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0088 HARBOR HILLS ROAD
r �; .. • � ! .i{ .- � p. • 3 ��' •a. �� Yl'7' c.r Y blr�u V �,., E• C V E P TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION r L2, N ,,Map ;q:�� Parcel Application J Health Division Date Issued '" . Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address � ��`r�o� i-}�1►, l�1e_4AWI ew Village /1.1�. Owner A" , / ���-����-I�- Address S•r- � Telephone 77 K-_7 Permit Request �1..aL.� _�,,.. r f s cc V, C`1 Cell-4,� Square feet: 1 st fl r: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type r_3 C) Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 9' Two Family ❑ Multi-Family (# units) ' + Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: _O Yes❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) 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# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Mike McCarthy Congtructionn Telephone Number PO Box 52 Address West Dennis, MA 02670 License# Cell (508) 280-6964 zan�69393 Home Improvement Contractor# Email Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE z FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. �06 Town of Barnstable o� RegulAtory Services -Richard V.Scat,nireetor Wlftag Division i639 "time Tom Yera'y,Builc6g.commissioner 200 Maio Street,Hyanais.'AA.02661 www.town.bax nstable-maxs Office: 5087,862-4038 Fax: 508=79M230 Property O R Must Complete-and`Sngn rhxs Section: IfUsine ABuilder 4. hereby auttaorize _ C to aeon nzybelalf; in L matters wjative to work authorized by dais buikbng pemiit application for. d2g&e ��14AI"A {Adelress':.of f:o�} . "'Pool-fences and alarms are the responSI ity-of the�apphcant. Pools are mo to be.fiRed or utiI-,d'bef or-r fens a 1S innsta kd'az7d;all f`i al. .inspections are-performed-ancl accepted Signature Of Ownev re of A.ppRca Vr 114 'zizltlanie `�Print Narz -. Date O:FORMS:OXVNFFRPERJ�IISSIONP(1UYS ibiassachusetts Department of Public Safety Board of Building Regulations and Standards L-icense: CS-058633 Construction Supervisor MICHAEL J MCCARTHY P.O. BOX 62 WEST DENNIS MA 02670 Expiration: Commissioner 04/10/2018 qe Office of Consumer Affairs and Business Regulation 10 Park Plaza - u' S 1te 5170 Boston, Massachusetts 02116 Home Improvemdnt Contractor Registration Registration: 169393 Type: Individual _ Expiration: 6/16/2017 Tr# 264961 MICHAEL MCCARTHY MICHAEL MCCARTHY P.O. BOX 52 _............... _......-- WEST DENNIS, MA 02670 --._.........------- ....-- Update Address and return card.Mark reason for change. scni 2onn-osn, `- Address ( Renewal -:; Employment �� Lost Card Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT' e before the expiration date. If found return'to: Registration:. CONTRACTOR'169393 Type: Office of Consumer Affairs and Business Regulation 'Y Expiration: :6%1612017 Individual 10 Park Plaza-Suite 5170 Boston MA 02116 MICHAEL MCCARTHY MICHAEL MCCARTHY -- 6 RANGLEY LN. SOUTH DENNIS, MA 02660 Undersecretary ` Not id with oft signature The Cornntonweahh ofHassachnetts Dqm7ftentof1n*mhfalAccNenft Y Congress Skreet,Suite 100 Bus%MA 02114-2017 fwivlt�ttrassgov/�a . Workers'Compensation Insurance Affidavin Boildare/Contractors/Eledddans/plumb"& TOM FILED WITH TISE PERBU MiG AUTHORITY. Aulado Please Print ' I Name pasww/0rgatimmowb&vidual): ►�• ( / ..�I'l �o., ,r Try Address: City/tState/Zip: we>.�- On-,-) M 4- O c?`Phone#' 5-CA -x t r c(-• Ara yoe an eo~duck the Pilate box: Type of project(required): 1,[6.am a mplayer with emph►yeae(M auftr peat-=a * 7. []Now construction 2 D I am a wlo proprietor or parauxslup and have no employees worlang forma in S. [IRemodeling my fib•NO worlmrs'eotep.iasmaoum W*Mvd.] ty 3C I ama bmmmwdolag ap wmk mMM iNo worlwe comp.hm mm agoimd.]t - 9. []Demolition 4.[31 am a homeowner and will be hirhrg conbaetore to condrret all work on my pmparty, t will 10 0 Building addition amm Ast in conttrou either have warl<ere'compensation iWaam or ate soh I I Q Electrical repairs or additions "°pimwhb no Wes' 12.[]Plurnbing repairs or additions 5.:3 I am a genewl contractor and I have hied the sub-w�' 'hal on the attached sheet. 13.�Ro4f These sub-aoutmatou have Mloyan and have wudm'camp.lmuseamt 6 Q We are acaporation and its offices have exercised theirstght of ammption par MOL a 14.[]Other I A 11(4),ad we lave no CMphsyees.(No w0dW'comp.iasumuce requited.] *Aoyapplicaelthatebechbox#1 must also fill out the section below sbawkS theirwarkem'WMP=dm1olioyltdhrmathm. t Hompmers who submit this affidavit int as&&they are doigq all wotk aad than hire outside mutme is umt submit anew affkh*indicating such. tCantrdetocs thatehech We box trust atleabed anadditiond sheetabowing the name ofthe sub-c¢ntraaasand sratawhedwor notihosm entities have !2 yem If&e mbeo�have ettgdayees,d*Y mnat provide timh•yxlteza'camp.Polley number. Ion anemiloyer*d is prouli ft works'coon ii=mncefor try emphwm Belowh dwpoft andjob site hfomadm Insurance Company Name: �� �� Lr�t I ea„ a..9 r Pc,L•r y#of 3a -ins.uc.P J 1 W C-7%I^I S7 Y Exg(ratioa Date;: )., Job Site Address: Cih t tdzip: Attach a copy of the.,worhers'compensattri-policy decbnthn page(shaevt11119 Cite poll +number and expkati!oa date). I&=to scare coverage as required under MOL c.I A§25A is a criminal violation punishable by a&a up to S 1,500.00 a ftr one-year imprisoament as well as civil penalties in the form of a STOP WORK ORDER and a fine of tap to M00 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. I do hereby t