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HomeMy WebLinkAbout0015 INDIAN TRAIL T , Ili Town of Barnstable Building aA"a S,A Post:This Card So That it is Visible From the.Street-Approved Plans Must be Retained on Job and this Card Must be Kept, ` Posted Until Final Inspection Has Been Made: 1 . Permit 5 Where a Certificate of Occupancy is Required,such Building shall Not be Occupied until a Final lnspection has been made. Permit NO. B-19-235 Applicant Name: MARK MACALLISTER Approvals Date Issued: 03/22/2019 Current Use: Structure Permit Type: Building-Alteration INTERIOR Work Only- Expiration Date: 09/22/2019 Foundation: Residential _ Map/Lot: 210-022 Zoning District: SPLIT Sheathing: Location: 15 INDIAN TRAIL,CENTERVILLE 1 _ � � Contractor Name:`,MARK A MACALLISTER Framing: 1 Owner on Record: EGAN, ROBERT B& LOUISE A Contractor License: CS=079358 2 Address: 15 INDIAN TRAIL - --_ • - -• � 4 �� '""� Est Project Cost: $85,000.00 Chimney: CENTERVILLE, MA 02632 ' Permit Fee: $483.50 I ¢ ( Insulation: �I Description: RENOVATE OME ACCODING TO PLANS INCLUDED HEREIN: KITCHEN, Fee Paid l' $483.50 EXIST. BATHROOM CREATE A MASTER BEDROOM SUITE ON 1ST r Final: FLOOR. REMOVE WALL BETWEEN LIV. RM & KITCHEN & INSTALL Date 3/22/2019 BEAM PER ENGINEER SPECS. -SEE STAMPED LETTER ATTACHED Plumbing/Gas Project Review Req: Rough Plumbing: I _ Building Official - ` Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit,is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application`and the approved construction documents'for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with,the local zoning by-laws and codes. This permit shall be displayed in a location clearly visible from access street or,road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. ` - Electrical The Certificate of Occupancy will not be issued until all applicable signatures by'the Building and Fire Officials are:provided on`this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing . p Rough: 2.Sheathing Inspection 3.All fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed priorto Frame Inspection, 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site �.� Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT «r 'j �� iiC8Z10II ..� ...�.. .............`..f.................... I 2043 : Jthcr'Pee 161 �=12 ii�''i`1 xoWFeePaid. .. o _e BUILDING PERMIT .. .��.... _ a - . _ �...... .. ................ Part.... .. .... ..... APPLICA 10N �j Section 1 .-Owner's.Information and.Project Location, i 15.Indian Trail Project Address Village Centerville Owners Name Pamela McGirr&David Coogan Owners Legal Address:.. 40 Saint Botolph Street#21 City' Boston _.,.. . State _ MA ?ip' 02116 Owners Cell# 617-840-5953 J E-Mail backbay0@hotmail.com Section 2—'Use of Structure Use.Group. Residential F1 Commercial Structure over 35,000 cubic feet " El Commercidlitrvci index 35,006'cubic feet. ® Single I Two Family Dwelling Section 3'-"Type of Fermit " ❑ New Construction. [] Move./Relocate (] Accessory Structure ❑ Change of use El be (entire sttuctLa* h Basement d Familya=esty, [ Fire Alarm' Rebuild, Deck Apartment Sprinkler Sysfem, [l Addition ReWning wall, d Solar: _ .Renovation; _ F ooh _ Insulation " Other—Specify Section 4-Work Description Renovate home according to plans included herein ca U SD :: ApplicationNumber.................................................... Section 5-Detail Cost of Proposed Conshvction $85,000.00 Sgnare Footage of Project 832sf 1959 79726 Age of Structure Dig Safe Number � #Of Bedrooms Existing 4 Total#Of Bedrooms(proposed) 4 110 MpH Wind Zone Compliance Method 0 MA Checklist ❑ WFCM Checklist Design Section 6—Project Specifies d Wiring [] Oil Tank Storage ® Smoke Detectors . . Plumbing- 0 Oas ' - "❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ® Public ❑ Private Sewage Disposal- ❑ Municipal '© Un Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: NBWS - Sandwich,MA I am using a crane ❑ Yes ® No Section,7,—Flood Zone Flood Zone Designation Outside zones Within or adjacent to a wetland,coastal bank? Yes ❑ No Section 8—Zoning Information Zoning District RD-1/RC Proposed Use Res. Lot Area,Sq.Ft. .21 Acres Total Frontage 92' Percentage of Lot Coverage #of Dwelling Units(on site) 1 Setbacks Front Yard Required Proposed N/A Rear Yard " ` Required '`� Proposed N/A Side Yard,. Required Proposed N/A Has this property had relief from the Zoning Board in the past?."