALL gINDQ MEADERB rM"``� b;OK: . YYCETI T'Q1:0 RQG` t A T C I XERO."a PATR 004-TTMGAL ALL - . . CETOIDE WCt.le ¢Q{MIe FLQ�It . • .. - L' vl M 91LL PLATE ' ' C�V YgORL OSN' . TEf Z. :ANcwpR eDLsTe,LJff4c'� . ]Xlp ROOrf�.ID10T ,yp,q,�I' 7xIO FLOMOT ni . - k � ' ^D : D' 'G Z.CLEdT BOLTED Tq .. XIO 0.tdT OOLTED TO 1; 4ir �kIOTPtl G01i ZEAL oV (L� •�; �_ t]OeTMIe E4k DEAL LLV N`CC LTO OFPOGERED .I'�''1. ,-t,�V!'OOLTO.WA EREO SECTION-A � MICNELE 5v SEC11PNT B n o CUDLLO - STRUCTURAL r *T'- Al�h EXTERIOR MALLS`0 BE C8Y����J7� EA�VY GCNBTRUTED TO CAPE COD WIND A J�a�og LC,jAD F� ,4 L CODES. A550GIAT D SUB. � 0140 Desivs CC��/NTRAdTOR5 PWGS. .. Trt`c•egpeosen�OSsmrnoxs �' . M1'J}ST CONFORM TO MAop.Milo DING *aN"°3 aN°?'n. YE'e!" S-2 NIL QCN.CONTR(�C70R5 .. . i(dLE w•rlpw !r q OA !A4/dl u MICHELE CUDILO, P.E. Consulting Structural Engineer Centerville,Massachusetts 02632-1979•(508)771-7601 •Fax(508)771-7163 mcudilo@comcast.net January 5,2009 Town of Barnstable Building Department 200 Main St. Hyannis,MA 02601 Attention: Mr.Jeffrey Lauzon VIA FAX: 508-790-6230 Building Inspector RE: Proposed Residence Modifications 80 Harbor Hill Rd.,Hyannis,MA Dear Mr.Lauzon, Please be advised that the as-built superstructure for the above captioned project,as engineered by this office,was reviewed in the field this date,and finds satisfactory completion of the rough frame requirements. Should you have any question on the above,please call. Sincerely, is Aelud o,P.E. /2008-161 �tN OF P cc: J.Bothelo via fax: 508-362-3587 hll CNN v.: 1 . F t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application Health`Division Date Issued LO Conservation.Division Application Fe Planning Dept. Permit Feed` Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address H al-bd 1 S A Village e i)'f e r LJ i IkSS, Owner mrtMr S .Q'iA r S& Address 6 //446r Hd IS Telephone Jr - 7 r a ' F . 4� D r � L , Permit Request ` l i ie �- C1 : � ®w3 ¢" /j7`_,'1 eor W D r Square feet: 1 st floor: existing Mproposed !J 2nd floor: existing proposed _Total new 46 Zoning District Flood Plain Al V Groundwater Overlay n -,46 Project Valuatio Construction Type fr ,D Oct !r-A ft-%e-1 Lot Size ']., .5 R Grandfathered: ❑Yes Vo If yes, attach s pportir g documentation. r+i t Dwelling Type: Single Family Two Family ❑ IV 0 Multi-Family (# units) Age of Existing Structure 4-5 Historic House: ❑Yes dNo On Old King Highwa,� ❑ es Cad No Basement Type: ❑ Full Crawl ❑Walkout ❑Other w . `,L`r� ! ki Basement Finished Area(sq.ft.) Noyy e- Basement Unfinished Area (sq. Number of Baths: Full: existing_ new t — Half: existing D new !� Number of Bedrooms: -9_� existing I new Total Room Count (not/innlluding baths): existing new First Floor Room Count ,312�cw, Heat Type and Fuel: Gas ❑Oil ❑ Electric ❑ Other Central Air: i9 Yes ❑ No Fireplaces: Existing New C� Existing wood/coal stove: ❑Yes `M No p 9 9 Detached garage: ❑ existing 0 new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Alb iq Zoning Board of Appeals Aut rization ❑ Appeal # Recorded ❑ Commercial 0 Yes o If yes, site plan review# Current Use _ Proposed Use _ -- APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name DIV, 0 '&' Tele hone Number L " 6 - ��� L o r p 7 � � Address 7 Ca r l a e0k A License# Home Improvement Contractor# .A9 2b / ti Worker's Compensation # y ALL CONS RUCTION DE RIS ESULTING FROM THIS PROJECT WILL BE TO E hClAf SIGNATURE !1 t FOR OFFICIAL USE ONLY APPLICATION.# DATE ISSUED MAP/PARCEL NO. '< ADDRESS VILLAGE s I ' _�•► r t OWNER DATE OF INSPECTION: 7 FOUNDATION 6 eE 1 of v' Aly- FRAME ' INSULATION FIREPLACE " ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL 4 GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT- ASSOCIATION PLAN NO. ' __ J The Commonwealth of Massachusetts Department of Industrial Accldents Office of Investigations 600 Washington Street Boston, AL-4 02.111 wwwa nas.s.gov/dia UT.- Workers' Compensation Insurance Affidavit: Builders/ContractorslEIectricians/Plumbers A- licalat Information Please Print LeeblY + f Name (Business/organizatibDf1Ddividual): ��� 6�:.