under ofpe➢ferry that tote hyorUanpratW dote;k brie aird clarets: E n(p, Do trot w he In life area,so be co ated bycriy a town offim • Permlt/L m'se# ority(dick one): ealth 2.Building Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector on: Phone , ^� MCCART9 OP ID:KS CERTIFICATE OF LIABILITY INSURANCE °ATE`"'"I'°°"""' 12/20/2016 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: B the certificate holder is an ADDITIONAL INSURED, the policy(les) 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 endorsements. PRODUCER CONTACT Dennis Office Bryden&Sullivan Ins Agency NAMIE.PHONE FAX of Dennis Inc. •508-398-6060 c No:508-394-2267 485 Route 134,PO Box 1497 E4MIL So.Dennis,MA 02660 ADDRESS: Dennis Office INSURERS AFFORDING COVERAGE NAIC# INSURERA:National Liability$Fire Ins INSURED Michael McCarthy INSURER B: Construction Inc INSURER C: PO Box 52 West Dennis,MA 02670 INSURER 0: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY EXP LIMITS LTR POLICYNUMBER MM/DD MM/DD COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ CLANS-MADE OCCUR PREMISES a occurrence $ MED EXP(Anyone person) $ PERSONAL&ADV INJURY $ GEML AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑JET LOC PRODUCTS-coMPlOP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ a accident _ ANY AUTO BODILY INJURY(Per person) $ ALLOWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS NON- WNED PROPERTY DAMAGE $ AUTOS er accident $ UMBRELLALIAB HOCCUR EACH OCCURRENCE $ EXCESS LIAS CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ER AND EMPLOYERS'LIABILITY A ANY PROPRIETOR/PARTNER/EXECUTIVE Y/N V9WC747574 12/1512016 12115/2017 E.L.EACH ACCIDENT $ 1,000100 OFFICERIMEMBER EXCLUDED? Y❑ N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,00 It yes describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,00 DESCRIPTION OF OPERATIONS!LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Michael McCarthy has Opted to Exclude himself for Workers Compensation benefits. CERTIFICATE HOLDER CANCELLATION CAPELIG SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Cape Light Compact ACCORDANCE WITH THE POLICY PROVISIONS. Box 427 Barnstable,MA 0263O AUMORia:DREPRESENTATNE ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel TOWII� OF BARNSTABLE Permit# Health Division 311,a J z a&2-0'5h7, Date Issued "3��AR 12 PPS 1: 16 f Conservation Division i 2 ? Zi�Lte �681'E MU9Y BE � Tax Collector C7k— fQL-- SIO NWA1.LMNWWLMCE/9 � Fee Treasurer 0 k [ TITLE 8 �® 00 ENVIRONMENTAt.CODE AND Planning Dept. TOWN REGULATIONS Date Definitive Plan Approved by Planning Boardl�c%+'1 Historic-OKH Preservation/Hyannis .20.0 2 Project Street Address 9(�_ YALZ� Village a/ gamoi5 emr Owner Address �Al�) Telephone Permit Request �—__ Square feet: 1 st fl � is'n proposed Id�Z 2nd floor: existing proposed Total new Moi Valuation Zoning District Flood Plain Groundwater Overlay Construction Type ,� a, 112 Lot Size 2: rf Grandfathered: Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ] Two Family ❑ Multi-Family(#units) Age of Existing Structure 'Historic House: Cl Yes 40o On Old King's Highway: ❑Yes J<No Basement Type: mull O Crawl Walkout U Other Basement Finished Area(sq.ft.) z Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing 7 new 0 Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas , 40il ❑ Electric ❑Other Central Air: ❑Yes VSo Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑existing ❑new size Pool:❑existing ❑new size Barn:0 existing ❑new size Attached garage: 0 existing ❑new size Shed: ❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name Telephone Number "--3[ Address IZ7& License# J �d(J Home Improvement Contractor# l Worker's Compensation# ��� �, UskS�X2d ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO SIGNATURE �O DATE :`-17—K7;?_' t FOR OFFICIAL USE ONLY .p PERMIT NO. M-6ATE ISSUED �- d MAP/PARCEL NO. c j Y x ADDRESS VILLAGE - OWNER. - DATE OF INSPECTION: FOUNDATION r FRAME INSULATION FIREPLACE h ELECTRICAL: ,,,R O[JGH FINAL ? ` PLUMBING: -(ioGH FINAL GAS: ROUGli FINAL FINAL BUILDING " DATE CLOSED OUTI " ASSOCIATION PLAN NO. F • . The Town of Barnstable _ , ` gig Regulatory.Services 1639• �m • 'p ft659- Thomas F. Geiler, Director Building Division Peter F.'DU Matteo -Building Commissioner 367 Main Street,Hyannis MA 02601 OS-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT' HOME IMPROVEMENT CONTRACTOR LAW . SUPPLEMENT TO PERMIT APPLICATION MGL c. 142Arequires that the"reconstruction:alterations,renbvation,repair,modernization,conversion, improvemem removal.demolition,or construction of an addition,to any pre-existing owner-occupied. building containing at least one but not more than four dwelling units or to strictures which are adjacent to such residence or building be done by registered contractors.with certain exceptions,along with other requirements. ' Estimated Cost Work:- Type of . Address of Work: Owner's Name• • Date of Application: 1 hereby certify that: Registration is not required for the following reason(s):. []Work excluded by law ❑Job Under$1,000 , ❑Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS'PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED. CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL:c.142A. • SIG D UNDER PII1AVIES C"F,P - I hereby apply for a permit as th agen of ow er, Date Contractor Name. Registration No. OR Date owner's Name The Commonwealth of Massachusetts Department of Industrial Accidents � -- — OffICC Of1�YCSt1,gPl10DS . 