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0351 HUCKINS NECK ROAD
Ne a 0 f 4 I i i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division Date Issu 11-2! ��- Conservation Division Applicatio Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �2/X Historic - OKH _ Preservation/ Hyannis Project Street Address ��5�_ R`��--�'•�S `C ��� ��_ Village Owner L2 � OJ CZ Address Telephone o� ? ��`{ S S a BUII e�, O Permit Request ` �P�' �3a AIR IVUV29 2016 N OFSA Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation O_ Construction Type 04-j wove Lot.Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new 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~ <� S �\ v��' Telephone Number S� a 1 SS<y ` Address License Home Improvement Contractor# Email CC f-0 °� \• Cc7 Worker's Compensation # ALL CONSTRUC 10 BRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO r SIGNATURE IfDATE « 12,2- f FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION F4REPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. f The Cmum wean*off amadt" Depaakmaut of radm id Ace ides lfce ofim-MEVadem . 600 Was hfizem str4 er. Boston,MA 821111 T Wurke& ComVe rmII1mn-mce Affidavit:Buflder-dConftmebarsTle c *►cLms Pls6mbers AppEcamd Informafinn _ Please Print Addrt / LL.J1U.-$ Are you an employer?ChLkthe apprd�xiate bay Type of pruject(r�ecluire : 1-❑ I am a employrr wM am a genesal confractar and I • employees(fall aralfor par�fime)_ * have hired gm sub-coals �- ❑New oonsfruCfion 2.❑ I am a sale prropsietos orpartner- listed cathe atuRlmd sheet 7- ❑Ran deHag ship and have no etnplaygees Demaaon . woddng forme is any sty_ employ and have wod=' WO wadees'oom ir�erxp_ =I-' Camp-insumnef $ g- ❑Bblr aeon reTzie&] 5. We are a=rporafian and its 10:0 Electical repairs er adcEiffcm 3.0 I am a h=eo mer doing all sa mk officrzs have excised fair 11.0 Flumbiagrepairs or additiams myni€[No morkere oomp- utht of you Per U(M 110 Roofrepairs ��,c� nr�+r .d„]i c-1�2, §1{4},andwe memo employees`[Nowo�s' I3.0'�}fher camp insurance required] #Aapspg& �atcbet3Csiws lmestalsaffiavEthssectioabeiaw�oRiagi�e¢ cas'mmper iagpaIiegin saML ' #Hnmwwnm vft submit d=dEdntinuffratmg they Em damg an wa l sad dmmiae oatd&coatmceasamst saImit a neW afEjda&iadirRf;" SmdL es$9r1%—Tr 3dzbmemustR-ts wade=.Aaw shaidshotrhgtbaT—of the smdstatewhe marnotttme ham mpbyim if&a^*L '-y—mveemgiofers,fiLegamstpmtd&&*uadma'--P•pang—beer lam aer euip7er f7ratis prauidinrg�vorkets'congrertsm`tart grszirarecaor c }�eex Betoev fs ilea prrlrcy earl jolt site isfarm�iarr. �IsIW- ) '. su ance,campang Name: ,L S 4- Faficg 411 m Self-ice IiC_ �C. ,J bcs'` 6 I b/& S �.� I L�/1- Fxgiaa�oaDate: o � e Iob SifeAddtess- � 1 t►Lc-`rc�I-r C� >� Cirgl5taiael ly{N Attach a cqq of the workere compensatieapolicy declaration page(showing fhe policy number and.expiration&�e). Failure to secure coverage as req rSwkon 25A of hr M c�152 can lead to the imposil u of caiminal penalties of a fine up to$L5aaOD audf tmpfisomz=#.as well as civR penalties n fhe farm of a STOP WORK ORDER and a fi of up to O Oa a day� violafCr. Be adsised f d a copy of this statement map lie forwarded to the Office of Imrestigatioas ofthe coverage Ida hereby car* ofpedW7 that the informadmpro i&i abm e h tree aged avrrest vs�st„r,r Tate- /Z Phcme lk 72,7 1—f 02%sial am ate.' Do not wr&in arse,to be completed by ear artom official G€S or Taws: Per fficense# Issaing Aulborify(Cirde-6ne): L surd Of Mal& 1 BUMMg Department 3.Cdylruvm Clerk 4L Electrical hLipector rr.P for (.Other Contact Person: P1tianE#_ 6 laformation and lastruefions to oMpeost)nfi�sfbeiF M���ChCEs c�eneaalLa�es r ISz ryes aIt emgloy�s Ike pursaanfo.-this Sisto o,an evipIayee is defined m- .evezy person-in fie sez—d=of another n der any exact of ham, Mq==or implied%orsil.aT An emp&ym,is deifined as'ran mdividmj,gam,�°��c m or oii�a Iegat a Y,of a t or mare of fi-►e fnregom =gaged M a Joint MtMp�andincbzdiMg fO lC9al1CF=XtdV=of a deceased empIOY`Cr,or ffic reeei4er or trastee of an indxyonA pa worship.a ioeiaiian or ofiesIegal e�ifp,employing employes- I oweYer the own=of a.dweIIing house bavmgnot male than tbreo apartments aadwho resides ffierein,or the o,=4mmt oftbe - dwcEhg hove of des who e=pIoys P=dus tD des maitm=rc.ca agLudi,,,or repair wad.on such dwelling house or on_fie grot ai& or batldmg s VWftnat¢fieref°sbaIlnntbecanse of sorb employment be deeffiedto bean emplopen" MQ,cbsptrr 152,§25C(6)also sides fhat¢every state or local Ficetzsiag agency shall withhold sae issuance or renewal of a Feease or permit to operafe a business or to construct buildings in the cosmgonwean for auy applic=fw•ho has aotprvdnced acceptable evideacL-of cdmtpL-Mce Wn the iasm'anre covex2gareqaked-" AddzlianaIly,M(sL chapter 152.§25CC7)sees-Tuber the nor a'ny ofits political subdivisions shall �r inn any coafraat for ffie pace ofpobhr,wanetmtj[a•c=ptablo.evtdenoe of cOMplianceV&h$e make.. MT3i eni=ILSS of this cbapinr have Been p==tmd b the ca—ni—�,g anfhozity Applicants Please fill oj± fhe-Wofl=b,compensalron affidavit coraplet et by d=jdag fe boxes ffiat apply to you won anc�if necessary,s-aPPIY s6- �s)�e(s), addres.c(es)and phanc�m(s).along withtiieir c�ca�(S) er than the insurance. o Limited Liability Companies gLC)or LimitedLiab�Pat =ships.(2)wAno employees th me�beas or pasf�s,are not r�red in easy woz� � compcm ims� If an LT C or F.LP does have employes,a.policy is requited. Be advised ihafthis of ftykmaybe sob in the Department of Indmstdal o eidenfr for o onfirmafon of in s�ce coverage: Also be sure to sign and dai�sthe af�da vit The afhda'vit should A A c:irl fn city or town flat f e,application for fiie permit or license is being requesi>�not the Department of ; a&mf=g A=d=t S auldyou have any questions regard g the law)r ifyon are repaired to obtam a wotk=' campP„safim p)jiey,please call f e;Depmtne tatfhermmberlisirdbelow Se3f inured companies sbonld enter2heir self-i erg ce license nombes on f3ie Ime. City or Town Officials t Pleasebe sae that the a xtwitis c)mple#e a ndprfirindlegffify- TheDepementhas pmyided a space E±fi=botb= of the affidavit for you to o fry out in-thm evedt the Office ofIavesdgafi�has to OMAar tagardmg the applicant Please:be sure to fillet file pen�illicrose mrnber whichwM be used as amfmcuce-nmbes In addifion,an applicant fat nest submit mt�iiple peu 3VUceose appIifatians Many e=-Year,need only�¢me affidavit indicaimg cat policy mfozmatian �zf nxa1Y)and under"Job Site Address" applicant should wtii�-all I)cai3ons M ( Y a town)"A copy ofthe•affidavittitat has be=offi te ciallysedorm dmdbyffheecityortownmaybeprovidedi�othe . appIic:mA as proof that a valid affidavit is on file for Rd= .pezmiP-'or ficeinses_ A new of adavh M,d be fMCd ov t each year.Where a home oWnea or citizen is obtaining a license or pe rmknot mlaf ed fo any bus' . or � (ie.a dog license or pence es to bmn leav a -)said person is NOT regEd d to complete t affidavit The,Office of InvedgEfions would Itloc to fhsnk port M advance for yots coopedion and sbouxldld you have any questions, please do not hesitate to peeve W a cam The Depsriment"s address,fol 1p a and fax beg: y The COZMWWUM afMgsmch - : �cif kAc�donts Ba5k)ai MA Oil11 Fax#617'27 7M Rmised¢24-07 l = r , it 11 f _ r . E t: , � r�-- , `� K ,,.._ ;•..gyp iNG•�E 71 .� a 1 • :� ! � gUeLD � � ! �1 WNSTA -- AAassachusetts Department of Public Safety o �narre�ur,�rrunat//o�C�/l�r;rrc/,r%clGi. Board of Building Regulations and Standards =\Office of Consumer Affairs&Business Regulation � License: CSFA-071165 80ME IMPROVEMENT CONTRACTOR Coratruct on Supervisor 1 �, j , I3 _ rlegistration 175638 Type: - r Expiration 5/28/2017 m.,l Corporation CHARLES R CROVO DUNHILL COMPANIES4L 45 HATHAWAY RD. TD = OSTERVILLE MA 02655 CHARLES CROVO _- 45 HATHAWAY RD OSTERVILLE,MA 02655 _ 'X. / Undersecretary -xpiralion: Commissioner 12120/2017 Construction Supervisor 1 &2 Family Restricted to: Licensi or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation 10 Park Plaza-Suite 5170 Boston,MA 0 Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. Not valid without signature DPS Licensing information visit: WWW.MASS.GOV/DPS r -. t, Client#:15284 2DUNHILLCO ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(MM/DD/YYVY) 11/22/2016 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: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 NAME: Dowling&O'Neil Insurance Ag a�NN Ext:508 775-1620 A/C No FAX 5087781218 973 lyannough Rd,PO BOX 1990 E-MAIL Hyannis,MA 02601 ADDRESS: SOS 775-1620 INSURER($)AFFORDING COVERAGE NAIC# INSURER A:AmTrust E&S Insurance Service INSURED Dunhill Companies LTD INSURER B:Associated Employers Insurance PO BOX 381 INSURER C: Osterville, MA 02655 INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY 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. INSR TYPE OF INSURANCE ADDL UBR POLICY EFF POLICY EXP LIMITS LTR INSR WVD POLICY NUMBER MM/D MM/D A GENERAL LIABILITY AES102737802 8/21/2016 08/21/201 EACH OCCURRENCE $1,000,000 X COMMERCIAL GENERAL LIABILITY PDA A E E EONTE B $50 000 CLAIMS-MADE �OCCUR MED EXP(Any one person) $5 000 X BVPDDed:1,000 PERSONAL&ADVINJURY $1,000,000 GENERAL AGGREGATE $2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGO $1,000,000 POLICY JECOT PR LOG $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS BODILY INJURY(Per accident) $ HIRED AUTOS r -NON-OWNED PROPERTY DAMAGE $ AUTOS Per accident $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ B WORKERS COMPENSATION WCC50050101882016A ' 7/15l2016 07/15/201 X WC STATU- OTH- AND EMPLOYERS'LIABILITY Y/NER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $5OO OOO OFFICER/MEMBEREXCLUDED? a N/A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $500 000 If,yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT s500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) **Workers Comp Information** Voluntary Compensation .Proprietors/Partners/Executive Officers/Members Excluded: Charles Crovo,Officer (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION Bruce Khouri SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 351 Huckins Neck Road ACCORDANCE WITH THE POLICY PROVISIONS. Centerville,MA 02632 AUTHORIZED REPRESENTATIVE C ©1988-2010 ACORD CORPORATION.All rights reserved. ACORD 25(2010/05) 1 of 2 The ACORD name and logo are registered marks of ACORD #S180937/M180936 LS1 11/15/16 Dunhill Builders. 182 Osterville West<Barnstable Rd. Osterville,.MA 02655` I, Bruce Khouri authorize Dunhill Builders to pull all necessary permits and construct my deckat my home at 351 Huckin's Neck Rd, Centerville,MA 02632 as per the contract we signed,, Respectfully Submitted, s 1 4 .6 BRIC F 2 J�� 100SEPTIC TANK T \ STEP 'RICKAN b• �� \ X _ `•�O 1.40.3 REMOVE 40.1 BRICK WALK s�o Q� \ 0.3 ' 000 -t\ 1` OAF x.41.2 `x 40.1 4 { `\ x 40. x 40.3 i PROPOSED \ STAIRS � Ik \\ i \ 1 i Ul C \\ \\ x 39. x 39.6 N \ Z \ \ x 38.8 \ \ x 38. — A-10 \ P\6 ------------------- \ \ \ ' \ x 37. 6\A-9 ~`'�----------- --X ��,.. OIs WF A-5 _ (H)36.6 �p CEO WF A 35.6 — ------ — �0� EDGE OF PON WF A-7, (SEE NOTE 8 F A-6 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. 