�)Sy� Address � �. ICU City/Statc/Zip: / Phone.#: A-re you an employer? Check the appropriate box: r project(required): 1.❑ I am a employer with 4• ❑ I am a general contractor and I cw copstruction employees(full and/or part-time).* havc hired the 5t�b-contractors2 �I a l a•sole proprietor or partner- listui on thr, attached sheet modeling ship and havc no employees These sub-contractors havc . demolition employees and havc workers' working" for me in any eapaeity. 9. jutldurg addition [No workers' Godinc„ran . CC comp.insurance. S. ❑ We are a corporation and its 10.0 Electrical repairs or additions rtgmreb] officers havc exercised their 11.0 Plumbing repairs or additions 3.❑ I am a homeowaar doing all work myself[No workers' comp. right of exemption per MGL l2 ©'Roof repairs A eWj?00e incr,ranGe required_] fi c. 152, §1(4), and we havc no employees. [No workers' 13.❑ Other comp.insurance required.] "Any applicant that chcclu box#1 roust also fill out the section below showing thcirworkcrs'co E.Dn poticy'infum-ation_ t somcowncn who submit this affidavit indicating they arc doing all work and then hire outside contractors must submmt anew affidavit indicating such. $Contractors that cbmic this box twist attached an additional sheet showing the name of the sub-contcactnrs and stair whctha or not tbDSd cntitirs havc mnployar• If the sub-contractors havc rniployccs,they rnust providb their wDrkEn'Comp.po}iey number. I tun an employer that is providLng,workers' compensation irnsurance for my emprayea& ffeLaw is the policy and job site • inforrnalion. • Jnm ancc 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 sccurc coveragc as required under Section 25A of MGL c. 152 can lead to the iroposition of rrirr,irial penalties.of a fines up to $1,500.00 and/or one-year imprisonment, as wc11 as civil penalties in the form of a STOP WORK ORDER and a fiuc' of up to$250.00 a day against the violator. Be advised that a copyof this statement maybe forwarded to the Office of Investi atians of the DIA for ina„ranco covers o verification. ' I Ida hereby cer[z under the pains•and pcnaldes cfperjury that[he infarmation providdad above"is true and cprrerl Si store: lit, 3 Date: !� •� � — Phonc k -774-- 4'q Official use only. Do no[ write in this area, [b be completed by city or lawn offtriaL City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2.Building Department 3, City/Towu Clerk 4.Electrical Inspector S.Plumbing Inspector 6. Other. Contact Person: Phone#: i Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees: { pursuant to this statute, an employee is dcfincd as ".-.every person in the service of another under any contract of hire, express or implied, oral or written." " An Employer is defined as"an ipdividual,partnership association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a dcccascd employer, or the receiver or trustee ofanindividua],partnership, association or other legal entity, employing e r mployees. However th owner of a dwelling hse having.not more than three apartments and who resides therein, or the occupant of the ou dwelling house of mother who employs persons to do maintenance,construction or repair work on such dwolling house or on tbz grounds or building appurtenant thereto shall not because of such employment be deemed to be.an employer." MGL chapter 152, §25C(6) also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any ipplicanf Who has not produced-acceptable evidence of compliance with the insurance coverage required." kdditionally,MGL ohapter 152, §25C(7) states`Neither the commonwealth nor any of its political subdivisions shall :rater into any contract for the performancc of public work until acceptable evidence of cornpIiince with the insurance: cquircmcnts of this chapter have been presented to the contracting authority. Lpplirants 'lease fill out the workers' compensation affidavit completely, by checking the boxes that apply to.your situation and, if cccssary,supply saib-eoniractor{s)name(s), address(cs) and phone numbers) along with their ccrtificatr.