600 Washington Street Boston,Mass. .02111 Workers' Con ensation Insurance Affidavit :.�ri ri rlrrir aiaiii alias%%/ ,ame -Tx y"��• ��t� location: Q �-ty hone# ❑ I am a home weer performing all.work myself. I am a sole rietor and have no one workingin achy %%%//G/%%/%/// ///% % /% %% /%/%%%%%%%////%/%%%%%%%//%/%%///%%%%0%//%////�O%/%%%/%%/%%///%%/////%�/�%%%/ I am an em'1 er roviding w ers' compensation for lemployees working on this job. con sa ;�nam e..:..4�i:ti:':v}::i::�:}r L:::{jCiiiiin�•r,•;��:^ii:}il?:}:i%::::i�:i'}!i}:i�:i;i}i:{:_i:;{i:::j?}i:!%!'{!:}::^:i:t!•Y.�is .tii.S'..:::;!:::?::::?vi::<:;{{•;• ...:..:.:.................... ::.;::::.:::r::..;-.;...:::...... ..................-.....:.............;4;•}Si:!•:ti;!':v:;':-:::�::;>;'ilia:Jy:?i$}}}:•:•�:•:+.>;;:;:¢.......}... 01. .j{;ii:;:•:•}:3:•ii::�}'J}:•':'}:•}:;:i::i:}j}::-ti4 :!v:?+i�.f�:•:.•:'.•.•.-{.•:.•r:-;.;:?}••; ••`• �':'!;:'�•'?;{:::?;:i?:>j}•{:?;,;i;i:`i;i:;{'r,:;ii:i::?::i::::;�}i::;:;;f,';:;;:; ,x';Y;i:;:j?{:�;}:}•:{{:;.; '"tone �iiistirate`c •• �• // ❑ I am a sole proprietor; general contractor, or homeowner(circle one)and have hired the contractors listed below who have thefollowin workers' ensation olices:.....................:.............::....:::........:...:......:.......,.....,:......:.........................,.......:.:..:..:..n:•.,::•.,:::!;!n}-..v.:: g CO ..............ill)........ .-*:.................................,.. .,... ...:::.-.......... :coin an:�nam . -'�,f.T:i��`isi:;:;ry�i::?i:':::j;'r,:}r':?:C}�:i}:{;;}:::>i-:•-::::jj?;isi?;:}'ji:•:: :;::;iii}�Y:{;'r-'i:•-:!;is ; :: .;-;{ti:::}:ji-?i::�j:;'":,v�ii:�i<{:ii:::::... .... �:vr.::•:i'• •iSfv::•v t�T.e ............:::::•n•:::..�::F.•i}:4:{:^:;?:C'?. w:.v:...-v:::}W::.:::nv:.:..:... ....�:::..:.. ........... ....-.....x::::?:.;?;•}},':::.:w::::r::•: .}}Si:::nv: .:.n4:•}::;�{?{•}::?{:.,:.:.'•.:v:i:::.::.Y:nJ:iv`:•:4}h::{::'{•$:r:':;,::,.,rr.}. ... .. ...... ........ ........ ........nn..............n...................... ...r............... ....... ,....... :'•iv::v.v.++" :�-.:::.-.r....v:;v..:...{ii:;a:4:;::v'%+•'.�4(.�w}:%;S_:;: ..........:••..............••.•..:...-......... ..h.n.:..:.......w.................... -...vn,:vr,•}..r...,-... ........r..:::.v-.......,...:..r:.v•.:::vv.:v�:v;t.•:{:::. ,v.. ...........................5.....:........r }r..................r.......:.... .r n..-{........:..........-..v,.....................:............r.............:v•.:::::5:::::x:.�r:f::?�}S:•}:{•}:::.:::v:•:::::.;\;.:.r.....rv..<:.., -....... .r...... .......,r ....-.......0... ...............r•:r.-•.v.:v:::�:�.vv:::x::::::m:::vnv.v::::............:,;}::::.,v•:::::::v:t.,vw:::::.v:•..v...r..r..:r:�::::!::i8}S:•T!:tin}}};wv.}ti:{:tiJS:};�•t{yi >:�:%:}?Y';i:>.: '.?��i$':i��:v%i::fiii:�:}::?::;}j}j::iJ}::':++.•i:;i i;}::;'v'?{+i��i?.`v:iii�ttit}i:{%ism:}':}:'�ii:::iii{:}:'}:isy ist::;S:tii:::�i::isS::l:•:i•:iiiiii:�iYii:::iYiS:�iir:: .i}}:{•Y•:�•}:::•:yiG::::•S'{:':iir -�:Ci is {: �a1 '••••�'i'i iii}�j{::C;:}ry:,+.;:;s�:ti+:Y{isjf:}}{�{y?;:i:..............:'+i:i:i�:'•>>'!:i. i}$.}<}.}is5:%:}'+'�+'?:iSi::i:;:j::rir:Si'}:2•`c}t'::::%::::v:};`•`::::?i: ..Jr......:. ?,'i'a}•:r i:;st::;"•:}%:j>i`?Y::S:>iii:?vi? yv:r:::.}}}}:::::.i^:�i:{!S:G::•}:{ri:r}{'v:.•:.•:: :::.v:C•::::•-:}:4:i+'.':':;:}':}j:;{S:•:?i-r'i ...........:......:nw::•� r..w..• ,.r::r.•r{::::::v::::.J:::w}h.v:::::i}},...}:•:•i:;}';x:;..;y:.;.. r..r:v:nv}"•{{;:i;>iiii'�i:;ij%ii::i+A .,..v.... ......... .......-. -.. -..... r.......-..n........• ,..-....:... .,.::::.iX:.:;�}}::::::::::::i•}:?;;.:w:::.....:.:... 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Fafbare to secure coverage as requred m►der.Section 25A of MGL 152 can lead to the impositloa of crbw.nal penalties of a fine up to i-,So0.o0 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a One of$100.00 a day against me. Iunderstand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under the and penalti p 'ury that the information provided above is trap and correct Si tore print name , Phone official we only do not write in this area to be completed by city or town official I� city or town: permit./license# [3Buiding Department ❑Licensing Board ❑checkif immediste response is required ❑Selectmen's Office OHealth Department contact person: phone#; ❑fie UrA-d 9195 P]A) L Information and Instructions [assachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their aplovees. As quoted from the 'law".. an employee is defined as every person in the service of another under any contract 'hue, express or implied, oral or written. n employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of Le foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or ustee of an individual, partnership, association or other legal entity, employing.employees. However the owner of a welling house having not more than three apartments and who resides therein; or the occupant of the dwelling house of iother who employs persons to do maintenance, construction or repair work on such dwelling house or on the.grounds or wilding appurtenant thereto shall not because of such employment be deemed to bean employer. 