00 �. Map Parcel L / Application # Health Division Date IssueAi Z-- Conservation Division Application Planning Dept. Permit Fee 55 Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address / /7 0 C_kid I Teck 'Z>ak i) Village Ce W reel A& Owner Frye �,�oV�, Address Telephone Permit Request l De � h�� r���, l l A O-J , 1r�9, 4, �,�� .1.,� J �. a Square feet: 1 st floor: existing proposed 2nd floor: existingproposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 30,9 tio Construction Type D Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family �' Two Family ❑ Multi-Family (# units) Age of Existing Structure / Historic House: ❑Yes XNo On Old King's Highway: ❑Yes XNo Basement Type: ❑ Full Crawl ❑Walkout ❑Other a Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: 3 existing _new Total Room Count (not including baths): existing new First Floor Room Count Feat Type and Fuel: AGas ❑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_ i Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial P❑Yes ❑ No If yes, site plan review# Current Use Proposed Use V M APPLICANT INFORMATION (BUILDER-OR-HOMEOWNER)_ Name ` G L� � �� Telephone Number SC)��S_e7/3 �� Address /f Wes -bk t V� License # 0 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO a SIGNATURE DATE 11— 7��� FOR OFFICIAL USE ONLY ' I APPLICATION# DATE ISSUED MAP/PARCEL NO. F ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME 5 0l2 . a13t)ly s INSULATION `l�l FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL_ GAS: ROUGH FINAL FINAL BUILDING E 4 .r T DATE CLOSED OUT ' ASSOCIATION PLAN NO. � l - � Town of B arnstaW.e Regulatory Services t EARN57ABLE Thomas R-Geiler, Director. a S, MASS. f. D 9. � Building Division Thomas Perry, CBO,Building Co•mrnission:er, y� 200 Main Street, Hyannis,MA 02601, wvvaotivn.barnstable.ma.us; r: , 0-I ice: 508-862-�4038 Fax 508-794=6230 PLAN'RE VIE'V Owner: 14Ou 23.� (�LI/ Project Address 3SI �-�kCk�r�S W�kBulder: �7-C�/}K-D° Ca` The following items :were noted on reviewing: �J �ec Cats T /1tia tiS4., r' t� o e a O' Two >iu e xS 2yo0 sf . ` ` ` w. r Rj rr' S yn AIA v�,Qc�. t O M pa r We Reviewed by: The Commonwealth of Massachusetts j Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.gov1dia Workers' Compensation Insurance Affidavit: Builders/Co.ntractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): D hl X Co,-o Address:, �('1iir° City/State/Zip: Phone #: Are you an employer? Check the appropriate box: Type of project(required): 1. am a employer with 4. ❑ I am a general contractor and I employees (full and/or part-time).* have hired the sub-contractors 6•ANew construction 2.❑ I 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 forme 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 1 1.❑Plumbing repairs or additions myself. [No workers' comp, c. 152, §](4), and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' comp. insurance required.] 13.0 Other - *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such., :Contractors that check this box must attached an additional sheet showing the name of.the sub=contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 1, P �n��P R/y c 2 CV, i Policy #or Self-ins. Lic. 3-0 Expiration Date: n23/, z Job Site Address: lkx1,,�`�t Nth- h, ����` J��� City/State/Zip: { Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). •1 Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties ofperjury that the information provided above is true and correct Sienature:TA Date.. Phone 1 FE e only. Do not write in this area,to be completed by city or town official. n: Permit[License# use (circle one): s: .Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5..Plumbing Inspector is on: Phone M. ,1 r i i a►co CERTIFICATE OF LIABILITY INSURANCE DATE (MMIDDIYYYY) 03/02/2012 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(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 endorsement(s). PRODUCER Phone: (781)237-1515 CONTACT Beverly Wiseberg DELAND,GIBSON INSURANCE ASSOCIATES,INC. '.No Fxt: 781 M-1515 aD No P 0 BOX 81266 E-MAIL bwiseberg@delandgibson.com HILLS MA 02481 ADDRESS: g@deland gIbson.com PRODUCER CUSTOMER ID: 666 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER :Valley Forge Insurance Company D M R CONSTRUCTION,INC. 229 MAIN STREET INsuRER6 :Valley Forge Insurance Company NORTH EASTON MA 02356 INSURER :Commerce Insurance Company INSURERD: Transportation Insurance Company INSURERE INSURER COVERAGES CERTIFICATE NUMBER: 66630 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, FXrI UqI0N.R AND CONDITIONS QFSHCH PQI IrIpq MlTqqHOWNMA HAVE BEEN REDUCED BY PAID CLAIMS ILTR NSR TYPE OF INSURANCE POLICY EXP "NSR sWVD POLICY NUMBER MMIDDPOLICY EFF (MMtDDfYYM LIMITS A GENERAL LIABILITY C2093220798 05/23/11 05/23/12 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED PREMISES Eaoccurence $ 100,000 CLAIMS-MADE I X I OCCUR MED.EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY PRO LOC EMPLOYEE BENEFITS LI $ 1,000,000 C AUTOMOBILE LIABILITY 11 MMZP9270 05/23/11 05/23/12 COMBINED SINGLE LIMIT (Ea accident) $ 1;000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ X SCHEDULED AUTOS PROPERTY DAMAGE X HIRED AUTOS. (Per accident) $ X NON-OWNEDAUTOS $ $ D X UMBRELLA LIAB X_ OCCUR C2093220784 05/23/11. 05123112 EACH OCCURRENCE 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE 5,000,000 DEDUCTIBLE X RETENTION $ 10,000 $ B WORKERS COMPENSATION WC413688093 02/27/12 02/27/13 r/RVTL,I °TM $ AND EMPLOYERS' LIABILITY YINIR ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT 500,000 OFFICERIME(Mandatory H) EXCLUDED I� N/A E.L.DISEASE-EA EMPLOYEE 508,0!]0 (Mandatory in NH) If yes,tlescribe untler DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) 2000000 CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. Barnstable,MA AUTHORIZED REPRESENTATIVE Attention: B_eXdy S.Wiseberg P ACORD 25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD REScheck Software Version 4.4.2 Compliance Certificate Y ' Energy Code: 2009 IECC Location: Centerville(Barnstable),Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 351 Huckin's Neck Road DMR Construction,Inc. Centerville,MA Compliance:3.0%Better Than Code Maximum UA:266 Your UA:258 The%Better or Worse Than Code index reflects how close to compliance the house is based on code trade-off rules. It DOES NOT provide an estimate of energy use or cost relative to a minimum-code home. k _sir .a • �cr.�` WWI' ' y;",�.• • •• at <> Wall 1:Wood Frame, 16"o.c. 1800 21.0 0.0 85 Window 1:Wood Frame:Double Pane with Low-E 290 0.300 87 Door 1:Solid 20 0.500 10 Wall 2:Wood Frame, 16"o.c. _- --- --- --- --- Exemption: Framing cavity filled with insulation. Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1050 30.0 0.0 35 Floor 2:All-Wood Joist/Truss:Over Unconditioned Space --- --- --- --- --- Exemption:Framing cavity filled with insulation. Ceiling 1:Cathedral Ceiling 1220 30.0 0.0, 41 Ceiling 2:Flat Ceiling or Scissor Truss Exemption:Framing cavity filled with insulation. Compliance Statement: The proposed building design described here is consistent with the building plans,specifications,and other calculations submitted with the permit application.The proposed building has been designed to meet the 2009 IECC requirements in REScheck Version 4.4.2 and to comply with the mandatory requirements listed in the REScheck Inspection Checklist. Name-Title Signature Date Project Title: Report date: 03/05/12 Data filename: Untitled.rck Page 1 of 4 REScheck Software Version 4.4.2 Inspection Checklist Ceilings: ❑ Ceiling 1:Cathedral Ceiling,R-30.0 cavity insulation . Comments: ❑ Ceiling 2:Flat Ceiling or Scissor Truss Exemption:Framing cavity filled with insulation. Comments: Above-Grade Walls: ❑ Wall 1:Wood Frame, 16"o.c.,R-21.0 cavity insulation Comments: ❑ Wall 2:Wood Frame, 16"o.c. Exemption:Framing cavity filled with insulation. Comments: Windows: ❑ Window 1:Wood Frame:Double Pane with Low-E,U-factor:0.300 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break? Yes No Comments: Doors: ❑ Door 1:Solid,U-factor:0.500 Comments: This door is exempt from the U-factor requirement. Floors: ❑ Floor 1:All-Wood Joist/fruss:Over Unconditioned Space,R-30.0 cavity insulation Comments: Floor insulation is installed in permanent contact with the underside of the subfloor decking. ❑ Floor 2:All-Wood Joist/Truss:Over Unconditioned Space Exemption:Framing cavity filled with insulation. Comments: Air Leakage: ❑ Joints(including rim joist junctions),attic access openings,penetrations,and all other such openings in the building envelope that are sources of air leakage are sealed with caulk,gasketed,weatherstripped or otherwise sealed with an air barrier material,suitable film or solid material. ❑ Air barrier and sealing exists on common walls between dwelling units,on exterior walls behind tubs/showers,and in openings between window/door jambs and framing. ❑ Recessed lights in the building thermal envelope are 1)type IC rated and ASTM E283 labeled and 2)sealed with a gasket or caulk between the housing and the interior wall or ceiling covering. ❑ Access doors separating conditioned from unconditioned space aye weather-stripped and insulated(without insulation compression or damage)to at least the level of insulation on the surrounding surfaces.Where loose fill insulation exists,a baffle or retainer is installed to maintain insulation application. ❑ Wood-burning fireplaces have gasketed doors and outdoor combustion air. ❑ Automatic or gravity dampers are installed on all outdoor air intakes and exhausts. Air Sealing and Insulation: Project Title: Report date: 03/05/12 Data filename: Untitled.rck Page 2 of 4 ❑ Building envelope air tightness and insulation installation complies by either 1)a post rough-in blower door test result of less than 7 ACH at 50 pascals OR 2)the following items have been satisfied: (a)Air barriers and thermal barrier:Installed on outside of air-permeable insulation and breaks or joints in the air barrier are filled or repaired. (b)Ceiling/attic:Air barrier in any dropped ceiling/soffit is substantially aligned with insulation and any gaps are sealed. (c)Above-grade walls:Insulation is installed in substantial contact and continuous alignment with the building envelope air barrier. (d)Floors:Air barrier is installed at any exposed edge of insulation. (e)Plumbing and wiring:Insulation is placed between outside and pipes.Batt insulation is cut to fit around wiring and plumbing,or sprayed/blown insulation extends behind piping and wiring. M Corners,headers,narrow framing cavities,and rim joists are insulated. (9)Shower/tub on exterior wall:Insulation exists between showers/tubs and exterior wall. Sunrooms: Sunrooms that are thermally isolated from the building envelope have a maximum fenestration U-factor of 0.50 and the maximum skylight U-factor of 0.75.New windows and doors separating the sunroom from conditioned space meet the building thermal envelope requirements. Materials Identification and Installation: Materials and equipment are installed in accordance with the manufacturer's installation instructions. Insulation is installed in substantial contact with the surface being insulated and in a manner that achieves the rated R-value. Materials and equipment are identified so that compliance can be determined. . Manufacturer manuals for all installed heating and cooling equipment and service water heating equipment have been provided. Insulation R-values and glazing U-factors are clearly marked on the building plans or specifications. Duct Insulation: Supply ducts in attics are insulated to a minimum of R-8.All other ducts in unconditioned spaces or outside the building envelope are insulated to at least R-6. Duct Construction and Testing: Building framing cavities are not used as supply ducts. All joints and seams of air ducts,air handlers,filter boxes,and building cavities used as return ducts are substantially airtight by means of tapes,mastics,liquid sealants,gasketing or other approved closure systems.Tapes,mastics,and fasteners are rated UL 181A or UL 181 B and are labeled according to the duct construction.Metal duct connections with equipment and/or fittings are mechanically fastened.Crimp joints for round metal ducts have a contact lap of at least 1 1/2 inches and are fastened with a minimum of three equally spaced sheet-metal screws. Exceptions: Joint and seams covered with spray polyurethane foam. Where a partially inaccessible duct connection exists,mechanical fasteners can be equally spaced on the exposed portion of the joint so as to prevent a hinge effect. Continuously welded and locking-type longitudinal joints and seams on ducts operating at less than 2 in.w.g.