(s)of Mrance. Limited.Liability Companies'(LLC) or Limited Liability Partnerships(LLP)with no employees other than the umbers or partners, arc not required to carry workers' compensation insu-ar,ce. If an LLC or LLP does have mployees, a policy is required. $c advised that this affidavit may be submitted to the Department of Industrial ccidc-rats for confirmation of insurance coverage. Also be sure to sign and date the affidavit The affidavit should o returned to the city or town that the application for the pcnmit or license is being requested, not the Department of idusirial Accidents. Should you have any questions fegarding the law or if you arc required to obtain a workers' )mpcnsa]ion policy,please call the Department at the number listed below. Self-insured companies should enter their . :If-;nc,lranCO license number on the appropriate,line. ity or ToWP Officials .case be sure that the affidavit is complete and printed Icgibly. The D cpartment has provided a space at the bottom 'tile affidavit for you to fill out in the event the Office o'f Investigations has to coatactyou regarding the applicant case be sure to fill in the,permitJliccnsc number which will be used as arefermce number. In-addition, an applicant at must submit multiple perndtlliccnse applications in any given year, noel only submit our,affidavit indicating current ,4cy information(if necessary) and under"Job Site Address'.' the applicant should write"all locations in (city or wn)."A copy of the a$davit that has been officially stamped or marked by the city or town may be provided to the plican-t as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each ar.Wherc a home owner or citizen is obtain_ing a license or permit not related to any business or comancrcial venture a dcg license or permit to buni leaves etc.) said person is NOT required to completc this affidavit c Office of Investigations would 1dcC.to thank you in advance for your cooperation and should you have any questions, :ase do not hcsita-te to give us a call Department's address, telephone and fax.number. ,The Commonwealth of Massachusetts , Dq)-ai�Dnt of Inclusizial Accidents Office of Investigations - 6.00 washing�aa stmet Boston, MA 02111 Tel. # 617-727-490.0 ext 4-06 or 1-UWASSAFB Fax# 617-727-774� 11-22-06 ww .mass.govkHa ENERO Y CONSERVATION APPLICATION FORM FOR ENERGY EFFICICIENCY FOR ONE- AN ) TWO-FAMILY DETACHED RESIDENTIAL'CONSTRU.CTION (780 CMR 61.00) Applicant Narne: D - &0^— Site Address: print Town: Applicant Phone: to '`°95- ' �2_ Applicant Signature: � Date of Application: 66 NEW CONSTRUCTIO : (choose ONE of the following two options) 780 CMR TABLE 6107.1 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA FOR MEW ONE-- AND TWO-FAMILY BUILDINGS MAXIMUM- MINIMUM ' Ceiling or . Slab .Option 1: Fenestration exposed Wall Floor Basement Perimefer U-factor floors, R-Value R-Value Wall R-Value `lF UE I�SPF SGLR R-Value R-Value and De th National Applimicc Encrgy 35 ' R'-3$ R-19 R-19 R-10 R-10, Conscrvation Act(NAECA)of 4 �-� 1987 as amended,minimums or rcatar ns a licablc Note: This form is not required if you choose either of_the two versions of REScheck.as,listed below. Option 2: �. REScheck Version 4.1.2 or later variant software analysis must-be completed (780 CMR_6107,3,2 REScheck—Web which can be accessed at http•//www.ener> ycodes- Toy/reschecly pYTIOiVSO AI�TERATXp1�S TO`ESSITI\?G.BUZLpINGS:'OVn 5:,5�' ARS OLD* j4D3uildings under S years old must use option#1 or#2 in New Conshuction section above; omplete the following formula to determine the % of glazing: (a) Gross Wall & Ceiling Area equals Emu100 x b- a) _SF - = _ /o of glazing a- (b) Glazing area equals. /,5y SF lazing is•<;40010 use.the,-chart belo.w. If;glaziri is>:40°Q/o roceed to "SUNROOM" section 780 CMR TABLE 6101.3 PRESCRIPTIVE ENVELOPE COMPONENT CRITERIA ADDITIONS TO EXISTING LOW-RISE RESIDENTIAL BUILDINGS r, FLExposed MINIMUM ling and m Slab Perimeter floors Wall Floor Basement Wall