1GL chapter.152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal f a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has of produced acceptable evidence of compliance with the insurance coverage required. Additionally,.neither the ommonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until cceptable,evidence of compliance with the insil ce requirements of this chapter have been presented to the'contracting uthority. applicants 'lease fill in the workers' compensation affidavit completely,by checking the box that applies:to your situation and upplying.company.names, address and phone numbers along-with a•certificate of insurance'as all affidavits may be ubmitted to the Departmentoof Industrial Accidents for confirmation of insurance coverage: Also be sure to sign and. late the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is ieing requested, not the Department of Industrial Accidents. Should you have any questions regarding the"law"or if you Lre required to obtain a workers' compensation policy,,pleasd call the Department at the number listed below. "ity or.Towns ?lease be'sure that the affidavit is'complete and printed legibly. The Department.has provided a space at the bottom of the L idavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please - )e.sure to fill in the peraiit/liceitse number which will be used as a reference number. The affidavits may be rehm�ed io he Department by mail or FAX unless-other`aiiangements have•bem made: (he Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. )lease do not hesitate to give us a call. the Department's address,telephone and fax number: . The Commonwealth Of Massachusetts, Department of Industrial Accidents Office of InvestigaUans 600 Washington Street Boston,Ma. 02111_ fax#: (617) 727-7749 phone#c (617) 727-4900 eat. 406, 409,.or. 375. RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 - Building Permit Amendment $25.00 . FEE VALUE WORKSHEET NEW IJMG SPACE s feet x$96/s .fo of— J x.0031= . plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EMT ING SPACE � �� square feet x$64/sq.foot= Z D plus from below(if applicable) ACCESSORY STRUCTURE>12.0 sq.1t >120 sf-500 sf 135.00 >500 sf-750 sf 50.00 ' >150 sf- 1000 sf 75.00 - >1000 sf- 1500 sf .100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERIVIITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool .$60.00 Above Ground Swimming Pool $25.00 RelocatiowMoviug $150.00 (plus above if applicable) . Z (��,-3-� Permit Fee Draicost Tabb J=b prneriprfre Paekasea for One ad TwaF=NW Redd=ttal B"dhW Road with Food Falb MA7QMUM hfaq 1{L►M Glaring. Glaring Ceiba$ Wall Floor 9ataemeot Slab Area'(%) U-� R.valae�. R-valaef R•vdud Wall pakocow Paricaae &wahn' &WOW 3701 to 6300 Heath;Degrer D&W I21% . 0.40 31 13 19. . 10 6 Nord 12% 0.52 30 19 19 10 6 Nord S 12% 0.50 3E 13 19 to. 6 85 AFUE T 15% 036. 38 13 2S WA Wt Normal U 15% 0." 31. 19 19 10' 6 Norma! V 1SY. 0.44 38 13 25 1ilA WA ES AFUE W 15% W2 30 19 19 •10 6 8S AFUE X -18% 0.32 3E. 13 2S WA WA Normal Y 18Y.' 0.42 3E 19 2S WA WA Normal Z it% •0.42 38 13 19 10 6 90 AFUE E AA 18Y. 030 30 19 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: ( 110(/ 16)�[x/ 3. SQUARE FOOTAGE OF ALL GLAZING. 4. %GLAZING AREA(#3 DIVIDED BY#2): S. SELECT PACKAGE(Q—AA-see chart above): Q NOTE: OTHER MORE INVOLVED METHODS-OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION- BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f9 80303 a Footnotes.to Table J5.2.1b: Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skyliehts. and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area. expressed as a percentage. Up to 1%0 of,the total glazing area may be excluded from the U-value requirement. For example.3 ftt of decorative glass may be excluded from a building design with 300 fF of glazing area. 2 After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating.Council (NFRC) test procedure, or taken from Table J1.5:3a: U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R 30 insulation may be substituted for R-:8 . insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling It-values represent the sum of cavity insulation.plus.insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned-space and the ventilated portion of the roof. use Do not include 'Wall R-values represent the sum of the wall cavity insulation phis insulating sheathing (if. d)• exterior siding, structural sheathing,and interior drywall For example;as R.19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity ilation plus R-6 insulating sheathing- Wall requirements apply to nsu wood-frame or mass(concrete,masonry,log)wall constructions,lttrt do not apply to metal-frame construction. The floor requirements apply to floors over unconditioned spaces(such as unconditioned caawlspaces;basements, or garages).Floors over outside air must meet the ceiling rtquirements. ' The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must m��. the same Rvaluerequirement as above-grade walls. Windows and sliding gla ss doors of conditioned i b r.,ements mast be included with.the other glazing. Basement doors must meet the door U-value requirement d_scribed in Note.b. The R-value.requirements art for unheated slabs.Add an additional R-2 for heated slabs. 