(500 Pa). Duct tightness test has been performed and meets one of the following test criteria: . (1)Postconstruction leakage to outdoors test:Less than or equal to 8 cfm per 100 ft2 of conditioned floor area. (2)Postconstruction total leakage test(including air handler enclosure):Less than or equal to 12 cfm per 100 ft2. (3)Rough-in total leakage test with air handler installed:Less than or equal to 6 cfm per 100 ft2 of conditioned floor area. (4)Rough-in total leakage test without air handler installed:Less than or equal to 4 cfm per 100 ft2 of conditioned floor area. Temperature Controls: Where the primary heating system is a forced air-furnace,at least one programmable thermostat is installed to control the primary heating system and has set-points initialized at 70 degree F for the heating cycle and 78 degree F for the cooling cycle. Heat pumps having supplementary electric-resistance heat have controls that prevent supplemental heat operation when the compressor can meet the heating load. Heating and Cooling Equipment Sizing: Additional requirements for equipment sizing are included by an inspection for compliance with the International Residential Code. ❑ For systems serving multiple dwelling units documentation has been submitted demonstrating compliance with 2009 IECC Commercial Building Mechanical and/or Service Water Heating(Sections 503 and 504). Circulating Service Hot Water Systems: ❑ Circulating service hot water pipes are insulated to R-2. Project.Title: Report date: 03/05/12 Data filename: Untitled.rck Page 3 of 4 FI Circulating service hot water systems include an automatic or accessible manual switch to turn off the circulating pump when the system is not in use. Heating and Cooling Piping Insulation: ❑ HVAC piping conveying fluids above 105 degrees F or chilled fluids below 55 degrees F are insulated to R-3. Swimming Pools: Heated swimming pools have an on/off heater switch. ❑ Pool heaters operating on natural gas or LPG have an electronic pilot light. Timer switches on pool heaters and pumps are present. Exceptions: Where public health standards require continuous pump operation. Where pumps operate within solar-and/or waste-heat-recovery systems. Heated swimming pools have a cover on or at the water surface.For pools heated over 90 degrees F(32 degrees C)the cover has a minimum insulation value of R-12. Exceptions: Covers are not required when 60%of the heating energy is from site-recovered energy or solar energy source. Lighting Requirements: ❑ A minimum of 50 percent of the lamps in permanently installed lighting fixtures can be categorized as one of the following: (a)Compact fluorescent (b)T-8 or smaller diameter linear fluorescent (c)40 lumens per watt for lamp wattage<=15 (d)50 lumens per watt for lamp wattage> 15 and<=40 (e)60 lumens per watt for lamp wattage>40 Other Requirements: Snow-and ice-melting systems with energy supplied from the service to a building shall include automatic controls capable of shutting off the system when a)the pavement temperature is above 50 degrees F,b)no precipitation is falling,and c)the outdoor temperature is above 40 degrees F(a manual shutoff control is also permitted to satisfy requirement's'). Certificate: A permanent certificate is provided on or in the electrical distribution panel listing the predominant insulation R-values;window U-factors;type and efficiency of space-conditioning and water heating equipment.The certificate does not cover or obstruct the visibility of the circuit directory label,service disconnect label or other required labels. NOTES TO FIELD:(Building Department Use Only) Project Title: Report date: 03/05/12 Data filename: Untitled.rck Page 4 of 4 2009 0 ECC Energy Efficiency Certificate Ceiling/Roof 30.00 Wall 21.00 Floor/Foundation 30.00 Ductwork(unconditioned spaces): Window 0.30 Door 0.50 NA Heating System: Cooling System: Water Heater: Name: Date: Comments: j ,terry Town° of Barnstable Regulatory Services F. F - s �* Thomas F. Geiler,Director sbs� tea, `rEnt►. Building Division Tom Perry,Building Commissioner- 200 Main Street, Hyannis, MA 02601 www.town.barngtablema.us . Office: 508-862-403 8 Fax: 508-790-6230 Property awY.ler Must Complete and Sign This Section If Using A Builder I, as Owner of the subject.property hereby authorize" L- )M fd C�.,ay�`�;�ioa i t /Ve-CL (Ohe—/to act on m7 behalf, is all matters relative to work authorized by this building permit application for. T (Address of Job) Signatvre'of Owner Date Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on-the-reverse side. Q:FORM3:0WNEUERMIS3IDN -- — 065ce o mea r �s��99 egm iou <j I. HOME IMPROVEMENT CONTRACTOR I Registration 69452 Type: { : Expiration* �[y2, 013 Private Corporatiol I D CONSTRUCT] RICHARD COHER, 229 MAIN STD • 'r _ NORTH EASTON,, nUndersecretary (f fl f Massachusetts- Department of Public'Safety Board of Buildin!- Regulations and Standards Construction Supervisor., License License: cs 54914 ,„ � RICHARD R COHEN 1.1 WESTF1,, DRI /E ` BROCKTON AMA 02301., Expiration: 1 OM201S Commissioner Tr#: 4736 I Bea 22427 Pw96 061749 10-25-2007 & 03234o MASSACHUSETTS QUITCLAIM DEED I, Ronald S.Wilson,Trustee of the Harriet R. Wilson Trust u/d/t dated 1/29/01 and as Executor of the Estate of Harriet R. Wilson,of 351 Huckins Neck Road, Centerville, Massachusetts 02632 for consideration paid,and in full consideration of NINE HUNDRED NINETY THOUSAND AND 00/100 Dollars(U.S. $990,000.00) grant to Bruce M.Khouri,Individually,of 1121 Cortiz Drive,Glendale,California 91207 with quitclaim:covenants the following property in Barnstable County,Massachusetts. The land situated in Barnstable(Centerville), Barnstable County, Massachusetts,bounded and described as follows: SOUTHEASTERLY by land of Herbert T. Kalmus,one hundred seventy-nine and 94/100(179.94) feet, more or less; SOUTHERLY, SOUTHWESTERLY and WESTERLY by Bearse's Pond, two hundred sixty-six feet, more or less; NORTHERLY by Lot 15, one hundred forty-nine and 38/100(149.38)feet,more or less; NORTHERLY again by a right of way,forty-five and 30/100(45.30)feet. Containing 23,900 square feet of land more or less. Being LOT 16 as shown on a plan of land entitled "Plan of Lots at Bearse's Pond, Centerville, Mass. Belonging to William H. Hayes. Scale One Inch = 80 Ft. May 5, 1934. Nelson Bearse Civil Engineer Centerville,Mass.",duly filed in Barnstable County Registry of Deeds in Plan Book 53,Page 127. The above described parcel is conveyed subject to as easement to the Cape&Vineyard Electric Company dated November 14, 1936 recorded in Barnstable County Registry of Deeds in Book 524, Page 211 and to an easement to the New England Telephone & Telegraph Company dated April 23, 1940 and recorded in Barnstable Deeds in Book 568,Page 481,insofar as the same are in legal force and effect. The above described parcel is conveyed together with the right to use all of the streets and ways shown on said plan in common with others legally entitled thereto,and the right of way as shown on said plan. Being the same premises conveyed to the herein named grantor(s) by deed recorded with Barnstable County Registry of Deeds in Book 4791,Page 274 and Probate Docket No. 07P0912EP-1. PROPERTY ADDRESS: 351 Huckins Neck Road,Centerville,Massachusetts 02632 O' cv Witness my hand and seal this 25th day of October,2007. ZEstaa,niet R. Wilson Ronald S.Wilson,Trustee and Executor COMMONWEALTH OF MASSACHUSETTS Norfolk, ss. On this 25th day of October, 2007,before me,the undersigned notary public,personally appeared Ronald S.Wilson,E cutor and Trustee,proved to me through satisfactory evidence of identification, which was/were [ ass. driver's license(s)or[ ] , to be the person(s)whose name(s)is/are signe on the preceding or attached document, and acknowledged to me that he/she/they signed it volunt ' for its sta urpo . of lic: Lisa M.He itt y Commission Expires: 2/11/2011 8A TA COItATYISIEj DEEDS Dates WIN a 03s34ve C618# 1Sg� D001 61749 Fees S3r385.80 Cosa# S9901,000.00 BARNSSTABBLLE COUNTY REGISTRYAOF DEEDS Date: 10-25-2007 a 03:34am CtlAV: 1552 Doc : 61749 Fee: $2P257.20 Cons: $990r000.00 BARNSTABLE REGISTRY OF DEEDS ................. 7$t3 CMR STATE_'BOARD OF BU11:DING REGULATIONS WD ST,ANDARF$ . THE MASSACHUSETTS 9Tq'1'EBUIL.1)1NG:GODE: ,. AWC;Gailletv'.T#'o lnHigh*7nd Areas:110,mphWLtdZone Massachusom Checklist forsCompliance(780 Ch S301.2.1><")'' 'Check 'Compliatice la scoFE Wind<Speei!(3�sec Bust) I10 mph Wind Exposure:Category »..» _.l3 1,2- APPLICABILITY f Numb of Stoeiea:(a roof which exceeds 8 in,12 slope shatbe,�oonsWged a stagy) I ,stones 5 2 stones v Rbb'f Yltch ,._ (Fig 2).. ,, .. 5 17-12 Mean Roof Heaght (Fig2)... 5 33' gull W' R+ ...., (Fig 3)....... Building Leagth,;L (Fig 3}:.........»_.... $ <80' p*pIng Aspect Ratio PW) . » (Pig 4}. � '�► 5 3 I= gh �m8? . . ;. 3+tommal lies t.of Tallest, , 6 8 13`: FRAMING CONNECIYONS General compliance with' VA &ammg_,. " (Table'2} »...... ..._»». . ....» =K �: ....-, - c�nect�is... 2;1 FOUNDATION t•Z t Foundation Walls ineetingrequir M=%,of 780 CMIt 5404.1 Concrete .. Concrete Maaeary........ . ..... : .... .. .... ... ,. ..... ......,::: 2.2 ANCHORAGE To FOUNDATION'S "Ana�o;Bolts;imbedded or Fro etaiy Mechanxal.Anchors as an ahernative bi cdna ete only = Bott Spaang gencrai, ........................ Holt Spagirg fromd(joint.Qfplate ......... (Fig S),., Bolt l anbedmerct Ipnrrde Bolt Embedment masonry (Fig S):. in i5" Plate Wasl►er (FtBs}, 2 3"x 3'� 3:1 FLOORS Fkor fruit g member,spaas ched4 (per 780 CMR SS 00) Maziriium Floor Opa�ing;Dunension , ., �...