R-Value R-Value R-value R-Value and De th'-Value-37 a R-13 R-19 R-10 , R-10, 4 feet R-30 ceiling insulation may be used in place of R-37 ifthe insulation achieves the full R-value over.the entire ceiling area(i.e. not cam ressed over exterior)Palls, and includingan access openings). SUNROOM—An addition or alteration to an existing building/dwelling unit.where the Total glazing area of said addition exceeds 40% of the co bined gross wall and ceiling area of the N .t� addition; Note:. Owner to fill out Consumerinformation Form (found in Appendix 120TP) _ 3 4py ConsttuctionZupervisor License License: CS 75966 r; Birthdatei 3/4/19743 Cjotj�\ Expiration, 3/4/2009Jt rr» Tr# 10428 ^- ,Re at—rictron: 00 q I KENNETH M CURRY JR 6 VIGS WAY WORCESTER, MA 01604 Commissioner ut-jd '7Ca1hiQ.� v -TIW - . Board:of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR F F x Registration 1307964" Expiration 4/26/2010 ✓ Tr# 266966 TYPe DBA KENNETH M CURRY CONTRACTING KENNETH CWRRY'JR j T.E 6 VIGS WAY WORCESTERi lMA 01604;. Administrator N� 176C'-Ia ,�d A &1K �el "ale so.� , aa��I,-Z, 11�-(c �1 &-XY s aloy !j e 17 y �o*0"{ETay Town of Ba)tastable Regulatory Services EARNSrisr.M ! Muss �+ Thomas F. Geiler, Director JAL - Building Division Tom Perry, Building Commissioner 200 Main street, Hyannis, MA 02601 www.town.barnsta ble_ma.us Office: 508-862-403 8 Fax: 508-790-623 0 Property Owner Must Complete and Sign This Section If Using A Builder I, 1 as Owner of the subject property hereby authorize to act on tizzy behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) a weer Da e Print Name If Property Owndr is applying for permit please complete the Homeowners License Exemption Form on the reverse side. 'Town of Barnstable ; H�of YHE Tp�2OT 1. Regulatory Services • stuxsrwsr�, " Thomas F. Geiler,Director MAS& Buildin Division g 6 . �PTfD►Af•�b Tom Perry,Building Cotnrrussioner . 200 Main Street, Hyannis, MA 02601 vrww.town.barnsta bl e_ma.us face: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number s heet village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code "ate current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and r to allow homeowners to engage an individual for hire who does not;possess a license,provided that the owner acts as supervisor. bEFINrrION 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 iwo-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 buildin>?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 ands"that L e c will comply with"said procedures and requirements. - ' ,ignaturc of Homeowner ,pproval of Building Official Note: Three-family dwellings containing 35,OOD cubic feet or larger will be required to comply with the Late 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 'this se:lion(Section 109.1.1 -Licensing of construction Supervisors);provided that-if the homeowner cngagcs a person(s)for hire to do such ork,that such Homeowner shall act as supervisor," Many homeowners who use this exemption aic unaware that they are assuming the rzsponsibilitics of a supervisor(see Appendix Q, i)cs&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly rcn the homcowncr hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would hdth a licensed pervisor. 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, t the hcmcowncr certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by "cral towns. You may care t amend and adopt such a fomr/ccrtification for use in•your community. PLOT PLAN JARVIS,LAND SURVEY, INC PREPARED FOR . 29 GRAFTON CIRCLE 4 SHREWSU B RY MA 01545 KEN CURRY TEL. (508) 842-8087 80 HARBOR- HILLS ROAD :FAX. (508) 842-0661 CENTERVILLE, MASSACHUSETTS EMAIL. JARVISLAND@AOL.COM SEPTEMBER 4, 2008 SCALE 1 INCH = 20 FEET 1.THIS PLAN HAS BEEN PREPARED WITHOUT THE BENEFIT OF.A TITLE REPORT AND IS SUBJECT TO THE. ASSESSORS MAP 247 FINDINGS SUCH A REPORT MIGHT DISCLOSE. LOT 87 2.THIS PLAN HAS NOT BEEN PREPARED FOR RECORDING PURPOSES.