4 or S. If ou plan to install more • ' use compliance approach 3, Y P If the building utilizes electric reststance healing p than one piece of heating equipment or more than one piece of cooling equipment,the cquipmcnt with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For He Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a) Glazing areas and U-vaIues are maximum acceptable levels.Insulation R values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 035. Door U•vaIues must be tested and documented by the manufacturer.in accordance with.the NFRC test procedure-or-taken from the door U-value in Table 11.5-3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door.U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c) if a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different in levels,the component complies if the area-weig hted average R value is greater than or equal to the R-value requirement for that component: Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). ' 43 I HONE INPROVENENT CONTRACTOR Registrat E rat��:on� OS/03/2002 ,A JOAO L, MQUEIRA s 30AD JUNOUEIRA -7 ,9 OLD CRAfiVILIE RD nornwis7RAToa NEST HYANNI NA 02672 I s BO`ARD OF=BUILDING REGULATIONS License: CON STRUCTION,SUPERVISOR ul NumteCS' 07,Op29 , _is w194T" Expi es 11J15/2002' Tr nou 4912' 1 Restricte`d To 00� r Rf1LFH CRQSSEN - � 3 HY, ISPQRT, .MA 02647 Admmistrator� i I CONC. �0) �FNDN. PAT10 / EMST. DWELL TF = 32.8' LOT 21A 7,494f SQ. FT. o 'SOo 4(1/0 2 4V 0 11L� -410� d 02-015 CER TIFIED PL 0 T PLAN FOR THE PURPOSE OF ❑BTAINING A BUILDING PERMIT LOCATION 88 HARBOR HILLS ROAD (CENTERVILLf) BARNSTABLE SCALE ; 1"= 20' DATE : APRIL 17, 2002 PREPARED FORS GEORGE McLA UGHLIN REFERENCE ASSESSORS MAP 247 PCL 86 I HEREBY CERTIFY THAT THE STRUCTURE OF Mqs� SHOWN ON THIS PLAN IS LOCATED ON THE o`' ARNE cyc, GROUND AS SHOWN HEREON. �� H. ®JALA off 508-362,4541 O� fax 508 No.263 �Ecis down cape englneering, Inc. i CIVIL ENGINEERS LAND SURVEYORS s39 maln st. yarnouth, mcx DATE REG, LAND SURVEYOR i 105684 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 11 Application o o 6yj5 Health Division Date Issued 7i 7i ► O Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board / Historic - OKH Preservation/ Hyannis Project Street Address 88 Harbor Hills Road Village West Hyannisport Owner Ann McLaughlin Address 88 Harbor Hills Road Telephone 5o8-778-7286 Permit Request air sealing, install 516sq ft of R-30 to open attic space, insulate attic access folding stair, install 1008sq ft of Polyethylene over open ground in basement area, Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1294.00 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) 7-3 Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: O'Yes�f 0 No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Y 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# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RISE Engineering Telephone Number 401-784=3700 ext 150 Address 1341 Elmwood Ave Cranston, RI 02910 License # iy014Z Home Improvement Contractor# 120979 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO RI Resource ReoovexV SIGNATURE f DATE 1/19/10 FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 0 a111a DATE CLOSED OUT J ' ASSOCIATION PLAN NO. f . The Commonwealth of Massachusetts x Department of Industrial Accidents. Off 9,ce of Investigations 600 UWaushington Street Boston, MA 02111 V www.m ass.gov/dia Worke>rs9 Compensation ffnsu>rance' Affff chat. Builders/C'®>rnrrgctolrs/Eler-t>ricians/]P'hu> bears Al2pheant Information Please Print ILe i v➢� Name (Business/Organization/Individual): RISE Engineering; A Division of Thielsch Engineering Address: 1341 Elmwood Avenue ----------------- City/State/Zip: Cranston, RI 02910 Phone #: 401-784-3700 or 1-800-422-5365` Ave you an employer?Check the appropriate box: 'Type of project(ve4uivedl): 1.M I am a employer with 4. ❑ I am a general contractor and I6. Q New construction employees(full and/or part-time).* 'have hired the sub-contractors 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet.1 7. []Remodeling ship and have no employees ` These sub-contractors have 8. ❑,Demolition' working for me in any capacity. workers' comp.insurance 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions .myself..[No workers' comp. c. 152, §1(4),and we have no 12,0 Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13<Q Other Insulation "Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. -Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. d am an employer that is providing workers'compensation insurance for nay employees. Below is the policy and job site information. Insurance Company Name: The Preston Agency Policy#or Self-ins.Lic. #: VC2—M-259874-019 Expiration Date: 04/01/ 10_ Job Site Address:_.. Rd City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine y of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certu n the fans an ,penalties of perjury that the information provided above is true and correct. Signature m✓ �� �� -- Date I Erik Nerstheimer' for RISE Enggineering Phone#: 401-784-3700 or= 1-800-422-5365 Ext. 03 Official use only. Do not write in this area, to be conapletedby city or town official .City or'Town: Permit/License# Issuing Authority(circle one): 1. Board of Healtb 2. Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: s rage 1 OI 1 The Official Website of the Executive Office of Public Safety and Security.(EOPS) Mass,Gov Home r Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License# 100459 . Restriction WS,IC Name Erik Nerstheimer $ " City, State,Zip North Scituate, RI, 02857 Expiration Date 3/28/2012 Status f Current , No complaints found for this Licensee. Back To Search i eo . -' � i,y r� a : � .