�8 6}.....».. ». »( $S 1.2' ra height Watt Studs"afFlowopt:ni am 2'"M Extwigr WaU-,019 6) ......... MaximumFl='Joist Setbacds - SuP.patin8yLoadbearingWalla of 5hearwall (F1g.7):, ....::: Maximum Cantdeveced Floor Jocsts ,.. '. Supporting T oa lbgaring Walls' Shemwall (Fig Floor Bracing Bt+.DdYVAIIB ...... »». ». ....... » Y Flour-Sheathing'T'Pe ..... (per'7YO CMR 55.00) :..: _L, Floor`.Sheathing Thcdoaess _(pa 184CMR i4 00) » ✓_ i. FloorSheathmg Fasteauig; ,,..... ...,.».,.»»..»(Tablet)[QdnaOs at �in edge%jg°infield ,�` `' 4.1 WM," W I'Heeigbt Ioadbearingwalls (Fig.10.andTable'S) �t'�o R s;IO' Non-Loadbpann vd. (Fig•t0,anilTableS} ». R 5;20' Wa11;,Stud Spacii►g ..........,, .., (Fig 10 and Table S} _ 6,4 24•o:o.. wkt ► Wanw ...ry a s) W, "VIA 41 EXTERIOR WA S$ Wobd"Stalls tic $ m _ Lnatlbearingwalls ✓ G� �kr°N Non Loadbeatieg wells • 2tt GableEadQi!all$raeing (n L (* i`uv xeigirtEadwall stnas , WSP Attic Floor L h ....», ...,. „..,.{Figll}»»,.,.»�». ......... ......��il:zW13 .. I060 180 CIviR-Seventh Edition 12Y181!)? (Effective 1J1108} 780 MRi STATE BOARD OF BUILDING REGULATIONS AND STANDARDS: APPENDICES i tpsiim Ceiling I eng4h(if WSPnot used)`{Flg I1) •; ft Z 0 9W 1l end 2 x 4 Contiauons LaL�al,Brace Q 6 ft o c (Fig t I) „ _.. or 1 x 3 ceiling farringstnps 16 spacing min wrth 2 x 4 blacl®g(a)4$spacing m end join'*truss bays ......... __ ............ Double Top Plate j st►hce Lengtl► Sgh (Fg 13-andTabie 6) ee�Connecuon(no,of 16d cmnman nails)(Tatile 6) w s I.ombeamig Wall Connections LaLerai(no:of 16d ooinmori iisil8).a w .......(Tables ................... . ... !jam, t Non Loadbeariag V✓all Gonnect.00 Lateral{na of IQ eoinmon.oails) (Table 8) , Load BearmB Wall Qpewngs(record largest opening butcheck all openings for compliance to Table 9) Treader Spans (Table•9) ft�;ta 511' Silt Plate Spans ._ (Table,9) ft�m 511' � , Full Height Surds(ao of studs} (Tabs.9) � Non I oad Beantig Wall Opetimgs(teem d largest opening but check all opeamgs for canphance to Table 9) Header Spans (Table 9) ft D m 5 12 ►f $111 Plate Spans (Table•9) Full Hetght Studs(ao.of studs} (Tabk:9) 'Exterior,Wall Sheathirigw Mist Uphft and Shear Siiniiltaneousw Mintmnnt BuildtngDimensum W i NomiriAlWghtofTallestOpenmgr s 6 8" SheathmgType ( ' ... ✓ note. Edge Nall`Spacing,:.: ... ffabte 10 or note 4 tfless) FieldNaat•Spacmg,.. ...... ..., .(T ) Pei mn height a of 16d,,common nails)(Table 10) Sheaf Contietxloit n Sheathing: (Table 10) %« ,. 5"/o•Additional,Sisathmg for Well with Opeuitig>6'8"(Design Concepts) M.�cnuum$uildmg Dimension,L t Nominal height of Tallest Opening=............. 61" J& SheaMidg,Type. .. . . ,(note 4} Edge.Nai7 Spacing {Table 11 or note:4'tf less)... Field Nail Spacing.. (fable 11) Shear Connectmat(na of 16d;coiiimon nai15)(fable t l) Percent Tull He>gbt-Sheathing. (Tattle l l) °.6 $}Ci 1/ ; 3%Additional SheaWng for Wall with OpffW;g 6 8 '(Design Concepts) . well;etaddinsg >z for wind speed? ,l ROOFS. Roof framing member Spans checked? (For Reftces use AWC Span Tool;see ]3RS R!ebstte)a Roof O�erh .... (Figure l9) ........ $S smaller of 2'or IJ3: TWO a Rafter IConheidd6ns,6t Loadbeanng walb / P%hn Goni ars (T t2) t.. plf Y Lateral y. :.; ..... ..........(Taber 12) .................... ........... Shear....... .. rable 12) S= plf Rid ge:Strap'Connceti w ifcollar ties not used per page 21(T N 13) T plf Gable=Rake Qitt2ooker ......... .,. (Figure 20) ..--;, �•$"5 smaper,of 2'or 1 llrpM Tiv�or Rafts Coimechpns ffi Non-loadbeermg Walls - i t►� et x I4} .,..... ..,.lLJ-• Xaberal(no of I6d oommori n2ils) (Table l4) _ L m RoofSheathtagType (por78acMRSgoo and Uo) Roof SheathtugThtckness; biz 7/lit VNSP < ` Roof SheatliingFasteging::,._ Notes:. • excludin the �fic ex R 1, This:•check(tst:sluill be inEt m tt9 enkmetSr, $ speo cxptiogz noted in 2,to compl3 withl the: tequitemu&of 780•CAdR 530L2:1;1,Item 1.If tb>e iheckltst 41pet is its endmty then die'ollbwmg metal. stint a nd'hold�dp%vns:ace,pot r.cqui ed per the WFCM i 10 mph,GWdf a Steel Snaps per Fgtut<`S b 20 Gage'Stiapa`per B%gnre;l 1 c: Uplift Straps w Figum 14 d All.$traps per Fgore 17' e Cotaer`Stnd Hold Dov�ris per Fgure 18a and Figure.l8b 121207 (Effective 1/1/Q8) 78,Q CIvIR-Seventh Editign 1061 .......... HONG L::TAM - Consulting pgjgeenrig—Structural 62&3,55 0127 185 S%Mountain Trail Ave:,Sierra.matlre`GA M, SHEETNO;: . _. OF SUBJECT` ... ...._ .._...... _.. . DATE;_...._.. i 44Plip � e � x o .� a t i c � r { ! h Lsat IU Ir tot t - HONE,L. TA.M Cor sultAng Erigiriee irig=Sttucturaf 6M355 0127 185 S.Mountain'Trait Ave.,SterraiMadre,CA 91024 SHEET NO. OF.. _ JOB.NGI. BY SUBJECT DATEhU :--- IF Vol 44. .. {,:.�' �.y'� H'•2� �, �,��Nay ' *5 .. .- } x� tit " i -.5 if At " z � � Zoo PR0JE-C]eA,),,, ,, NAME: all ADDRESS: S PERMIT# 1 I PERMIT DATE: J I C5, I M/P: LARGE ROLLED PLANS ARE IN: B® SLOT A - 3 Data entered in MAPS ,program on: 3 a� . i B1 IR BUILDING ENGINEERING RESoURCE4, INC. MEMO DATE: February 16, 2012 TO: George J. Khouri -George J. Khouri &Associates FROM: Mike Bianchini RE: Centerville Home(Mr.and Mrs.Bruce Khouri) Alteration/Addition Furnish and install complete heating and cooling system consisting of a gas fired condensing furnace,DX cooling coil and outdoor condensing unit. Units shall be rated as a combined system. Furnace shall be Carrier Model 58MVB080-20,horizontal airflow with a high-heating capacity of 75,000 Btu input and low heating capacity of 49,000 Btu input,AFUE of 93.7. Furnace shall be capable of accepting DX cooling coil model CAP**6021A**. Condensate piping shall be run from drain pan under condensing unit to nearest drain. Condensing unit shall be Carrier model 24ANA16OA0030 and shall be compatible with furnace mounted DX cooling coil. Condensing unit shall have a total capacity of 57,000 Btuh cooling (nominal 5 ton unit) with a 14.5 SEER rating and 11.1 EER rating. Maximum refrigerant length to be 250 equivalent feet,refer to manufacturer's installation instructions for additional information.Ductwork shall be installed in crawl space to floor supply and return grilles as indicated on Drawing#A6. Ductwork shall be insulated with 1-1/2"thickness with 3/4 lb/cf density and maximum k value of.3 at 70 degrees F. Ventilation shall be provided by operable windows. 66 Main Street I North Easton,Massachusetts 02356 1 T 508.230.0260 1 F 508.230.0265 1 BER @BER-en np� eering com PA12034\Correspondence\Memo George Khouri(Feb 16 2012).doc TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � Map Parcel Vpp ' � OF BARNSTAS lication `t Health Division '< t, ;! -5 fit gate Issued ( �� ..� Conservation Division Application Fe Planning Dept. Permit Fee ° ` Date Definitive Plan Approved by Planning Board I .I�rISIQ1 Historic - OKH _ Preservation/ Hyannis Project Street Address kr,S Village �rl-�eyv� ��� 1,;�IG O,� to 3 Owner koV. Address C04(Z Dr-. c lmda-L Telephone t 53 ���5 C4 I� `�y 9/ Per i Request r Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new .Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure 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# Current Use Proposed Use APPLICANT INFORMATION--- -- (BUILDER OR HOMEOWNER) tName �G+� GC. Y IT ee phone Number �Qddress _ pj 1 192-r � License # CS ` Oq'a 95 d p a,-s �U,% M 11 S Home Improvement Contractor# / 7fa 5"7a Email 1�he LL- _ SPI,P-1 �L gy�?Q�r� �r,� Worker's Compensation # ALL CONSTRUCTION IEBRIS RESULTING FROM THIS PROJ`EmCT-WILL BE TAKEN TO SIGNATURE ZL, DATE FOR OFFICIAL USE ONLY 7 ' APPLICATION# DATE!ISSUED MAR'/PARCEL NO. ADDRESS VILLAGE OWNER a DATE OF INSPECTION: FOUNDATION f FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL IA! .. GAS: ROUGH FINAL Id FINAL BUILDING. gQZ(.LOI- I� r ' DATE—CLOSED PUT A&B-OCIATION.PLAN NO. 5 f o� Tati Town of Barnstable ` .� Regulatory Services w Bass. $ Richard V.Scali,Director 639•- Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax:, 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder K N.Oy kI , as Owner of the subject property hereby authorize 4,1e ?ctc, eco to act on my behalf, in all matters relative to work authorized by this building permit application for: OUCK'kws N6c (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signature of Owner - Signature of Applicant 8wci KNOURr Print Name Print Name Date Q:F0RMS:0WNBRPERMISSIbNP00LS Regulatory Services . -ME To�yy Richard V.Scali,Director Building.]Division t anxxsrAsrs Tom Perry,Building Commissioner 200 Main Street; Hyannis,MA 02601 WWW.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION- number street village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which-there is,or is intended to be,a one or two- family dwelling, attached or detached structures accessory to such use and/or farm structures. A 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`%omeowner"assumes responsibility for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. - The undersigned"homeowner".certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply vri'tli 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,SeciAIM !T�- 3ifO-bf 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 fuIIy aware of his/her responsibilities,many communities require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use ia your community. Q.\WPFILES\FORMS\building permit forms\E)PRESS.doc Revised 061313 f °FZHE Town of Barnstable Regulatory Services MAW Richard V. Scali, Director �p 16g9 �0 pFnN,orA Building Division Tom Perry,Building Commissioner. 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY 1112 Construction Supervisor License # CS—O U9 5 b ,hereby certify that I have assumed responsibility for the project under _ construction, as authorized by building permit# lllht(J l ' , issued to (property address) -S� y�ki pis /V 2C k Ca`i on , 201c�. The following documents are attached: copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable) copy of my Home Improvement Contractor registration(if applicable) Commonwealth of Massachusetts Workers' Compensation Insurance.Affidavit. Road Bond (if applicable) LICENSE HOLDER DATE q/forms/newcontrb rev:040414 t.. Town of Barnstable Regulatory Services • r * sn E'MASS. * Richard V. Scali,Director MASS. 9Q i639 ,e$' �EDg1A'1A Building Division Tom Perry,Building Commissioner 200 Main Street,.Hyannis,MA 02601 Office: 508-862-4038' Fax: 508-790-6230 NOTICE TO.THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR I, Vc. it Kl=Aoy L owner of property located at S 1 H o c1c i US +U red ,hereby certify that ` �► ,n is no on O �K. C S� longer,c�G� g Construction Supervisor listed on the application for the project under construction as authorized by building permit# 0�0G "! 1 , issued on "� 201 2 I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted.on the records of the Building Division. � . PROPERTY.OWNER DATE q/forms/newcontr reference R-5 780 CMR rev:040414 Hw.Comr<tmompmh*of Massachuseffs . 