❑ Yes ® No Last undated:2/9/2019 a r Commonwealth of:Massachusetts Division of Professional Licensure lug Board of Building Regulations and Standards Consti 'l/ymbpPrvisor CS-079358 � ' Empires: 08/12/2020 l .MARK A MA iUL-1 STE 64 EBENEZERRD OSTERVILLE `2655 ;:1.A0 Y Commissioner -k;T���e c�m�zrrzcencuna�ff o JveaRsitcr� Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR, " Registration valid for individual use only `�,,,TYPE:Individual before the expiration date. It found return.to: Reaistration Expiration i Office of Consumer Affairs and Business Regulation. i337 ' 08/02/2019 F 10 Park Plaza-Suite 5i70 € f! Boston,MA 02116 i MARK MACALLItIFE i;; MARK A.MACALLISTER , s4 EBENEZER ROAD ` Not valid without signature OSTERVILLE,MA 02655 Undersecretary; ti' TJre Connnonivealth of Massachusetts Deparhnent of Indresoial Accidents FOffice of Investigations 600 Washington Street Boston,MA 02111 www massgovldra Workers' Compensation Insurance Affidavit Bu'dderslContractors/EIectricians/Plumbers Applicant Information Please Print Lezibly Name(Business<Osganizsbo�dnal}_ Macallister Building, Inc. Address_ 64 Ebenezer Road City/State/Zip: OsteryiUeMA 0 655 phone#: 508-428-6408 Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer with 1 4 ❑I am a general contractor and I 6- ❑New construction. employees(full and/or pact-time)." have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 7. ®Remodeling ship and have no employees These.sub-contractors have 8. ❑Demolition 1 and have woricers' wodting forme in any capacity_ � a$�1 9. ❑Building addition. [No workers'comp.insurance omp required-] 5. ❑ We are a corporation and its 10_❑Electrical repairs or additions. 3_❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself-[No workers'comp. right of exemption per MGL 12.❑Rnof repairs insurance require&]F c_ 152,§1(4} and we have no employees.[No workers' 13.❑Other comp-insurance required.] 'Any applicant that checks box#1 must also fill cute secdan below sbr w ng their hers'compensation policy infumatian. 1 Homeoweers wbo submit this of idatm indicating they are doing all waA and then bim outside contractors mmst mbmir anew affidarit indicating mcb_ $Contractors that check this box must attached an additional sheet showing the name of fhe sub-eamdrmstors and stare whather or not those entities baw employees. If the sub-contractars bare employees,they mast pravide their workers'comp.policy number. I ant an employer that is providing►vrkers'compensation insurance for my employees. Below is the policy acid job site informatiotb bsurance Company Name: Star Insurance Co. Policy#or Self-ins.Lic_#: WC0632030 FxpintionDate: 3/1/2019 job Site Address: 15 Indian Trail City/State/zip: Centerville, MA 02632 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 S 000-00 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 lie pains and p 'es ref pedhry that the information provided abmw is true and correct Date- 1/19/2019 Phone 508-428-6408 Official use only. Do not write in fibs area,to be contpleted by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.Cityfrown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone* MACINNES CONSULTING, LLC PO Box 1182, East Sandwich, MA 02537 (508) 274-2091 shown@macinnesconsulting.com January 21, 2019 Mark Macallister Macallister Building, Inc. 64 Ebenezer Road Osterville, MA 02655 RE: Engineered Beam 15 Indian Trail Centerville, MA 02632 Dear Mr. Macallister, This letter is in reference to the engineered beam design in order to accommodate the proposed 12'- 3 7/8" and 6-8 W openings in the first floor kitchen/living area at,15 Indian Trail, Centerville, Massachusetts. As shown.on*sheets 4 and 5 of'the plans titled "Proposed Floor Plans, Pamela