•, r - - - .. _ Board of BiiildinS R� ons a�and ✓�aa a�c�uaiel�e ' License or registration valid for individu]use only HOME IMPROVEMENT CONTRACTO R ;before the expiration date. If found return to:� Registration 120979 Board of Building Regulations and Standards, Expiration 3X'25/2010 I One Ashburi' Place Rm,1301 TYPe SuPPlemeni Card TW, fQ n,Ma.021-08 -HIELSCH ENGINEERING " 'RIK NERSTHEIMER' { 341 ELMWOOD AVE" ,RANSTON, RI 02910 '' r ii Admm.isti uor Not valid without sign t,re r y r r �3 b• • • - ..ns s k .c x http-Hdb.state:ma.us/dps/licdetalls.'aSp?tXtSearchLN=CSL100459 Q/I)n Mnnn G f'l aRD "ER0Itl ICATE OF ��A�J�L' TY IN SUMNICE_ OPID 1 C D9TE(MMIDD/YYYY) THIEL-1 11 05 09 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO The Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 - HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Boat 810 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW East Greenwich RI 02818-0810 Phone:401-886-8000 Faxs401-885-1700 INSURERS AFFORDING COVERAGE -r° ' NAIC# INSURED INSURER A: Hartford Underwriters'Ins. Co Thielsch Engineering, Inc INSURER B: Hartford Casualty Insurance Co + Thielsch Group Inc. INSURERC: Liberty Mutual Insurance Group Hi Tech Realty Inc. y 8 195 Frances Avenue INSURERD: North American Capacity Cranston RI 02910 INSURER E:-, _ COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ]NbKPOLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR NSR TYPE OF INSURANCE DATE MMIDD ' DATE MMIDD LIMITS GENERAL LIABILITY EACH OCCURRENCE $ 11000,000 A COMMERCIAL GENERAL LIABILITY 02UU=5678 04/01/09 04/01/10 PREMISES(Ea occurence _ $ 300,000 CLAIMS MADE ®OCCUR MED EXP(Any one person) $ 10,000 1 °` PERSONAL&ADVINJURY. t000;000 { ` GENERALAGGREGATE $ 2- 000,000. GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2;000,000 POLICY X JECT LOC Em , Ben. 1,000,000 AUTOMOBILE LIABILITY B X ANY AUTO 02UE accident) . NTD4850 04/01/09 04/O1/10 COMBINED SINGLE LIMP 1,000,000 t CO i ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS J (Per person) $ P , A y - 'HIRED AUTOS . s BODILY INJURY $ ; ... NON-0WNED AUTOS (Per accident) 'PROPERTY DAMAGE $ i (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY:' AGG EXCESS/UMBRELLA LIABILITY EACH OCCURRENCE $ ]O,O Q 0,'0 0 0 B X . OCCUR EICLAIMS MADE 02XHUUF6573 04/01/09" 04/01/10 'AGGREGATE ,. $ 10,000,000 $.. t DEDUCTIBLE X RETENTION $10,000 $ WORKERS COMPENSATION AND r X 1 TORYtIMITS ER EMPLOYERS'LIABILITY C ANY PROPRIETOR/PARTNER/EXECUT BJC2-Zll-259874-019, 04/01409 04/01/10 ` E.L.EACH ACCIDENT ,$'500;000 IVE OFFICER/MEMBEREXCLUDED? E.L.'DISEASE-EA EMPLOYE $-500,000 • If yyes,describe under SPECIAL PROVISIONS below 4 w E.L.DISEASE-POLICY LIMIT '$ 500,000 s OTHER #:. D Professional Liab DVL000025902 04/13/09 04/01/10 Prof Liab 2,000;000 A Leased/Rented Eqp 02UUNTD5678 04/01/69 04/01/10 Equipment 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS r CERTIFICATE HOLDER CANCELLATION TOWN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL'10 DAYS WRITTEN TOWn of Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO$O SHALL Building Division' IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Alain Street Hyannis MA 02601 REPRESENTATIVES. AUTHORIZED BEPRES ACORD 25(2001108) ©ACORD CORPORATION 1 RISE ENGINEERING r Registration ss2s , E. o \v' aC or Registration No 8188` A division of Thielsch Engineering E. V n for Registration No 120979 CT nt for Registration No 820120 N 1341 Elmwood Avenue,Cranston,RI 02910' DEC' g -2���'//��► ®®/�� (401)784-3700 J( t''{+ FAX(401)784-3710 i� ��"e�� r r ' e 1 RI S E THIS CONTRA T IS ENTERED INTO BETWEEN RISE AND THE CUSTOMER FOR WORK AS ENGINEERING DESCRIBED BELOW CUSTOMER - PHONE DATE- client# Ann M McLaughlin (508)778-7286 12/21/2009 105684 SERVICE STREET BILLING STREET ' 88 Harbor-hills Road 88 Harbor-hills Rd SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP . West Hyannisport,MA 02672 Centerville,MA 02632 JOB DESCRIPTION RISE Engineering will provide labor and materials to seat areas of your home against wasteful,excess air leakage, This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per hour,which includes materials and testing. 4 man hours. $264.00 RISE Engineering will provide labor and materials to install a 8"layer of R-30 Class 1 Cellulose added to 516 square feet of open attic space. $567.60 RISE Engineering will provide labor and materials to install an easily moved,rigid foam insulating cover for the attic access folding stair. The cover has integral weatherstripp ing to restrict air leakage. ` e $160.00 RISE Engineering will provide labor and materials to install 1008 square feet of 6 ml polyethylene over open ground in designated crawlspace/earthen basement areas. $302.40 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for households where total income is less than or equal to 80%of median income, the Cape Light Compact offers 100%incentive toward eligible measures(not to exceed$2,000 total incentive.)., -$1,294.00 WE AGREE HEREBY.TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF t +: ***00/Dollairs $0.00 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY - UNPAID BALANCE AFTER 90 DAYS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLANK SPACES AUTHORIZE IONATURE RISE-RISE FNGiNEERIAG� CUSTOMER ACCEPTANCE NOTE:THIS CONTRACT MAY BE WITHDRAWN BY US IF NOT EXECUTED WITHIN - DATE OF ACCEPTANCE• ..-,_.