1�eprrrtrx�sztf r�,�'��t�irsfi�ulAccsdear#s . O e ofl esfigalians 600 Wis,�iingfm&reef ' sfaq,MA 0211-1 wmv.inasm-zovIdia Workers' Cumpensatian Inmmucee Affidavit:Butlders/ContractorsMectricianMumbers Iufnrmation Please Print LegibIy Name Address. JkS +Ca /StatrJ //%r -',S Ally A14 Phone 3fo Are you an employer?Check the appropriate boz: T .;7efo,'ect: r4. I am a contractor and I "47L❑ I am a employer with ❑ 6_ �-,/employees(full andlorpatt time)* have hired the 2-2 t am a sole proprietor or partner listed on the attached sheet; 7_ ❑Rmiodeling ship and have no employees These sub-contractors have g_ ❑Dern lifion far me in cs employees and have workers' working any capacity. $ Sl. .0 Building addition i , [No Work2fs., comp_insurance comp-insurance—, 5-❑ We are a corporation and its 10�Electrical repairs or additions 3-❑ 1 am a homeowner doing all work. officers have esrscised their 11-0 Plumbing repairs or additions Myself [No work=,comp- right of emroption per MGL 12..0 Roof insurance t e.152,§I(4),and we Rave no repairs ��-I i.3�Cv�Qr� Chi �-� employees-[No � comp.insurance required-] *Amy agpliam-r d st checks boa-91 mast also im out the section below showing ffi&waoicersT compenssioa policy in co H meawmm Who submit dais iffidaait h xUcxdng they are doing sli weak and rhea hag outade caataacmrs mnst snbwat a new affidavit mcbcstan=such atom that check this h me must attached an addilinasl sheet snowcap the name of the sub-oaix3dun and ststP whether nrnot thus!Mtbjes have engbyees. If the mbtautmctam have employees,they autst pattuide their workers'comp.policy au-bar. I am art emptr,}}er that is prm idirW tt�orkess'compensatian irLmrartca for my ompFnyeas aglow is the policy arrd job site" informatuuert: Insurance Companyhlatne. Policy 9 or Self ins-lie # FxpisationDate: Job Site Ad&ess Cifiy/State]Zip: Affach 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 S 1,50D 0U and/or one-year imprisorment,as well as civil penalties in the fixm of a STOP WORK ORDER-and a fine of up to$250-00 a day against the violates. Be advised that a chpynf this statement may be forwarded to the Office of Imestigations of the DIA for insurance coverage v-ctification I do hereblt veerlify under thepains a -penahties ofpedwy thatAe information prmi&d above is hue and correct Sienature: ?Gw'- CtGf Bate_ Phone ags( l3 kiffl rue villy. Do not write in.fliis area,fa ba crrmpiet0d by ci07 or town officiaL City or Town PermriVUcense# Issuing Authority(circle one): 1.Board of$eahh`2.$uZding Department .CitylTown Clerk 4.Electrical Inspector 5.Piumhing Inspector 6.0ther Contact Person. Phone#: 6 i . Information and In:strucfions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuantto this statute, an wTfoyee 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 dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not became of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also sus that"every state or Iocal licensing agency shall withho,Id 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 insu ante requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s),address(es)and phone numbers)along with their cerbificate(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 insu nce. 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 ofincm-ance Coverage. Also be sure to sign and date the affidavit The affidavit should be retuned to the city or town that the application for the permit or license is being requested,not the Depwb2 ent 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 Ue pro��ided 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 burn 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 Comm nv Wffi of Ma.ssachmdts DepaAmmt Qf Industdal Aociden Of ice of kveWgatxans 600 Washington Stzttt Boston=Imo.G2111 TeL A 617-727-4900 W 406 or l-& MASS.E4.F Revised 4-24-07 Fax# 617-727-7149 www.massgovfdia Massachusetts - Department of•Public SafetyV Board of Bui.lding•Regulat ions and Standards Consfruction Supers visor License CS -092958 =SHAKE PACHECO v, sl i DU a. aasaapun. r 81 Jasper Road , 6b�9Z0`dW 'SIIIW SNO-LSUVVY r Marstons Mills NCA 02648� x a2i 213dSdf 18 ` a; . �- , 00HHOt/d 3NaHS /1 ati 15 r s j0 7/20 a 003HOVd 3Nb'HS Commissioner s Ienpjnj`pui' 9lQZ(£/6__' :uo1lejldx I :6dAj OG59LG :uol;eJ;s160 H013Vd1NO3 1N3W3h021dW1 3W uol;eln�ag ssaulsng 7y sireJ3V wumsuo3 jo aa330 I I ��G�n`✓gD��a��,.+�ann�ozeaee�od1 �� . I . __....._- - ------------ License or registration valid for individul use only before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation I 10 Park Plaza-Suite 5170 ' aauols Boston MA 02116 wwoo s1 - I r 6I0 6 Z IL , uolleaidx� j ;. I , g .. u O Sd Yi?8Z0 �sIi!L1I s. a Lei Not valid without signature p¢og aadsep i8s .: " r asua3{� —_ - — -- --- -- - J" acisl.�aadnS u�iginatsuuO . -- --. - uersuo1leln&)2l IiuIPIInB do Weo8 _ __ - d 1o.luawVedaQ_..Sll �. . . spaepu 1S e' asnW wsseW ^/'141�S a!I4n y GEORGE J. KHOURI & ASSOCIATES Development & Construction Advisory Services AFFIDAVIT ARCHITECTURAL DESIGN AND INSPECTION To: Building Inspector i r -M Town of Barnstable a = C) Re: Garage Structure 351 Huckins Neck Rd Centerville MA July 12, 2012 In.conformance with the Massachusetts State Building Code Eighth Edition, I certify that to the best of my knowledge, information and belief, the plans and computations for the captioned building were designed in accordance with the requirements of the Massachusetts State Building Code and all other pertinent laws and ordinances. I also certify that I have inspected the work during construction. This will include the inspection and review responsibilities outlined in Section 116.2.2. I was responsible for the entire scope of work and performed those tasks prescribed in the MSBC which pertain directly to my construction documents. All registered professional engineers and any design-build/installation by a licensed tradesperson or legally recognized professional, for a system under their licensed jurisdiction involved in this project shall be responsible for their individual scope of work, required drawings and affidavits. George J. Khouri Engi a �g.No. 2660 A?4x n 6.`Q$so 16 37 Taurus Driv Q ash e d 26�49 Tel: 508-419-1410 C Fax: 50 9-1536 0 Email: gkhouri@comcast.net IN 04/LO/LCf14-UFO -T Anderson gat 857 1000 Fax 781.857-1051 Insulation, Inc* tiY'-nmandor5onlnsil.com 706 Brockton Ave PO Box 2003 Abington, MA 02351 lnsu/adon Certificate WORK AREA ITEM INSTALLED EXT.Walls 2x6 R-215 1/2 X 15 Unfaced Flberglass Batts HD Vapor Barrier ext. Walls 4 Mll Polyethelene Vapor Barrier Windows and Doors Foamed Greet Stuff-Minimal Expansion Foam ^— Gable End Walls R-22.2 Icynene Open Cell Spray Foam Insulation LDC-61n Underside of Roof R-33.3 Icynene Open Cell Spray Foam Insulation LDC-91n Basement Ceiling R-30 10 X 16 Kraft Faced Fiberglass Batts i� Co Blocker5/Rlm'Jolst R-215 1/2 X 15 Kraft Faced FG Batts Hi-Dens customer: DMR Construction In c 3ob Number. 188514 Job Address 351 Hucklns neck Rd.-Centerville(Bamstaable) i Cabe Completed: P f� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 233 Parcel 01Y1 Application # 1 °SIG, Health Division tDate Issued 777 l V 6r Conservation Division 2-4 r Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address 33°'1 ��_k, r Village Owner �'`� In _K Address 4 a l Di e-r.JaI& C44 2y6�. Y/�7 Telephone �I 7? L Permit Request > Z CA �e 4;--54S-- zZ�s Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District a ''1 Flood Plain Groundwater Overlay 2 Project Valuation LS` oo Construction Type Lot Size �`>�.Z6 C f Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) C7 Age of Existing Structure iia Historic House: ❑Yes ❑ No On Old King ighwa�❑Yw 2r o Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other °tv C Basement Finished Area (sq.ft.) 41 Basement Unfinished Area (sq. Number of Baths: Full: existing new r�nr new Half: existing Number of Bedrooms: existing —new W 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 O/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# a � M Current Use. in► e_ AeK,., Proposed Use AM. IV APPLICANT INFORMATION (W_t) 60 6(09 (BUILDER OR HOMEOWNER)� o Lc�V^ U �'( Telephone h n Number l> -8 `S 8 7 Name e ep o e u ber Address �� `�` � � License # ��d C 0 ®�' Home Improvement Contractor# M Y5 l Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Z—/` SIGNATURE - DATE (� " s FOR OFFICIAL USE ONLY APPLICATION# ti DATE ISSUED MAP/PARCEL NO. 1 ADDRESS VILLAGE OWNER t DATE OF INSPECTION: FOUNDATION 3E 23 1 FRAME ;k INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL ti GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. . c• . 4--N The Commonwealth of Massachusetts Department of Industrial Accidents Office-of Investigations 600 Washington Street ;lift; _ Boston, MA 02111 �V4 www.mass.g ov/dia : Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): D.M Q Address: City/State/Zip,: d 02,"3 Phone re you an employer?Check the appropriate box: ' Type of project(required): I. am a employer with 4. I am a general contractor'and I 6.ANew construction employees (full'and/or part-time).* have hired the sub-contractors 2.El I am a sole proprietor or partner listed on the attached sheet. # ❑ Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition ' working for me in any capacity. workers' comp. insurance. 9. Building addition [No workers' comp.-insurance 5. :❑ We area corporation and its: 1 ` required.] officers have exercised their. ]0.[� Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL .11.0,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' III 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 submitthis affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. lContractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: V1111Ml` n�f tJ h k ti c e CV, Policy #or Self-ins. Lie. #: �O���a] o� $ 'Expiration Date:_ /I t- . Job Site Address: aT_Nih1,(�t � � J�\� (�, 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 of up to $250.00 a day against the violator. Be-advised that a copy of this statement may forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information t. provided above is true and correct Sia ature: a Uer' Date ,���, %ti Phone# 7. 