McGirr,& David Coogan, 15 Indian Trail, Centerville, MA" by Macallister.Building Inc. dated January 15, 2019. The beam size and the construction specifications are as follows: 1. Beam to accommodate opening of existing interior wall. The proposed.beam spanning the second'floor living room/kitchen area, as shown on sheets 4 and 5, shall be a continuous (2) 1 % x 9 '/2" 2.0E Microllam (or equal) LVL beam, on a 5 % x 5 %4 1.8E Parallam (or equal) column in the center, and on 3 '/2 x 3 '/2 1.8E Parallam (or equal) columns on the ends. Beam shall be connected to columns using four W x 4" steel lag bolts with washers. Columns shall extend down and sit on the exterior 8" poured concrete foundation . wall on ends, and on a 36"x36"x12" concrete pad, with #4 bars continuous at 6" both ways, on a 6" compacted gravel base in the center. ' Please contact Maclnnes Consulting if you have any questions or require additional information. Sincerely SHAWN GN - o MacINNESl CIVIL o No.41328 �FGISTEp�0 4 SS/CN,4L ECG Shawn Maclnnes, P.E. License #41328 ''® DATE(MMIDD/YYYY) A�o CERTIFICATE OF LIABILITY INSURANCE 01/22/2019 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT. If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER - CONTACT Kathy Silvia NAME: The Fair Insurance Agency Inc. PH CONENo (508)775-3131 FAX Ext: AIC No (508)790-1677 AI 619 Main Street E-MAIL kathy@thefairagency.com ADDRESS: Suite 1 INSURER(S)AFFORDING COVERAGE NAIC# Centerville MA 02632 INSURERA: Evanston Insurance co INSURED INSURERB: Safety Indemnity Ins.Co. 33618 Macallister Building Inc INSURER c: Star Insurance Company 18023 64 Ebenezer Road INSURER D: INSURER E: - Osterville MA 02655 INSURER F COVERAGES CERTIFICATE NUMBER: 18-19 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMEDABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. ILTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DDIYYYY MM DD EXP LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 500,000 DAMAGE TO RENTED CLAIMS-MADE �OCCUR PREMISES Ea occurrence $ 50,000 MED EXP(Any one person) $ 10,000 A 3ET763 08/11/2018 08/11/2019 PERSONAL&ADV INJURY $ 500,000 GEN'L AGGREGATE LIMITAPPLIES PER: GENERALAGGREGATE $ 1,000,000 POLICY ❑JE07 LOC PRODUCTS-COMP/OPAGG $ 1,000,000 C OTHER: Employee Benefits $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANYAUTO BODILY INJURY(Per person) $ 250,000 B OWNED X SCHEDULED 6248835 10/12/2018 10/12/2019 BODILY INJURY(Per accident) $ 500,000 AUTOS ONLY AUTOS HIRED NON-OWNED PROPERTY DAMAGE $ 250,000 AUTOS ONLY AUTOS ONLY Per accident Underinsured motorist BI $ 250,000 UMBRELLA LIAB Vr OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY STATUTE ER YIN N 100,000 ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ El NIA C OFFICER/MEMBER EXCLUDED? NIA WC0632030 03/01/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 00,000 If yes,describe under 500,000 DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached 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. South Street AUTHORIZED REPRESENTATIVE /�%y�Hyannis MA 02601 l� uI I 1 9 � ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 26(2016103) The ACORD name and logo are registered marks of ACORD APPlication Number. ' f .............'.`..................... .. } Section 9—Constiraction Supervisor Name Mark Macallister Telephone Number 508-889-2441 Address 64 Ebenezer Road Citv Osterville State MA 02655 License Number CS-079358 License'Type Unrestricted Expiration Date .8/12/2020 - Contractors Email- mark.macallister@gmail.com : - Cell# --508-889-2441 - I understand my respansibilities under the rules and regulations'for Licensed Construction Supervisor in accordance with 780. CMR-the Massachusetts State Building Cade. I un the construction impedion procedures,specific:inspections and documentation required by780. and the-Town le.Attack a copy ofyour license.