�{,"'� "" 49 , 3 v ACCEPTANCE OF CONTRACT-THE ABOVE PRICES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US AND ARE HEREBY ACCEPTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. _ AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE r `OFtXE TO,,� The Town of Barnstable BARNSTABLE. Department of Health Safety and Environmental Services MASS. t639 `0� Sr �Eo Building Division 367 Main Street,Hyannis, MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissioner Inspection Correction Notice Type of Inspection n Location i'Zar D 'i Permit Number , V Owner Builder A, �A;,—Pt p-N One notice to remain on jobsite, one notice on file in Building Department. The following items need correcting: x.. n 4 . r3a 10Aram} �rr 1k, Ah, Al � Please call: 508-790-6227 .lfor re-inspection. Inspected by Date - 0 �L w o r a Ul zdDaF z z'4 am a loom o t— WOKW- u p Za a U z ?Pw� 191 z 11y� "0 0 v N� z aq%D n� at _ zwo� m Z o C� apmm m t9 Z L) OL U- - e , LU � O Q IL 13 LL a a a a o { o , 1. Y w tA) F Q O - 0-Quj v zcoa� 'Z z a o Z oaQ� m 1� V cl Q d�OFw o ZILIU Z w�UL O ® m (X omao U 1-- i w ZwLUO = a ouzo V o m zo o U Zoe o w w 3 to m to To�Q a �ooN m o O trX trX trX £ O iu w _ x o - uj ID dl(51 'v Q I � N M n � , I � o = o x o o n 4 o I o m N It I no-itr X ut—,z no-,tr X J,-,Z - - ntr-,II ufr-',Z e01-,OI o q-,YZ -0° 21 -0, TYPICAL FRAME ROOF MECH,VENT USE CONTIN.RIDGE i SOFFIT VENTING eArµB MER GLASS ASPHALT SHINGLES RAISE DOOR TO N NEW FL.HEIGHT OVER 151bs FELT BUILDINGS PAPER i` 1/2 ROOFING PLYWOOD - 2"xl2" RIDGEBOARD MASTER BEr)ROM - 211x10" RAFTERS awl 16" oz, — ] — — — COVERED F ORCHI MATCH EXISTING TRIM,FASCIA,SOFFIT 4 RAKES PILL.M * 2" X 8" COLLAR TIES Q I6° o,C. 4 - ex C. 2"X8° CEILG JOISTS rJ 16° o.c.w! oapNa�® - RAISE EXfBTING FLOOR `J IN LEvELOFHOUSE R30:BATT INSUL;W/ 6 MIL POLY Y,B. BATH KITS INSULATE TO R•19 L. CEILINGS 1/2" BLUE BOARD W/l/S" 2' 0 ® SKIM GOAT PLASTER a I ❑3 I z- -o" 2 -,N - USE 3' OF MEMBRANE STARTING v EAIING AREA _ uivom EDGE OF ROOF MECH,EQUIP, >,F '" ,.o TYPICAL EXTERIOR LUALL = - MATCH EXISTING SIDING - 0 151be FELT BUILDING PAPER - 1/2" EXTERIOR SHEATHINGDRooM z - 2" x 4" STUDS e l6" O,C, - HEADERS /DOUBLE 2"xl2" W1 1/2" FLY WD - R=IS HIGH DENSITY BATT INSULATION -6 m11 POLY VAPOR BARRIER - 1/2' BLUE BOARD W/ 1/5" SKIM COAT PLASTER - PAINT INTERIOR 3 COATS,EXTERIOR 3 COATS FIRE PROOF ALL WALL PENATRATIONS _ 42'-6°. NEW 5UI l OO A ;k GENERAL 4 SUB CONTRACTORS SHALL VERIFY ALL DIMENSIONS PRIOR TO ORDERING MATERIALS 4 STARTING CONSTRUCTION. ALL STATE 4 LOCAL BUILDING CODES SHALL BE ADHERED TO. ANY D16CREPANCIE6 SHALL BE BROUGHT TO THE OWNER OR ARCHITECTURALS ATTENTION. McLAUGHUN ADDM®N SCALE ma".I'.o° DRAWNDY CD CALHOUN DRAWING, DATE II/26/2001 IREWSM 3/6/2002 A- 2 nrLe NEW FLOOR FLAN A R C H f T E C T U R A L S 1 643.BEACON STREET, NEWTON MASS, 02468 1-61l-964-T965 m 0-Wao aaz z;aF z R i W Q�POW Cb7 �® LLZC3$ p Q U Lu U, p Q m J Z Q CO O ®� I- o z IL— d_ °r -t U 99D o �� UIl1IlpC OeaO U N f z 2LLI X4 Umm� — 181 c9?111 QLll Q Q m a w Z w CL zo (Y.cD ctD W _ZQILU �� U� 4z1mLu o r w UJ ZQ ®� � � d W �ILL � Oi1L� �Oo a �' p ILU w wcs)w07 )-n � LU <a(L_ ZW "0�(Lu 1 n 1 1 1 n 1 1 1 1 W OH O O $— � �p i ,I 1 O I I U WLH p I I �. 1- Wes& � �NW ------- --i i 13 ZLIJ W 6L _ I I >z2 t2 E3 z LL Ocn— rj4 �= �_[YQ O C� ®O O!l-(mil��QtA 1 __--__---LJ INS U-a- mffp Z�-D0W WC.D-1 ti'W Z U- pd1� O W��LL (� UQ' q]LO �- c�ucoz— 1 w w u ,D{n >= x X- XXOLUw Iz OI IW O-II r U U- I "Ole V .z -__---_ __I I W U -_-__--___1 I \l 1 I FM W 1 I V I I LL JU I fO` I 1 I Z CO , `\ I __-.___ _1 1 \ I L_I \ I \ 1 \ 1 L_-__-___-_ - 1 LH LH I k TYPICAL FOUNDATION WALL USE 3500 psi CONCRETE MIX - - 2411 WIDE x 12" DEEP CONCRETE FOOTING c/w ----, 2- RUNS 15M REBAR 4 RESTING ON UNDISTURBED SOIL ''"r _- •S" POURED CONCRETE WALL DN CONTIN ,FOOTING I ,• I A MIN,OF 4' BELOW GRADE • Id' DIA,ANCHOR BOLT 6 40" or-. & STARTING 12" FROM END 2xr PRE55URE TREATED SILL PLATE W/ 114" SILL GASKET _ ICI I . I __I _ _ _ BITUMINOUS COATING OF FOUNDATION WALL USE 4 PERFARATED.DRAIN PIPE SLOPED TO DRYWELL TYPICAL 5A6EMENT 6LA5: -USE 3500 psi CONCRETE M-IX -4" CONCRETE SLAB C/w 6X6 WW MESP REINFORCEMENT -6 mil POLY VAPOR BARRIER -2" RIGID IN51.I11ATION (INTERIOR ONLY 1 (o" COMPACTED GRANULAR FILL ADHERING NEW WALL TO EX15TING 11FICAL FLOOD 515TEM DRILL I/2 DIAMETER HOLES DEEP -3/4"T8 G PLYWOOD-5UBFLOOR SCREWED 8 12" ON CENTER GLUED TO ' 1 -2"XIC)" FLOOR JOISTS -aa 16" O.G. - PLAGIF# 5 RODS.IN DOLES 4. EXTEND _ -- -2'1xi0`SOLID BRIDGING 4 INTO NEW FORMS 50LID WOOD FIRE BLOCKING - FILL SEEM WITH GASKET =DOUBLE FLOOR JOISTS UNDER PARTITIONS 4 EXTERIOR WALLS -(BASEMENT FL f R=19 GATT INSULATION FOUNDATION F L� N -FIRE PROOF ALL FLOOR PENATRATION5 r *GENERAL 8 SUB CONTRACTORS SHALL VERIFY ALL pIMENSIONB PRIOR TO ORDERING MATERIALS 8 STARTING CONSTRUCTION, ALL STATE 8 LOCAL BUILDING CODES SHALL BE ADHERED TO, ANY 016CREFANCIE6 SHALL BE BROUGHT TO THE OWNER OR ARCHITECTURAL5 ATTENTION, McLAUGHLIN ADDITION SCALE VS'-f-L DRAWNSY CD CALHOUN DRAWING NO. DATE 11l2001 REVISED 3/6/2002 A- 126 "- TITLE FOUNDATION PLAN ARC HITECTUR A L s 1643 BEACON STREET, NEWTON MASS, 02465 .I-611-964-'1965 z Q ty I I SCOPE OF z NEW WORK --�� LU } w TIFieA1 FRAME Roos/ - -USE CONTIN,RIDGE $ SOFFIT VENTING-FIBER GLASS ASPHALT SHINGLES OVER # 15Ubs FELT BUILDING PAPER - Id' ROOFING PLYLUOOD -2"4" RIDGEBOARD ~— --- 2"XIO" RAFTERS a I(o" oz. -MATCH EXISTING TRIM,FASCIA,SOFFIT 4 RAKES 2" X a" COLLAR TIES Q 16." o c, 2`XJ" CEILG JOIST$ Q 16" oz,w/ - R30 BATT IN5UL.W1 6 MIL POLY Y,B-, -CEILINGS la" BLUE BOARD W/US"5KIM COAT PLASTER -USE 3' OF MEMBRANE 5TARTING 10 EDGE OF ROOF ROOF FLAN *GENERAL 6 SUB CONTRACTORS SHALL VERIFY ALL DIMENSIONS PRIOR TO ORDERING MATERIALS 8 STARTING CONSTRUCTION, ALL STATE 8 LOCAL BUILDING CODES SHALL BE ADHERED TO, ANY DISCREPANCIES SHALL BE BROUrsHT TO THE OWNER OR ARCHITECTURALS ATTENTION, McLAUGHLIN ADDITION ` - - SCALE VV-f-& DRAWRBY CD CALHOUN DRAWING NO. DATE IV1612001 REVISED 316/2002 p A- T ROOF FLAN A R C H I T E .G T U R A L 5 1643 BEACON STREET, NEWTON MASS, 02468 I-61T-964-1165 uC W. ?