• n 3.THE LICENSED MATERIAL CONTAINS VALUABLE PROPRIETARY INFORMATION BELONGING EXCLUSIVELY TO JARVIS LAND SURVEY,INC. THE LICENSED MATERIAL AND THE INFORMATION CONTAINED THEREON ' ARE COPYRIGHTED INSTRUMENTS OF PROFESSIONAL SERVICES AND SHALL NOT BE USED,IN WHOLE OR IN PART,FOR ANY PROJECT OTHER THAN THAT FOR WHICH THEY WERE CREATED,WITHOUT THE EXPRESS WRITTEN CONSENT OF JARVIS LAND SURVEY,INC.YOU AGREE NEVER TO REMOVE_ ANY NOTICES OF'. COPYRIGHT,NOR TO REPRODUCE OR MODIFY THE LICENSED MATERIAL. 5 6205040" E ,., 75.01 r11E LOT 20k, - s 7 , 599 SO. FTt j r oe OF Ilgc� cY 10.5' 10.0 O 0 KEVIN `+! O C) x JARVIS '�'J. a0 HOUSE_` �_— •—�' '�--�� co NO. 40044 N Z #80 x . rn ,, PROPOSED . o ADDITION `' 10.5'. < k PP OP05ED 28.7` PppOR,C11 `P. t #. 75.00' x ji N''61°52'30" W. -. HARBOR h I LL5 ROAD 08-552 780 CMR: STATE BOARD OF BUILDING REGULATIONS AND STANDARDV Sd 60 �DDI THE MASSACHUSETTS STATE BUILDING CODE AWC Guide to Wood Construction in High Wind Areas:110 rnph Wind Zone �;/ Flo Massachusetts Checklist for Compliance(780 CMR 5301.2.1.1)1 � oa(i���� �N OF M.1'�-t��F C�(Check MICHELE 1.1 SCOPE Compliance f CUDILO � 44 o No.34774 Wind Speed(3-sec.gust) .,. - •••• ••••••••••• 110.mph STRUCTURAL + Wind Exposure Category . ..................................................•.... B �. 1.2 APPLICABILITY gfGrsTER���� Number of Stories(a roof which exceeds 8 in 12 slope shall be considered a story) sronr►s F } ' stories s 2 stories Roof Pitch . . . ..... ............•..... (Fig 2) .................... 12:12 Mean Roof Height ........................ (Fig 2) .. ' hft s 33' , Building Width,W ... ... ........ ...,.. (Fig 3) ..•....... ft s 80' _ Building Length,L . (Fig 3) - 1 ft s 80' Building Aspect Ratio(L/W) . ........ ...... (Fig 4) . ........• ...• jj!j�, ._L s 3:1 _ Nominal Height of Tallest Opening' .... . ,..,. (Fig 4) ............. - 1.3 FRAMING CONNECTIONS _ General compliance with framing connections... (Table 2) [ 2.1 FOUNDATION Foundation Walls meeting requirements of.780 CMR 5404.1tt Concrete ...:. ....... .......... . ... .... i Concrete Masonry . .... ... ........ ..•. ... 2.2 ANCHORAGE TO FOUNDATION'-' Anchor Bolts imbedded or°/a"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general ..............I... (Table 4) ..................... _�&in. Bolt Spacing from end/joint of plate .... (Fig 5) .............. L_in. s 6"-12" 1 Bolt Embedment-concrete.............. (Fig 5)...... ,.. ... .2 in. i 7 ' Bolt Embedment-masonry. ........... .. (Fig 5) in. i 15" Plate Washer . . ... .". ..... ............. (Fig 5) ...........� 3"x 3"x t/4" 3.1 FLOORS 1 Floor framing member spars checked ......... (per 780 CMR 55.00) ........ Maximum Floor Opening Dimension......... (Fig 6) ,, ,, ,,, Ik _ft s 12' : Full Height Wall Studs at Floor Openings less than 2'from Exterior Will(Fig 6) .... ......... Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall (Fig 7) ....... �. { . -ft s d Maximum Cantilevered Floor Joists i Supporting Loadbearing Walls or Shearwall . (Fig 8) •,,,• ,,,,, _ft s d i Floor Bracing at Endwalls .. .... ,,,;,,.,,,, (Fig 9) Floor Sheathing Type ....... (pVw780CMR55.00)...................... ... ............... Floor Sheaihing'fhickness . ....`:., ;..... (per 780 CMR 55.00 Floor Sheathing Fastening .... .............. (Table 2)-Ld nails at L edge/Lin ft ' 4.1 WALLS P Wall Heigh[ i Loadbearing walls .. ... ................ (Fig 10 and Table 5) .......... ft s 10, Non-Loadbearing walls ..........:...... (Fi 10 and Table 5 i Wall Stud Spacing ... ....... ....... ...... g ) ....... ft s 20' , (Fig 10 and Table 5) ....... 'n. s 24"o.c. f Wall Story Offsets . . .. .. .. ........ .... (Figs 7&8) ,,....... ft s d _ 4,2 EXTERIOR WALLS' 111 f Wood Scuds Loadbearing walls ....... ............ (Table 5) ............2x ft in. ) Non-Loadbearing walls .. ............... (Table 5) 2x ft m. 'v 1 ' Gable End Wall Bracing' —•- � � i Full.Height Endwall Studs ............... (Fig 10) WSP Attic Floor Length Fi 1 I I" •A ( g } ....... .. ..... J :: 'ft a W/3 Gypsum Ceiling Length(i WSP not sed [ 11) N. h Zt 0 9W g and 2 x 4 Continuous Later, race ft.o.c...