- I Signafur6 =` Date g - Section.10—Home Improvement Contractor Name Mark Macallister Telephony Number same. . Address Same City' State 2�p RegisttafionNumber 133744 Expiration Date 8/02/2019 I understand my respansibub3'ies under the mles and regulations for Home Improvement'Conrractors in a=rdance with 780 i CMR tll®Massachusetts State Building Code. I d the construction inspection psocednres,specific inspections:and t; documen�#ion required by 780 and the.T.o Barnstable.Attach a copy of your H.I.C... J Signature Date Section 11-Rome Owners License Exemption Home Owners Name: Telephone Number II o umber r I understand my responsibflities under the rul regulations for I.ic onstraction Supervisor in accordance with 780 OAR the Massachusetts State ..I understand the construction' c educes,specific inspections and documentation CUR and the Town of Barnstable. i i S Date_ `t APPLICANT SIGNATURE '; Date 1/19/2019 S:, tName Z�� 111C?CgfJ;,SI-el- Telephone Number 508-889-2441 11 permit to' mark.macallister@gmail.com W. Section 12—Department Sign-Offs Health Department ❑ Zoning Board(if required) Historic District ❑ Site Plan Review Cif ram' fl Fire Department Conservation El For commercial work please take your plans directly to the fire deparhtwnt for approval Section 13—Owner's Authorization as Owner of the.subject property hereby authorize n N� MCA k, sI_t✓'(�. to act on my behaLt in all matters relative to work authorized by this building permit application for: QAJ (Address of job) 11 afar of er date r ' Print Name Lost umdsht&2/V2019 tf TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION 0 o6 i3 ap �I0 Parcel OLZ Application #� , Health Division Date Issued Conservation Division Application Fee jd Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis o 411Z�jL Project Street Address �/cf— ��u�✓ ,� /'i2,��G Village Ile Owner /2� �i2f' �9�/ Address Telephone E72 f•z Permit Request 22 ;f j Square feet: 1 st floor: existing 1 proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation / P Construction Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family 0' Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes P-vo On Old King's Highway: ❑Yes 4No 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 o Total Room Count (not including baths): existing new First Floor Room Count : - Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other 4 :,Central Air: ❑Yes ❑ No Fireplaces:.Existing New Existing wood/coal stove: O:YesLO 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 0 No If yes, site plan review # Current Use Proposed Use APPLICANT INFORMATION / (BUILDER OR HOMEOWNER) Name �' /?Z �'D Telephone Number �S Address ZZ License #�/�Dl'�P 9�D1/ Home Improvement Contractor# /u12.� / Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE o tom. FOR OFFICIAL USE ONLY a� � ;1 APPLICATION# DATE ISSUED MAP/PARCEL NO. E ADDRESS VILLAGE OWNER i DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE I � ELECTRICAL: ROUGH FINAL 1 PLUMBING: ROUGH FINAL GAS: ROUGH FINAL J FINAL BUILDING { DATE CLOSED OUT ASSOCIATION PLAN NO. r l f - I OWNER AUTHORIZATION FORM (Owner's Name) ' owner of the property located at (Property Address) +zrv;o e - ./M A , 6 o%6 3 (Property Address) 4 hereby authorize '� 42 GO� o • /'d n• (Sub ntractor) ' an authorized'subcontractor for RISE Engineering,to act on my behalf to obtain a building permit and to perform work on my property. Owner's Signature E Date a 3AN 1 7 2012 ate.' h 10 Park Plaza - Suite 5170 Boston Massachusetts 02116 Home Improvement Contractor Registration Registration: 153567 Type: Private Corporation Expiration: 12/15/2012 Tr# 206433 CAPE COD INSULATION, INC _ HENRY CASSIDY 455 YARMOUTH RD. HYANNIS, MA 02601 _. .Update Address and return card. Mark reason for change. CI Address L_� Renewal ( I Employmentl ) Lost Card DPS-CM ii :i0610.1/04-G101216 License or registration valid for in fivide! use cn"!y O(lice.