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#:_ i p Information and.4n,str cti®ns 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 in a joint enterprise, and including the legal representatives of a deceased employer, or the of the foregoing engaged � rp g g P receiver or trustee of an individual, partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6):also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally, MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with;the,insurance requirements of this chapter have.been presented to the contracting authority." Applicants Please fill out the workers compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(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 maybe 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 burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would,like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 www.mass.gov/dia rr DATE (MMIDDIYYYY) ACORO; CERTIFICATE OF LIABILITY INSURANCE 06/0612011 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 Phone: (781)237-1515 CONTACT Beverly Wiseberg DELAND,GIBSON INSURANCE ASSOCIATES,INC. H.Nri 6d: 781 237-1515 we Ne: P O BOX 81266 MAIL A bwiseberg@delandgibson.com WELLESLEY HILLS MA 02481 ADDRESS: 9@deland 9 PRODUCER CUSTOMER ID: 666 INSURERS)AFFORDING COVERAGE NAIC# INSURED INSURER :Valley Forge Insurance Company D M R CONSTRUCTION,INC. INSURER :Valley Forge Insurance Company 229 MAIN STREET NORTH EASTON MA 02356 INSURER :Commerce Insurance Company INSURERD: Transportation Insurance Company INSURER E INSURER F COVERAGES CERTIFICATE NUMBER: 60203 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, LTR TYPE OF INSURANCE 'NSR SWVp POLICY NUMBER POLICY EFF POLICY EXP LIMITS MMIDD MM/DD A GENERAL LIABILITY C2093220798 05/23/11 05/23/12 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 100,000 PREMISES Ea occurence CLAIMS-MADE I X I OCCUR MED.EXP(Any one person) $ 5,000 PERSONAL&ADV INJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 �EN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 2,000,000 POLICY I LOC $ C AUTOMOBILE LIABILITY 11MMZP9270 05/23/11 05/23/12 COMBINED SINGLE LIMIT $ 1,000,000 (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS X SCHEDULED AUTOS BODILY INJURY(Per accident) $ PROPERTY DAMAGE $ X HIRED AUTOS (Per accident) X NON-OWNED AUTOS $ $ D X UMBRELLA LIAR X OCCUR C2093220784 05/23/11 05/23/12 EACH OCCURRENCE 5,000,000 EXCESS LIAB CLAIMS-MADE AGGREGATE $ 5,000,000 DEDUCTIBLE X RETENTION $ 10,000 $ WC S ATUL'M'- OTN B WORKERS COMPENSATION WC413688093 02/ /11 02/27/12 TORY LIMITS $ AND EMPLOYERS' LIABILITY YIN ANY PROPRIETOR(PARTNERIEXECUrNE E.L.EACH ACCIDENT 500,000 OFFICERIMEMBER EXCLUDED? I-] NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ - 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Additional Remarks Schedule,if more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Town of Barnstable ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE Attention: A. BeXrly S.Wiseberg ACORD 25(2009/09) ©1988-2009 ACORD CORPORATION. All rights reserved. The ACORD name and logo are registered marks of ACORD HIC Registration Complaints Page 1 of 1 The Official Website of the Office of Consumer Affairs&Business Regulation(OCABR) Mass.Gov Consumer Affairs and Business Regulation Home>Consumer>Housing Information> Home Improvement Contractor Program> ..........--........._............................_.................................................................................................................._.........................................................................................................._..............._............ HIC Registration Complaints Registration# 169452 Registrant DMR CONSTRUCTION INC. Name RICHARD COHEN Address 229 MAIN ST City,State,Zip NORTH EASTON,MA,02356 Expiration Date 6/27/2013 Status Current No complaints found for this registrant. You can also view arbitration and Guaranty Fund history. Back To Search ©2011 Commonwealth of Massachusetts http://db.state.ma.us/homeimprovement/licdetails.asp?txtSearchLN=71316 7/18/2011 , 7-14 - -- 49.issac rhusetts- Depa anent of Public Safe} B0.ird of Building Re!ulations and Standards Construction Supervisor License License: CS 54914 Restricted to: 00 �X RICHARD R COHEN 11 WESTFIELD DRIVE BROCKTON, MA 02301 Expiration: 10/7/2011 (ununissioner Tr#: 6592 4 � s"Er° �. Town of.Barnstable ` Regulatory Services f u�;..K�Asuy f AueL Thomas F.Geiler,Director 1639. �Eok Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using ABuilder as Owner of the subject.property . hereby authorize DM f? Cody v c%�oa /Ve-&L (VG'e-/to act on my behalf, in all matters relative to work authorized by this building permit application for. ?.S/ I c�kr..;/T /lrre�l( act (Address of Job) Signature of Owner Date _Ace Km y Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORMS:OWNERPERMISSIDN Town of Barnstable ��oF Y�ray • Regulatory Services sutrrsrisLt Thomas F. Geiler,Director MAISM �o tbsl. A. Building Division rED Tom Perry,Building Commissioner 200 Mairi•Street, Ayannis,MA.02601 www.town.barnstable.ma.us Office: 509-862-403 8 Fax: 509-790-6230 HO*AMOVNER LICENSE EXEMPTION Please Print DATE: rvh I u JOB LOCATION: S J f l U"�l/a1S )eq( number f( strect 7 village "HOME aOWNER": rac e, ([iI0d/`( 0� .22(6"J 773 name home phone# work phone# CURRENT MAILING ADDRESS: j 1 J C&�- 4e 1 �� city/town states 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. DEFIRTrrION OF HOMEOWNER Persons)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 constrgcts 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 hermit. (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/sho understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. , Rut WOOL . Si re of Homco ,. Approval of Building Official iicial 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 sectign.(Scetion 1 D9.1.1 -Licensing of construction Supcnisors);provided that if the homeowner engages a penon(s)for hire to do such work,that suCch Homeowner shall act as supervisor. lvlany homeowners who use this exemption are unaware that they are assuring the responsibilities of a supervisor(see Appendix Q. Rulcs&Rcgvlations for Licensing Construction Supervisars,Section 2.15) This lack of awareness bften 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 home Town cr acting as Supervisor is ultimately responstb)e. To ensure that the bomcowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the bDMeDymcr certify that hedshe understands the responsibilitics of a Supcvisor. On the last page of this issue is a form cutrmtly used by several towns. You may care t amend and adopt such a forrdccrtification for use in your community. Q:formt:homecxcmpt The Commonwealth of Massachusetts William Francis Galvin -...` Page 1 of 3 The Commonwealth of Massachusetts William Francis Galvin . {' Secretary-of the Commonwealth, Corporations Division One Ashburton Place, 17th floor Boston, MA 02108-1512 Telephone: (617) 727-9640 C DMR CONSTRUCTION, INC. Summary Screen Help with this form Request a.-erh icate The exact name of the Domestic Profit Corporation: DMR CONSTRUCTION, INC. Entity Type: Domestic Profit Corporation Identification Number: 043173539 Old Federal Employer Identification Number (Old FEIN): 000413463 Date of Organization in Massachusetts: 01/01%1993 Current Fiscal Month / Day: 12 / 31 Previous Fiscal Month / Day: 00 / 00 The location of its principal office: No. and Street: 229 MAIN STREET. City or Town: NORTH EASTON State: MA Zip: 02356 Country: USA If the business entity is organized wholly to do business outside Massachusetts, the location of that office`. 'No. and Street: City or Town: State: Zip: Country: Name and address of the Registered Agent: Name: RICHARD COHEN No. and Street: 229 MAIN STREET y City or Town: NORTH EASTON State: MA , Zip: 02356 Country: USA The officers and all of the directors of.the,corporation: Title Individual 'Name Address (noPo Box) Expiration First, Middle, Last, Address, City or Town, State, Zip -' of Term http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.a.... 6/7/2011 The Commonwealth of Massachusetts,William Francis Galvin -... Page 2 of 3 Suffix Code PRESIDENT RICHARD COHEN 11 WESTFIELD AVE., BROCKTON, MA 02401 USA TREASURER RICHARD COHEN 11 WESTFIELD AVE., BROCKTON, MA 02401 USA SECRETARY MARILYN E..COHEN 11 WESTFIELD=DRIVE BROCKTON, MA 02301 USA VICE PRESIDENT DAVID H COHEN 7 FULLER DRIVE NORTON, MA 02766 USA DIRECTOR RICHARD COHEN 1`1 WESTFIELD.AVE., BROCKTON, MA 02401 USA business entity stock is publicly traded: , The total number of shares and par value, if any, of each class of stock which the business entity is authorized to issue: Par Value Per Total Authorized by Articles Total Issued Class of Stock ' Share of Organization or and Outstanding Enter 0 if no Par` Amendments' ' Num of Shares Num of Shares Total Par. Value CNP $0.00000 200,000 $0.00 100: Consent Manufacturer — Confidential Does Not Require Data Annual Report` _ X Resident For Profit Merger Allowed , Partnership Agent - — Select a type of filing from below to view this business entity filings: http://corp.sec.state.ma.us/corp/corpsearch/CorpSearchSummary.a... 6/7/2011 The Commonwealth of Massachusetts William Francis Galvin - Page 3 of 3 ALL FILINGS Administrative Dissolution Annual Report Application For Revival Articles of Amendment _ Ne Comments 2011 Commonwealth of Massachusetts a All Rights Reserved Help http://corp.sec.state.ma.us/co rp/corpsearch/CorpS earchSummary.a... 6/7/2011 General notes: l s (All notes may not pertain to this project.) _ 0.1 The approval of plans and specifications does not permit the violation of any section of the building code or other city ordinance or State Law. 0.2 Temporary toilet facilities shall be provided during the construction process. 1.These plans are the sole exclusive property of the architect �, -.` Any reproduction or use without the express written permission of the architect is prohibited: The architect assumes no liability for the unauthorized use of these plans. r t 2. Dimensions:all dimensions shall have preference over scale. All dimensions shall be verified in the field Architect shall be notified of any errors or omissions for correction before proceeding with work. 3.All dimensions are to face of wood members or outside face of plywood of sheathed stud walls unless noted otherwise. 4.AII dimensions are to face of concrete and concrete block walls. _ j S.Where a specific detail is not shown,the construcion shall be similar to that indicated or noted for similar m conditions and cases of construction on this project.References of notes and details to specific conditions and locations shall not limit their applicability. S 6.Ail details are grouped under general headings for convenience only.These groups do not necessarily reflect ' -J, 1 the scope of the work to be performed by a particular subcontractor. All trades are responsible for any details 1:� •:� r��1 \ r t "�* , �1 i and accompanying notes pertaining to then particular scope of work regardless of the general heading under which they occur. - �� ah/�l{n I J z-7 '•-.'^•^ 7.Doors shall be located in center of wall within space served unless dimensioned differently on plans. - r -.n Yq�' N�$a ti . .,7"W t ri •�r. Where doors are located next to a wall,there shall be.a 31/2"clearance between wall finish surface and face of door in 90 degree i open position or clearance for door molding(which ever is greater)unless noted otherwise. 8.Exit doors shall be openable from the inside without the use of a key or any special knowledge or effort. _ { ®1 ♦-- `'fx�" { �`� U�' 9.Fire block stud walls and partitions(including furred spaces)at Floor,ceiling,soffit,and at midheight of walls over 10'in height. 10.Notchingof exterior and bearin/nonbearin alas shall not exceed 25%/40%respectively. F , a 9 g w ` ;F? y r✓ Lv,�,{ Lye- Bored holes in bearing/nonbeadng walls shall not exceed 40%/60%respectively.11.AII plywood roof and floor sheathing shall be inspected and approved by the building inspector before covering. _ �4 �j.