(Fig 11).................... ..... or I x 3 ceiling furring strips @s 16"spacing min,with 2 x 4 blocking®4 ft.spacin.... .g in end ' joist or truss bays . Double Top Plate ..........................•....i . _ Splice Length::.: . . ... ........ .. .. (Fig 13 and Table 6) ft Splice Connection(no.of 16d common nails)(Table 6) . .. �� S, LeYli ?T.t i.USA _ 1054 780 CMR.-,Seventh Edition .12/28/07 (Effective )/l/08) I a� 4Dtn AWC Guide. to Wood Cortstrttelintt in High Wittd Areas: 110 utplt find Zone bb Ilti..�C, ' Massachusetts Checklist for Compliance•(78ocn->iR-3n1.2.1.1)1 Ga*JT-e�Ut V",p t1 k Loadbearing Wall Connections Lateral (no.of 16d common nails)...............................(Tables 7)...................................................... 2 Non-Loadbearing Wall Connections Lateral (no.of 16d common nails)...............................(Table 8)....................................I................... Z Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans ............................................I.............(Table 9).................................._ft_in. 5 11' Sill Plate Spans .............................. ..........................(Table 9).................................. ft in. s 11' Full Height Studs (no.of studs)...................................(Table 9)........................................................ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans...... ................................................ ..(Table 9)................................. _ft in.5 11�. Sill Plate Spans::.........................................................(Table 9).................................._ft_in. 5 12" Full Height Studs(no. of studs)...................................(Table 9)....................................................... Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously° Minimum Building Dimension,W u Nominal Height of Tallest Opening Sheathing Type.............................................(note 4)...........................................;.......... i -5 P Edge Nail Spacing.........................................(Table 10 or note 4 if less) in. ....................... Field Nail Spacing.........................................(Table 10)................................................... I'- in. Shear Connection(no.of 16d common nails)(Table 10)......................................................... Percent Full-Height Sheathing......................(Table 10)...................................................7�D'/a r 5%Additional Sheathing for Wall with Opening>6 8 (Design Concepts)..................... . Maximum Building Dimension, L itNominal Height of Tallest Opening2...................................................................... s 6'8" Sheathin Type .... note 4 Edge Nail Spacing.........................................(Table 11 or note 4 if less)......................._b in. Field Nail Spacing.........................................(Table 11).....:..........................................._J_�in. Shear Connection(no.of 16d common nails)(Table 11)*.................................................... Percent Full-Height Sheathing......................(Table 11).................................................... /o 5%Additional Sheathing for Wall with Opening >6'8"(Design Concepts)..................... Wall Cladding I Ratedfor Wind Speed? ............................................................................................................ 5.1 ROOFS Roof framing member spans checked?.......................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang ...:......................................:........(Figure 19).............,Oft s smaller of 2'or U3 Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift................................................(Table 12)............................................U=__L7 plf Lateral...............;.............................(Tabled 2).............................................L=�plf Shear........ ............................... 