— C) .n r Q d Q Lu z r z (v _ — °oQ� I Lu ).- o �zwu f- z d[ ® >v-u ® �Zq LLL' 4lL _ w a_ lu Z m zLLI .z w l� U l LL Z LL Zw 43 a K = a zca)LU Q O >� Ca vQu� —D z w� <[ `0 >- CQ, � m�zo a > +0Q Q O zdm o q + Z U O 6 n— �to o Q�/ m _LL LL uj ® �►-0 ® � `Q� � ci Zook a 3: -1 (a ��C� `Q Wiz' '53 > . .� Q�� Ocr�2: 41D tK� q w� w ®�+�- mo � C7at ®��� v<[ � O U vww�°�, O� �co � -ncq Lu )pp >� _x_ztQtXX /OmujR� D LE - V O n-Lu Wry{O Ch LLu SC. 1` LL I f 1 ILLu Lu cr)z � +Qo aawWw Cs and z Q wa0w of g ce z?-4 QC, QL FZ co yv O 'iZw0 W0Q�IX - di m - Zap 0 a Z d N(VroW U llfl o �Q J Z —R- ` OL LL {— Y U ID ui arc pap W O m O a to m�ze O Q J Z is Q �lu a C, aoc '� v 3 a 3: o r O X w , li)w U yr � J � - _ Tf cn aL O �C Q OOZE 0- O � Q � w uu� 0 0►U Z OL cn @ Z m® �D cn0�m� cn0 O 0� 1YO� J z0 IL O O C z 0 tD J) O w = - m) n Z O� F--t- 0 Q Q w CQ z ly cn of W L z�rc mQoo ® � O nOQ� U m v TI >uwd z� � w ZO cafe Q"m Q U4 z Ul UA U �LU w = in J O X U Q w ,�-p' .gyp a � � �.la '7 0O p a m AJr- i �4 �g a LLU LU z ILL z - _ cfl z O � X `� E e 90 � o c q 0 N A Ul lu cD O W LLL O w c_s L U Z w O LLO (Y U a c Fu w O z z Z LU a O O z O O IllB Z Lu � a z 0 (z. ° ° `°� 0 w � tY uLL @ ua Lj � O L" r Z U p � -1 w(� ® U Z z O w � 0-- ii a z a `� -i w m O !K tQ z p�C C� W w Cl 0 T z w -4 - O 0 0 w ® in W y a U- z Z `n O z iu O p w w a Ll J O p p c U U Q tY W Q =3 p X X If] } -� O Q a ,n �, x q s IL U = n LL O F N crU #� cv _ 1 e to L LLJ luEl c $- Li1 Lu w o�nL m >Cf:Idck S O � p Df gJR'Q o < �.Gw� w LLI ® O cn p 43 n a `n Q 0 O ro�zo U o ® o W J t W J m LU < Q z z z Q [Y Q o O Q z w z Z p Q Q z � � Q � QC Q Q 8U LU IF— +- fl Z n — — Q Q � LU csi=3 w LLI Z Z w QCk LLI LU w � LL Ww uI o w u-- z ILr LUp w n Lu CY o zo zQw — f -AwpC �Ww 0 w d = Q Z Z wLU .-A wj:0 uj � z _jOL p� ku LU .v w W q cri (L LLI m LU M Lu U�`n o (L Q--. p U C7 tpw0W CL El O lu Lu �-jB OUP 13 dLu w +� f?L p w LU w z N Q Q p pUtj) ow 0 Wpm E w�D0 mid �p4 pUz p►- E-csi cn —1 p- ClOox w LLI Q �� ,, t i. t SYSTEM PROFILE TEST HOLE LOCIS TOP FNDN EL. 32.8' (NOT T❑ SCALE) ACCESS COVER TO WITHIN 6 OF FIN. GRADE ACCESS COVER (WATERTIGHT) TO ENGINEER; RICK JUDO, IRS _ N S` MINIMUM .75' OF COVER OVER PRECAST WITHIN 6' OF FIN, GRADE� 2% SLOPE REQUIRED OVER SYSTEM ' WITNESS DAVID STANTON LOCUS 32.7' I � 2 /15/02 ARM HILL Rf RUN PIPE LEVEL 2' DOUBLE WASHED PEASTONE DATE / I HAR80 HILLSoo * = ji FOR FIRST 2' \ _ < 2 MIN/INCH L 9.70 \, PERC, RATE _ (PROP) fPOPOSED 1JOQ 3 MAX. g LLON SEPTIC 2g•25' 10168 �_`___._ 29.7' CLASS I SOILS P# _ o 29.50' NK (H- 10 ) GAS 29 0' - o BAFFLE 29.171 a"� 0 m 1:3 0 0 E I7-1 E E EEEE E EEE1✓.-I o4' ATSIDES (- -% SLOPE) �6' CRUSHED STONE OR MECHANICAL 0 [] (� (� [� (� [� ELEV. 4 COMPACTION. <15.221 123) gQ B 2sc" ' E E E E 0 ED M CD E 26,87' 0--- Ap 32.7' DEPTH OF FLOW = ( 1 % SLOPE) < L__% SLOPE> TEE SIZESI ,, 3/4' TO 1 1/2' DOUBLE WASHED :TUNE SL INLET DEPTH = 10 11>' lOYR 3/2 OUTLET DEPTH = 14 _ LOCATION MAP NOT TO SCALE Bw FOUNDATION- 10' SEPTIC TANK 8' D' BOX 15' LEAC:HING LFS FACI#.ITY ASSESSORS MAP 247 PARCEL 86 10YR 4/4 *THIS IS A PROPOSED MINIMUM INVERT OUT 6,17' 32" 30.0' ELEVATION. CONFIRM FEASIBILITY PRIOR TO INSTALLATION OF ANY PORTION OF SEPTIC SYSTEM. C COS 20.7' 2.5Y 5/6 + 32.5 + 33.0 144" 20.7' + 3 2.7 NO WATER ENCOUNTERED NOTES: • 14 OAK 1 + 32.6 32 rJ ^ ` CC PTTf n� 'ICJ'°�, ,+�.rE ,>rn�rr +e t1(1T Al 1 f1v/FCC ) , T1.n r Ins t.c APPROXIMATED FROM QUAD 3 •• �Ap Jt. a it. ti.� .\i t'ia' a + J . ..r. t iJ/: 3 110 P rnn FA cEXISTING�.L �n . FL_n\& BEDROOM.:, (_1 G. D. = 330 GOD 7 mlIAIT T L W1 T;- _ T_. rr _ _. n .. .. 10" SPRUCE / +`3 .6 + 32.8 TH .7 + 323 USE A 330 GPD DESIGN FLOW 3,, MINIMUM PIPE PITCH TO BE 1/8' PER FOOT. SEPTIC TANK: 330 GPD ( 2 ) 660 4, DESIGN LOADING FOR ALL PRECAST UNITS TO BE AASHO H- 10 1500 _ 5, PIPE JOINTS TO BE MADE WATERTIGHT. + 31.4 Jps 3 . USE A GALLON SEPTIC TANK 6. CONSTRUCTION DETAILS TO BE IN ACCORDANCE WITH MASS. PROP. EXPANSION --� LEACHING: ENVIRONMENTAL CODE TITLE V, c4 2(25 + 12.83) 2 (.74) - 112 7, THIS PLAN IS FOR PROPOSED WORK ONLY AND NOT TO BE o s$, / ;� SIDES: 131 USED FOR LOT LINE STAKING. 25 x 12.83 (.74) - 237 CONC. BLK. EXIST. SHED (RE-LOCATE) BOTTOM: _ 8, PIPE FOR SEPTIC SYSTEM TO SCH. 40-4' PVC. _. ') 3�t232.2✓ PATIO TOTAL: 472 S.F. 349 GPD 9. COMPONENTS NOT TO BE BACKFILLED OR CONCEALED WITHOUT / 319 32. I + 32.5 INSPECTION BY BOARD OF HEALTH AND PERMISSION OBTAINED EXIST. DWELL. 32.1 USE (2) 500 GAL. LEACHING CHAMBERS (ACME OR FROM BOARD OF HEALTH. Ce r-1 TF - 32.8' + 31.7 EQUAL) WITH 4' STONE ALL AROUND &�77 2.0 2.1 10. PUMP & REMOVE (OR FILL W/CLEAN SAND) EXISTING CESSPOOLS, P V LOT 21 A 7,494t SO. FT. 1.E LEGEN W ** 1.4 31.3 _ TITLE 5 SITE PLAN PROPOSED SPOT ELEVATION OF j „ 88 HARBOR HILLS ROAD+.30.1 4 OAKS ►= Q - -.. � o 100x0 EXISTING SPOT ELEVATION \ 6 Op, z + a IN THE TOWN OF: + 31. + 3 .5 100 PROPOSED CONTOUR WEST H YA N N I S P 0 R T 9.7 100 EXISTING CONTOUR PREPARED FOR: G. M cLAU GH LI N `1 l \ ** ASSUMED WATERLINE LOCATION (UNMARKED AT ez TIME OF PERC TEST), CONFIRM LOCATION ,01�0 \ 9 PRIOR TO ANY EXCAVATION 20 0 20 40 60 Q� \ + 7 30.0 BOARD OF HEALTH BENCH MARK - CTR. OF C.BASIN 30.0 APPROVED DATE MA SCALE: DATE: MARCH 5, 2002 ELEV. _ 9.7' off 508-362-4541 fax 508 362-9880 I Of Mq down cape engineering, inc, ems*` `gRNE S��yG� �`t� °F M tl. � mwe 14. Gs CIVIL. ENGINEERS 2* _.. LAND SURVEYORS A9o�F clstE�``°J4 02--015 939 vain st. yarmouth, moL 02675 ARNE H. OJAL � L.S. DATE