>♦�are n `�" 4 •� Face grain of plywood shall be perpendicular to supports. >:• i:j - 12. Provide all necessary blocking,backing and framing for the correct location and installation of light fixtures, electrical units,mechanical equipment and all other items requiring same. - �w +� 13. Stucco at exterior.Provide weep screed at the foundation plate line a min.of 4"above grade.Provide min.2 layers type'D'paper over , �:1 . wood base sheathing under exterior lath. - °- ��?~),•Pr• C ' 14.AII exterior openings exposed to the outside weather shall be Flashed in such a manner as to make them waterproof. All flashing,counterflashing,and coping when of metal shall be 26 ga.Galvanized sheet metal minimum. 1 S. All steel items,steel assemblies,bolts,screws,washers and nails exposed or partially exposed to exterior - shall be galvanized except where specified or called out on drawings to be otherwise. , 16.Openings into attics,under Floor areas and other enclosed areasshall be covered with min.l/4"corrosion - - - Vicinity Map resistant wire mesh(or equivalent)except for opening with sash of doors. • NOT TO SCALE 17.Attic vents to be provided 1 sq.Inch for each 10 sq.Ft floor area.Locate vents spaced evenly at eaves and at gable ends. - 18.Changes of types of floor finishes shall be made under threshold at doors,and where thresholds do not occur,as shown on details. .. Y •L 19.Surface finishes indicated or noted shall be carried into alcoves,closets and similar features where such occur unless otherwise indicated or noted. - - 20.Where ceramic tile is specified on walls use georgia-pacific dens-shield tile backer board or equal.A reinforced mortar bed is also acceptable. - 0 21.All ceramic tile shall be installed as specified in the current handbook for tile installation,the council of america,inc.Unless otherwise noted. 22.Provide and install required power,gas,venting and waste connections to all new fixtures and new appliances shown on plans though each - - - specific connection may not be shown for that fixture or appliance. Y 23.Provide under floor ventilation and access.Provide 1/4"comosion resistant wire mesh openings around perimeter of foundation spaced evenly to _ provide cross ventilation.Min.Vent area-1 s.f.per 150 s.f.floor area.Also provide openings at interior stem walls and cripple - Project Information: ` walls to allow ventilation and access. Minimum Access opening-18"x24". - Protect description:Build a new detached garage. 24. Provide attic access as required by code.The opening shall not be smaller than 22"x 30". 25. Existing electrical plumbing and HVAC elements which are to be abandoned/removed as a part of construction shall be removed completely Areas: - °"• and terminated at the live source or point at which the element is still to be used. of t Si-ze: 24,76151 L_ ' 26. Wall covering shall be cement plaster,tile or approved equal to 70"above drain at showers and tubs with showers.Materials other than structural Existing House: 2,268sf C m elements shall be moisture resistant.Glass enclosure doors and panels must be labeled Category 2.Swing door outward.Net area of shower receptor i O v shall not be Icss than 1,024 sq.in.in floor area and encompass 30"dia.circle. - - to 27. In every bedroom and basement,provide 1 openable escape window meeting all of the fallowing:an openable area of not less than 5.7 sq.,ft., New Garage: 72651 16 a minimum clear 24"height and 20"wide,and a sill height not over 44"above the floor. - �.,e41i9gy L'- cYi 28. Handrails shall satisfy the following:provide continuous handrail for stairways with 4 or more than risers;handrail shall be 34"to 38"above the Owner: :. Q a)ad tread nosing;Openings between balusters/rails shall preclude passage of 4"diameter spere;the handgrip portion of the handrail shall not less than - Bruce Khouri ''_ `�? Z m 1.5"nor m 1121 Cortez Drive N ore than 2"in cross sectional dimension;return handrail to newel post or wall.The triangular openings formed by the riser,tread and bottom -_ , Glendale,CA 91207 g �.�• O��( ey element of the handrail shall preclude the passage of a 6'dia.sphere.(509.3) 818.246.9025 N 29.Provide min.3'high protective guardrail for decks,porches,balconies and raised floors(when more than 30"above grade or floor below), and open side(s)of stair landings.Openings between o!ustem/rails shall preclude passage of 4"diameter spere. Building Code:Pals.than 1.6have \ i=N re per flush.Toilets shall be located in a clears " d ace not less than 30 wide and a Contruction type: 30.Each water closet(toilet)shall use no mom "\ N• .26 O/ e - 9 Pe ��:_�r clear space infront of the toilet of not less than 24". - Occupancy:U a.' ;rST �',"/ Q MU 31.Tubs shall be provided with fixed joint waste line or be provided with a 1'square tub access. Legal description: '- 32.Water heater compartments shall be provided with 50 square inch ventilation at the top and bottom.Compartment doors shall min.24"clear. New r replacement water heaters shall be strapped to the wall in 2 laces.1 in the upper 1/3 of the tank and 1 in the lower 1/3 of the tank. e o PP P PP P lower strap shall be a minimum 4"above the controls(P.C.S 10.5. The to e st p ) _ 33.Metal prefabricated fireplaces shall be by Lennox/Superior and carry UL 127 listing(wood burning)ANSI Z21.50b(gas burning). Sheet Index: \/A// Masonry prefabricated fireplaces shall be by Isokern-ER-5017.Installation and use shall be in accordance with their listing. A-1 Notes and Information 34.AII showers and tubs shall have either a pressure balance or a thermostatic mixing valve(P.C.420.0). A-2 Site Plan Edwmda6Ednutla 35.ABS and PVC DWV piping installations shall be limited to structures not exceeding 2 stories in height(P.C.701.1.2.2).. - A-3 Floor Plan,Roof Plan,Electrical Plan 36.Ducts shall be sized per chapter 6 of the Mechanical Code. A Garage Elevations and Sections 37.Subsurface waterproofing for retaining walls:Use EPRO System III Plus.Including fluid applied membrane,Geo membrane and complete Drainage A-5 Structural Plans,Details and Notes ,",,,,,, Composite system or approved equal.LARR#25478.For deck applications use EPRO system III waterproofing between slab.Install per manufacture's specifications. - 38.An approved Seismic gas shutoff valve will be installed on the fuel gas line on the down stream side of the utility meter and be rigidly connected to the exterior of the building or structure containing the fuel gas piping. 39.Retaining walls located closer to the property line than the height of the wall shall be backfilled not latter than 10 days after construction of the A�1 wall and necessary structural supporting members unless recommended otherwise by responsible engineer. .. r s 44 A. .r z ,ii � � �`s4* ;�•� I\� 1. � .i�� ) � l I �. �_J�`,� // _ _9� Local Vanity Map ' C�` NOT TO SCALE �;.� �.?:+� \a. S !q ac a<� �•—' ':J�`� iS•`4 \.' e O Proposed C New Garage �r o \ Existing 1 story i i wm, p (n cc House to remain Y a u`c^ i Y ns\` I 1t� R . I L J BEARSE POND EEnarda6EEwattla r _ Site Plan tie°=, I A 2 ' e 1 I I I I I I I • I I I Sm M'M pew Q Y`• Electrical Plan / - Kr SCALE:1/4" = 1'-0' t' � LU _�°.nanm aaWm j n.1 ° i ' Roof slope 1S 12 —am M - - �-Asphalt composite shingle roofing - I. �,n°a°.(re 1 s r M vdo - 9 P 6.o Ridge - - O t 0. .. , � --�1 F---- -1' h Q �C'x C - 'Gableend-� - � Gable endue. NwV Y - I _✓55 c i Gutslde loco of wen below ! \ Q`�U $ 3' T�Iu— round down sI.- 1 6°Half round copper gutter Z EdwardadEdwerda Roof Plan ` - = 1'-0" - Garage floor Plan SCALE:1/4' _ - _ •". <....... - 1 - SCALE:1/4" = 1'-0" A-3 � miroie,uw ever ve•oiwooe6ue u6 mn.,um®sr p. ' t .�—.•m'""u°m n e i�ro.i e..m.�e..crew.va•rro.a 1;�Z10— ASfor structural. ra_5 on and details a eemey oac=rowr,rz o�n�e yc oe �rsw owv.cer marr ieee,or� y J\ S SCCALEALE :1/4' = 1•-0. .22 " _ L \� 0 • U East Elevation North Elevation C SCALE:.114" = 1'-0' SCALE:1/4" = 1'-0' _O • � Qo U Q C N c Z R - He. dlmensionel C N asPholi shingle roof Q C N Verbodl,dodslatbirrl at gableentls. P � V ' find-Posed er tells L Z - - and facts la al gable ends w C 6a6-poeed refler tails I�f and facia at gable ends i� woos wmtlows ana doors cedar V V +4iI with-Cmftman style'ben —sIC Ble P ood windd or ws old dos y 'th'craftsman style'him Edwards I E C'TS da South Elevation West Elevation SCALE:1/4" = 1'-0" SCALE:1/4' = 1'-0" Garage Elevations f d ---- -- mwacroaal pBoEIA3aNW:W�I�H l5 ` �' rcme m awn.ewe M. MUMBNOO iano eona •sa LO IYtlOL'MItl1B-01U433N10N30NLLVI8N00 . �� - � �/ Y � '- i wvi3ONOH :J01`uoijippv/uoijuaajjvILI --- 17, w — � 4 gyov I' -a J c6 �- i A CA �l Sc ✓ I � �. t J 1 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Pp Parcel -1 Application Health Division Date Issued Conservation Division Application Fe Planning Dept. Permit Fee e E Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address 351 N V' Village cems, Irv► Owner, K hw s.` Address o: .Telephone b1 b ,� q(o RoaS Permit Request Y LctiAA k�N qz C� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new ;Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kings;Highway:-.❑Yj ❑ No Basement Type: ❑ Full 0 Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (SN, �r , Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new a Total Room Count (not including baths): existing new First Floor Roo Couno. rn 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 y���c , C Telephone Number S0 Address - Sri l License # 9,�L 9s y ✓� �f �//J- �`� ®�6 v Home Improvement Contractor#-- /-7 b s-7v Email Worker's Compensation # ALL CONSTRUCTIONN DEBRIS RESULTING FROM p-THIS PROJECT WILL BE TAKEN TO All SIGNATURE �j Ge--Iu DATE / lS FOR OFFICIAL USE ONLY l APPLICATION# 1 DATEISSUED MAP,,/PARCEL NO. ADDRESS VILLAGE OWNER t r DATE.OF INSPECTION: 'c r FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING y DATE-CLOSED OUT 1 ASSOCIATION PLAN NO. • . :'? i 9 au k ;uU=a pzp00 xaIRO �. jq Nd-S -10* dsua Imp 3.1:1-V vA&n,Ip3? - �a-ouq-M&L ffuTuna'Z TPIZIIH3.0 pilm11`I auri aPm)SgmTP .s, #asuaa y Iuzarr uz� ra. dq paut�$q iva rn spyr�i drat ©3r aQrrt1 ssu�S?� �1 h r t:,11raf aid ;Mau o.purr an q sg.a=i 72 P§ rMmtd umaiwa-pq���vifJ drn�arl�n sa�vriad sumr£.sz1}aaFr3rx�C��ta�,�a�3�.°�.I -M-qog-MA QgpomAfla;x)URI snrIq Via glaIa suopz�x}sa�uj -TO aarigo Qrcp o�P z � s �a � 3 P 'a a� �aja�ous atA E�P GO"0� ° ,,so s a uogxsodffi?U,4;W PSI T-SI 'o' RJO vSuQP�Qs-laP=P—,b -Ra2azaA-o amaas cq amLiz_ {a sp uot}z �przx is q�iuz 4od ��u€�ss�t )a id ao sz ap igod uzrq psaaduza3,sra zn a Iu dog z} ' :d�-Zf�4S{�?� �•��far . =a;z{I rca�erid�g :J? -sm`JaS:ro L7gaj :a a -kuadmc j azumnsuj gaCpuv,�_pdoip si�alag say spa i4rz io a�uzzrzrsur u'o isrzn i uo3 tstajro=i�ffxrp u�rdst �i is fapdiu�,un:UM 7aq�muc.i�add�o����-�R agc�aT3lsi�iagl`saa.�n�a ai`-q�A�o�'4��3? -�i� - saw 3s�1a¢x7 aqn F� ag 312—T fr �-Tp P—qTPP=-PMPFPX I—mq s-IrI-)P q IVY s -Jy r cros aaa a 7�gns Is�z<,�� R,uo� csp�a 44 U51-a?U-- II=2- 2200�T'F� 3'up-'j�-Ka-,QgU211 �11H but-�gqd tm�asua�za��sa�garasa��raa�ugsxoraq noy�as�g Ino II3�ISM I��1��IMF I�g��fi • �.n ns �r�<n.