12).............................................S=_Z plf Ridge Strap Connections,i collar ties no use per page 21... (Table 13)...... . T — plf Gable Rake Outlooker .. (Figure 20 ft s smaller of 2'or U2 Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors 4 Uplift................................................(Table 14)........:........... ..:..................U= lb. Lateral(no.of 16d common.nails)..(Table 14)... .............. .....................L= lb. Roof Sheathing Type...........................................:.......(per 780 CMR Chapters 58 and 59) ............ Roof Sheathing Thickness........................................... .................... in.� /16"WSP Roof Sheathing Fastening...........................................(Table 2)...... K.......`.`..0 ��a.". Notes: 1. This checklist shall be met in its entirety,excluding the specific exception noted in 2, to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WF.CM 110 mph Guide: - a. Steel Straps per.Figure 5 - b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a and Figure 18b q; 2. 'Exception: Opening heights of up to 8 ft.shall be permitted when 5% is added to the percent full-height oFM� requirements shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2 MICHEL{F o CUDILO L) No.347i • A STE o �:�i�.�' ANAL �I MICHELE CUDILO NO.34774 2008 STRUCTURAL GENERAL NOTES AND MATERIAL SPECIFICATIONS: FOUNDATIONS A� 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. For site location and grading information,see Site Plan,by others. 3. Assumed net allowable soil bearing capacity,q=3000 psf,for a medium sand/gravel composition. Other soils encountered, contact the Engineer of Record. 4. Concrete: Minimum 28 day strength,fc=3000 psi,3/4"aggregate,designed per American Concrete Institute Code,latest issue,maximum slump=4". a.) Anchor bolts ASTM A307 galvanized,min.5/8"diameter, 12"long,w/2-1/2"hook spaced 4'o/c,or in concrete piers w/ Simpson ABU-series base;SPACED 2'o/c for slab-on-grade construction(i.e.Garage). FRAMING 1.All workmanship to conform to the requirements of the Massachusetts State Building Code,latest edition. 2. Structural Design Loads: Dead Loads:Actual Weight of Building Components Live Loads:Snow Load =30 psf(plus drift)with applicable reduction ATTIC Storage=20 psf Living Floor=40 psf Sleeping Floor=30 psf r Decks and Balconies=60 psf Wind Load: Criteria used for 110 MPH Exposure B 3. Structural Steel: (as required) a. ASTM A572 Grade 50;shop paint with rust inhibitive paint.Thru-Bolts: ASTM A307, 1/2"diameter;punched holes: 9/16"diameter. b. Welds: Shop weld cap and base plates to columns;shop weld bearing plates to beams;use E70xx electrodes. Alternatively,field weld by certified welders. c. Deflection Criteria: L/360 total load deflection. 4.Timber Framing: a.All new timber framing: Spruce-Pine-Fir No.2 with Fb=1000psi,E=1,300,000 psi,or better. b.Pressure treated timber(P.T.):Southern Pine with Fb=1300 psi,E=1,600,000 psi,or better. c. Laminated Veneer Lumber:All L.V.L.shall be 1.9E L.V.L.with Fb=2925 psi,E=1,900 ksi,Fv=285 psi,Fc_per=750 psi, Fc_par=3035 psi. Parallam(PSL):All PSL shall be min. 1.9E ES with Fb=2900 psi,E=1,900 ksi,Fv=285 psi,Fc_pei=750 psi, Fc_par=2900 psi. Note that Microllam and Parallam may be used interchangeably. 1. Deflection Criteria: L/480 Live Load,L/360 Total Load 2. Optional: Provide shop drawing submittal of engineered lumber systems for approval prior to materials purchasing. 5.Metal Connectors: As manufactured by Simpson Strong-Tie Co.shall be handled and installed per manufacturer requirements,with all nail holes filled,with the size nail as specified by mfgr.or herein. a. Rafter to Ridge Beam: Simpson LSSU-series,or Simpson Straps over top of plywood,spaced 48"o/c; Rafter_to Ridge Plate: Collar ties min. 1 x6@ 48"o/c at top or Simpson Straps over top of plywood spaced 48"o/c b. Rafter ends to top plate: Simpson H2.5A c. Band Joist: Simpson straps at 48"o/c 6.Bolts: Bolts in wood framing shall be standard machine bolts unless noted otherwise..Bolt holes in wood shall be 1/32" larger than . bolt diameter.Bolt heads and nuts shall bear on standard malleable iron washers,or square plate washers.All nuts shall be retightened at completion of job. 7. Blocking: a.Blocking shall be solid blocking,2x minimum,and full depth of member. b.Stud Walls:provide blocking at 8'-0"o/c,maximum height. Corners to be blocked at 48"o/c with plywood edge nailing to this blocking for the first 48"of these building corners. c.Nailing Schedule: Solid Blocking to Bearing - 2-8d toenails ea.side Blocking Between Studs 2-10d toenails ea.end,or 2-16d end-nails ea.End d. New Framing:Provide 2x blocking for 2 joist/rafter bays and spaced 48"o/c in joist and rafter plane at all edges;attach plywood edges to this blocking 8.Nailing Schedule: All nailing shall be in accordance with Appendix 120.Q,unless noted herein specifically. Multiple Studs 16d @ 12"staggered a.All nails shall be common wire nails. b. Sub-bore where;nails tend to split wood. 9. Headers less than 4'-0",use 2-2x6;all others per MA State Building Code Table 5502.5(1)and(2). Z ` rA / '' 7-" . Table 2. General Nailing Schedule Roof framing Blocking to Rafter(Toe nailed) Rim Board to Rafter(End-nailed) 2- 8d 2-10d ..... each end :. 2 16d Wall<......9 3-16d each end � .._ - Top Plates at Intersections (Face-nailed) 416d~ Stud to Stud (Face-nailed) 5-16d at joints Header to Header(Face-nailed) 2 1 2=16d 24"o.c. E� Fbor �ratrtir # 4 t r� 16d j 16d 16"o c along _ges id` s...:y,:r 7�'i.'L.`.1 .�. A.. gk !*•Y;kd�.•i-°`+ in � �..f', 'Yl � x x �� ?t { Y Joist to Sill, Top Plate or Girder(Toe-nailed) (Fig. 14) 4-pgd Blocking to Joist (Toe-nailed) 4-10d per joist 2=8d ' Blocking to Sill or To Plate 2-10d each end p (Toe-nailed) 3-16d 4-16d Ledger Strip to Beam or Girder(Face-nailed) 3_1 each block Joist on Ledger to Beam (Toe-nailed) 4-16d each joist U) Band Joist to Joist (End-nailed) (Fig.. 14) 3-8d 3-1 Od per joist Band Joist to Sill or To Plate 3-16d joistper P . (Toe-nailed)`(Fig, 14) 2-16d 4-16d Roof Sheathing per foot Wood Structural rafters or trusses spaced up to 16" o.c. rafters or trusses spaced over 16"o.c. 8d 10d 6" edge/6" field 8d 1 Od 4" edge/4" field gable endwall rake or rake.truss w/o gable overhang 8d gable endwall rake or rake truss w/structural 10d 6" edge/6"field outlookers 8d 1 Od 6" edge/6" field gable endwall rake or rake truss w/lookout blocks Cetlm 9 Sheathing _ 8 10d 4" edge/4"field G.ypsum Wallboard —"Y"— _ j 5d coolers �� " i 7 edg@/10 field )i Wood Structural Panels _., _. d..�. .� ,"••.:.. x5ai�.�:��{�.,Fr�.,_ :Y. ��r .� ��-''�,�: studs spaced up to 24"o,c. 10d 6"edge/12 field 1/2"and 25/32" Fiberboard Panels 8dt 3 edge/6' fief 1/2" Gypsum Wallboard d 5d coolers floor Sheathing 7" edge/ 10"field j Wood Structural 1" or less greater than 1" 8d 10d 6" edge!12" field 1Od 16d 6" edge/6" field Corrosion resistant 11 gage roofing nails and 16 sta staples are gage P permitted,check IBC for additional requirements. I Nails. Unless otherwise stated,sizes given for nails are common wire sizes.Box and pneumatic nails of equivalent. diameter and equal or greater length to the specified common nails may be substitut ed unless otherwise prohibited. Town of Barnstable THB l C Regulatory Services Thomas F.Geiler,Director BAPIWABM 9� �0� Building Division .erED 39. A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 PERAHT# 02 I FEE: $ { SHED REGISTRATION 120 square feet or less Location of shed(address) Village Property owner's name Telephone number Z � l -Ex 161 o.?2 Size of Shed Map/Parcel# s v ign F ate Hyannis Main Street Waterfront Historic District? V Old Mng's Highway Historic District Commission jurisdiction? Conservation Commission(signature required) ob PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS;THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. TIRS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:121901 4108 ? I .......... - 0- 0 , x 88 r .. t 8 ; jt ❑ I t , r :• Jj I l : r - { 086 08 Z/7' 24 c:\conservation.dgn 3/20/2006 1:48:07 PM