�- � ��rarmbara3ue�nsuz-dmo� /❑ flu W-Rq g- -PU`&)I§ BSI-3 �-[-paT.mT x a Rm= arredaJO-W E[YI `D3�4 Sad uog a Sri =sra Tm oI�L� sunt�spp�sa s�zEdai�u gamma❑-I I =ID pasruaxa a�Ezl s�r�o °�a Ire°uit�p u�-a�e I sumps m sirsd3s Ig�?T OI s}?puxunad��E are a j ❑ � 3 xurnm�-dur�a , auazmsur-dm4� =sra�cam�� . go T.w-fu-wmg El "6 �-;3Gp�aA-eq P=saakcIdb3a . �,xgx ut atu tFo�43loma I❑ g aAkq zapv-4,a=-qm a-saU saadolcTuza ua a pQa s ElL s Pa $a�uo paw 3au}zedso za rd ajos E urx 7 T I T jam}saa -Jdi � � ixroT�zrirn� � �I2t1 SJ�4jd�d E IIIE j 3 I Pug=PP3; a 1 I ❑' t- El:. a it aFo a€ISZ r moq Kmx&jfffl-r, a. ,za. d-io m unS aaV p3li a saja / ' }E�wnn3izlUV szagzan�su��?-���1����>�al��[�?�•g ��u�msu���}�suad�.�� ��-t�1�... zv off" JLMUI tau A-U3Pu LLL LLq x_LI3 Iflassachusefts Cneral Laws chapter 152 requires aH employers to provide workers'compensation for heir employees. puru�tc)this statate,an arT£ayeg is defined as __every person in the service of aaother under any contract ofhiM. express ar i Mplied, oral or written.." . An emp&y'er is defined as'an individual,partneasI4,association, corporation or other legal enfrty, or any i ro or mare of the.,foregoing engaged in a jaint enterpri a,and iacludi g the legal represmt dives of a deceased employer,or the receiver or t- stee of an individual,partnership,associatiarr ar other legal entity,employing employees. However the owner of a dwelling house having not morn than.three apartments and who resides therein ar the occupant of the dwelling house of another who employs p=ns to do main�ce,construction or repair work on such dwelling house or an the grounds or bmldiag appurtruart thereto sha11 not because of such employment be deemed to be an employer." MaL chapter 152, §25C(G)also stains thk'every state or Iac21 licensing agency shall withhold the issuance or t renewal of a 1•icense or permit to operate a horsiness or to consiz-act buildings in the common,-veaI h for airy c erag qe re urired." applicant who has not produrced acceptable evidenceocompliance-with the iusnrance ov Additionally, MGL chapter 152 2S stains"Neithea the commonwealth nor any of its political subdivisions shall A > § ��Y> aP enter into any contract for the perfoffiance of public work until acceptable evidence of compliance with tine,n sr„ance requirements of this chapter have been presented to the contracting authority.' Applicants Please fill out the woikers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractDr(s)name(s), addresses)and phone numbers)along with their ccrhdEca e_(s) of u c i:[ e. Limited.Liability Companies(LLC) or Limited LiahMty Partnerships(LLP)withno empl ogees other$an the memb en 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 ofTngrrrance Coverage• Also be sure to sign and date the affidavit The affida it 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 Hyou are required to obun a workers' i compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-in= ce license number on the appropriate line. City,or Town Officials Please be sure tba1 tfie affidavit is complete and prated legrbly. The Department has provided.a space at the bo� o f the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding th e applicant Please be sure.to fill in the permitllieense number which wM be used as a reference cumber. In addition,an applicant that must submit multiple pmautllimnse 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 tilt affidavit that has been officially stanped or marked by the city or town maybe prDVided to the applicant as proof that a valid affidavit is an file for future permits or licenses. Anew affidavit must be"Zlled out each year.Where a home owner or citizen is obtam_mg a license or permit notrelated to any business ar commercial Venture (i n.a dog license or permit to bum leaves etc.)said person is NOT reed to complett this affidavdtt The Office of Investigations would hke to thank you m advance for your cooperation and should you have any questions, please do not hesitate to give cis a caIL The Depaztm.ent's address,telephone and faxn-mbtr: y Thy Cc)mm:QaWcet.4f M&-_sachus Degazi at Gf Idclu&tdal AQaideuft 6DO WaWmgtoa B-aztGD,MA G21II R�x A 617-727-` 49 Revised 4-24-07 4 j f Massachusetts' Depar#ment o Public Safety. Board"of'Building:.Regulations and Standards Cbntitrucfion Suprvttiut License. CS-092958 SIiANE PACHECO , ;a aas�apuf1 81 Jasper Road ZdW -arstons Nulls WA 026`4 � � i a r •_ G � 9 ,0 . � b- 8 D3HDb'd 3Nb'H 3dSV iV( at01rr' F ., Expir, 011712 5 - s: Commissioner } r 003H0`dd 3NVHS o � 1 � u ® < / r _ A uol;EJ;Sl6 y ad OV'HIN00 3 13W ... /(lnP -OL99L/l/6 a i ipul aol iN W�noadw ' 3 uogetniiag ssaursng'�site;; -iatunsuo33o a3 3O \ I License or registration valid for indMdul use only i before the expiration date. If found return to:. Office of Consumer Affairs and Business Regulation. 10 Park Plaza-Suite 5170 i Boston,MA 02116 " aauoisslwuaop 1 SI.OZILL106' ����•t1r- /'4�''�Z¢!o i" �` l s1117AI Su�s1EP1 8h9Z0 t L. A - peog iadssr i8 No u re . t valid without signature L ®��II��d�LhI'dlis 856Z60-SO asua�iq 1 not �t1-t;suoD 1.u n dt a S — J ue suotteln6ab 6uipling }o p 9 sp-lepue.3Sn�.;o.;uatu}aedad- sl}asnuae§seW. � /�;ajlpS oilq �11HE, Town of Barnstable * Regulatory Services , • ■UMSPABLE 9 Mass i Richard V. Scali, Director �p 039 �0 rEOMo�°' 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 CONSTRUCTION SUPERVISOR I, owner of property located at -3 S 1 N Cki h S W pc.y CenA<-ev 1 hereby certify that is no longer. Construction Supervisor listed on the application for the project under construction as authorized by building permit# •�`'6 Rob(aq , issued on f`� 20 JL I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building_Division. PROPERTY OWNER DATE q/forms/newcontrowner reference R-5 780 CMR rev:040414 Town of Barnstable Regulatory Services � '$; Richard V.Scali, Director 1639. �® Building Division . Torn.Perry,Building Commissioner, 200 Main Street,Hyannis,MA 02601 www.town.barn.stable.ma.us Office: 508-862-4038 Fax: 508=79076230 NOTICE TO THE BUILDING DIVISION OF LICENSED CONSTRUCTION SUPERVISOR ASSUMPTION OF RESPONSIBILITY Construction Supervisor License # C S — O 9 3, 1 9 S hereby certify that I have assumed responsibility for the project under construction, as authorized by building pe ( , issued to , (property address) 3 S) �u<,ticng fLi� on 20 The following dgcuments are attached. copy of my Massachusetts State Construction Supervisor's license or Homeowner's License Exemption form(if applicable), copy of my Horne Improvement.Contractor registration(if applicable) Commonwealth of Massachusetts Workers'Compensation Insurance Affidavit. Road Bond (if applicable) Id LICENSE HOLDER DA " q/forms/newcontrb rev:040414 r � Town of.Barnstable t Regulatory Services y n�nss Richard V.Scali,Director i6;¢ �m Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-79076230 Property Owner Must Coniplete and Sign This Section if USinz A Builder I, �Q U KN 00 e.I , as Owner of.the subject:property` . hereby authonze :S�i ce vc fctc e 6.0 to act on my behalf, in all matters relative to work authorized bythis building permit application for. 351 1-1 OC Ns N Cc- (Address of Job) Pool fences and alarms are the responsibility of the applicant. Pools are not to'be filled or utilized before fence is installed and all final inspections 'are performed and accepted. < n, Signature-of Owner Signature of Applicant gruC-4 KNOUR :. Print Name :;Print Name Date Q:FORMS:0FVNHRPBRMISSI0NP00LS Bruce M. Khouri 1121 Cortez Drive Glendale, CA 91207 October 10, 2014 Town of Barnstable Building Department Barnstable, MA , Reference: 351 Huckins Neck Road,Centerville,MA 01632, Parcel Map 233041 Subject: Building Permit Number-B 20120551 R To whom it may concern: ; Please let this letter serve as notice that I am substituting contractors on the above. referenced project.The current contractor is Shane Pacheco of SMP Realty Development. } - Please feel free to contact me should you have any questions. R I r Thank you, Bruce M. Khouri t bmk@cortez.net , 818.246.9025 T 213.305.5165 M { p • i � 4/4/2016 (42 unread) -ansoncelin -Yahoo Mail 0 Back to Message Plumbing:Gas letter 1.pdf 1 /1 ke y X BruceK : our Irv : Glee _ale, CA 91,207 march Q'wn of 84rnMble Building Department Bi3r4stable, { Reference-. ` ' r dr c tei #"6iOO 0 ,Parcel l PZ33041 b f e - Rtfildin Permit:N urn:ber—13 20120551 To Whom 11 May,Cbncerp., The wrrerrt geboral.c a or Is thane PWhetb of 5MP Realty'De elop e h Oar- letter dated Decern,ber,29, 2014. SM P has wbstituted the previous OU r6bing contractor with A nsD n Cellrt, plumbing. a . e edv6 d.. rid f e:4 �e r taci rye f.t.hany qucsdoft�-' Thank vott, n gin, Rt�°� �5 rya...-� -- r M.Kho i 11 C https://us-mg5.mail.yahoo.com/neo/launch?.rand=dlgllfjokok88#4825015590 1/1 t Foundation Certification in , Centerville MA . Prepared. For : Bruce M. Kh ou ri 7/5-l z Assessor's Map: 233 Lot: 04, Baxter Nye Engineering & Surveying Community Panel Number 250001 0005 C. Registered Professional F.I.R.M. Map. Zones: Zone B and Zone C. Engineers and Land Surveyors Plan Reference: Plan Book 53, Page 127 — Lot 16 78 North Street, 3rd Floor Deed: Bk 22427 Pg 96 Hyannis, MA 02601 Phone (508) 771-7502 Fax - (508). 771-7622 Owner: Bruce M.. Khouri Job Number. 2009-050 Scale~; 1" = 30' Date 06.-3-2012 D.E.P. FILE No. SE 3-4884 j o 1 Q � Q3N Iao -v/ Boa ►/da co 233/042 1 �_ >�a iso N/F ZI �J=a .233/058 JAN VOLK, TRUSTEE �> N/F LOT 15 PB 53 PG 127 l E ERDVILIS & AUSRA IRON PIPE / •25'12 JANULAITIS i FIND / 3 HELD 1 N 1 Ar5.11 LOT 69 - LC PL 202396 SHEET 5 w , �,, zo EXISTING d �. .o. GARAGE - .TOF 41 9 moo. - �ti fig' 1 0.3' 233/039 N/F s EXISTING .�. ►� N N BARBARA L. MORSE FOUNDATION M "� LOT 68 LC PL 202396 TOF=41.5 M p�CK SHEET 5 SE' 3-2319 'I' 54.51 RLB FND -H HELD. ?d O• � TOWN VEGETATED WETLAND/STATE BVW TOWN VEGETATED WETLAND/STATE •BVW , EDGE OF 3 ; POND I CERTIFY THAT TO THE BEST OF MY KNOWLEDGE THE EXISTING STRUCTURES SHOWN HEREON IS IN COMPLIANCE WITH .THE APPLICABLE BARNSTABLE ZONING DISTRICT SIDELINE AND SETBACK REQUIREMENTS, IS LOCATED IN RELATION TO THE MONUMENTS SHOWN AND IS NOT LOCATED WITHIN A SPECIAL FLOOD HAZARD AREA. R. THIS PLAN IS NOT TO BE RECORDED NOR IS IT TO BE USED TO ESTABLISH PROPERTY LINES. 29874 x� cis���° REGISTERED PROFESSIONAL LAND SUR OR - BAXTER NYE ENGINEERING & SURVEYING DATE \__. . 3f L C . � . CO U ! m - � C.D . . � B.&EISTASL TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO B..:. TYPE OF CONSTRUCTION 19£.^. TO THE INSPECTOR OF BUILDINGS: The-undersigned hereby applies for o permit occording to the following Information:- Location L-.d:£.E. Proposed Use Zoning District Fire District Nome of Owner tl-ff-A-D..Address Nome of Builder ..Address Nome of Architect ^Address Number of Rooms Ci.Foundation Exterior ...Roofing Floors y£..Q.P...^.Interior ti. Heating Plumbing Fireplace yB.J.Approximate Cost Difinitive Plan Approved by Planning Board 19.. Diagram of Lot and Building with Dimensions <«<V^fip "£e, Ji3,96 0 s f t /^OO FtE.7 Si I hereby agree to conform to all the Rules and Regulations of the Towp of Barnstable regarding the above construction. No Finch,Harold E. No ....^1^.....Permit for S^^©..Cpiiy.dwi9nii)g I BS'/'-fwLckeh-s ^/^^K Location Cente]^ill^^^ Owner Type of Construction .Cr^e Plot Lot V) \Permit Granted 196^ Dote of Inspection 19 Date Completed V- I PERMIT REFUSED "^ Approved 19 f