~ of sumcr r\fl'airs 13us ne�s ticgul•(tiou g HOME Df't5�%�` If�`fJ` q �'h-aeCla before the expiration date. if found return to: Registration: 153567 Type: Office of Consumer Affairs and Business Regulation Park.Plaza-Suite 5170 Expiration: 12/15/2012 Private Corporation 10 Pk , Boston,MA 02116 OD INSULATION; INC HENRY CASSIDY 455 YARMOUTH RD, HYANNIS,MA 0260.1 Undersecretary t alid ith t si tune '- Vi.in;iih(Isl'ttS-�cparnuent ()t PUI)I(c Si(fCtl Bo:u it of I3tiil(lint) Rcoulations and Scuntlut ds" Construction Supervisor License License: CS 100988 ;: .;. HENRY CASSIDY 8 SHED ROW WEST 1(ARMOUTH, MA 02673 Expiration: 11/11/2013 Tr#: 7620 �. LV I L i i rlvl No, 1605 F. 1 Client#:4597 CCINSLIL y AC0RD,,, CERTIFICATE OF UABILITY INSURANCE DATE(MMIDDNYYY) 0 710 2/2 0 1 2 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 CONSTI'I LITE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:IL tiro certificate holder ie an At)DITIONAL INSURED.the policy(ies)must be endorsed.If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,cartiln POlicles may ruciulre an endorsement.A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsemenl(s). PRODUCER Rogers&GrayIt-is.-So.Dennis NAME: Mar aret Youn PHONE 508-76O 4602 434 Route 134 Arc"°ExI: Arc No: B77-B16-2156 E-MAIL --- South DDnnis, MA 02660-1601 _ SOB 398-7980 _MOURfiR(a)AFFORDING COVERAGE - NAIC 8 INSURER A:Peerless Insurance 10333 INSUREU^~ INSURER B:Evanston Insurance Company `s Crape Cod Insulation Inc � 455 Yarmouth Road INSURERC:Atlantic Charter Insurance Hyannis,MA 02601 INSURERD.Commerce Insurance Company _34764T INSURER E: INSI)REft F: - COVERAGES CERTIFICATE NUMBER: _T REVISION NUMBER: THIS 13 TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED 8CI.O4V NAVE 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 13Y THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS. EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOwN MAY HAVE 13EEN REDUCED BY PAID CLAIMS. YEY TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY El( - POLICYNUn+oER MMIDDA-NY MMIDDNYYY LIM1Ts A GEN2RALuaelurY COP8263063 0410112012 04/01/201 EACH OCCURRENCE $1 000000 X COMMERCIAL GENERAL LIABILITY - _ FET ELATED nce g 1 �O QO OOO S S a occurre CLAIMS-MADE OCCUR MEO EXP(Any one pareon) S 5 OOO PF;RaONA6&ADVINJURY $1000000 L GENERALA04ReOATE $2,000,000 GEN'L AGGREGATE LIMIT APPLIEBPF;R: PRODUCTS-COMPIOPAGG $2000000 POLICY Pao- LOC 8 p AUTOMOBILE LlaaluTY 12MMBCKVMK 4/0112012 04/01/201' CEOMaBuLINHCDSINGLELIMIT 1 000000 ANYNY AUTO BODILY INJURY(Per Peron) $ ALL OWNED SCHEDULED _ AUTOS X AUTOS - BODILY INJURY(Par accident) S X HIRED AUTOS X AUTOSWNED PROPERTY 6p p $ , $ B X uMeRkLLAUAe occuR X0 NJ453512 4)01/2012 04/01/201 EACH OCCURRENCE $1 00O 000 EXC1=$6 LIAB CLAIMS-MADE AGGREGATE $1 DOD 000 DED X I"".rON 10000 - C AND EMft5 COMPENSATION(LIT WCAQ05299U2 WC STATU• 0f,71 $ ANDEMPLOYEROPR7tiF3�'FLIgARBILITY 6/30/2012 06/30/201 X OFFICER/M IEMBOER EXG�d6 �CUTIYB� N i A E.L.EACH ACCIDENT 11,000,000 (Mandatory ire NH) E.L.DISEASE_F-A E PLOYEE uyee,deacsonunder M $1000OOU ' DESCRIPTION OF OPERATIONS hnluwI I E.L.DISEASE.POLICY LIMIT $1 00O 000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(Al(anh ACORU It I,Addlllonal Rama,kr tiSheaws,It m9re epsGo 1a reGNDfea) "Workers Comp Information " Included Officers or Proprietors Certificate Holder is Included as an additional insured under General Liat)ility when required bey written contract or agreement. ' CERTIFICATE HOLDER CANCELLATION Cape Cod lnsulation,lnc SHOULD ANY OF THE ABOVE DESCRIBED POLICIES OF CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPR2SFNTATIVF ®19B -2010 ACORO CORPORATION,All rights reaerved. ACORD 25(2010105) 1,of 1 The ACORD name and logo arG roglslared(narks of ACORD #S83849/M83848 MAY , The Commoil I,:,.,,llth of Massachusetts � - De partmem ,q hJustrial Accidents _ W office , 1`Investigations ^,i. F• 4 600 61 ,i.;ilington StreetBw - ( �w r °>- wrr ll ;: :i)' .gov/dicl kvorket-'s r,orltl)cusation insurance Atlia .: ;l: Builders/Conti'act'ors/ lcctriciarys/.Plun.lbcrs 1pplic'attt luf(trruatioit Plo se Prittt Legibly alll 1,L)tlstur s/Ur arti.z,ati011/l.rldividual): r Phone#: �.a�� _ -71H -^ 1,�./_" Al }uu an etupluycr'l Check, tlic rlpNrullriaf(:box: - ------------- -_.__ Type of pl•oject (reyLIiUVl1 : i lam ca r.uipliiyc>r wi.dl- cl• El 1 am a :'l :U[1C4'aCCor and l have 6. Now construction cutpluyr.cs (full un(i/or Dart-tifile.). hired III( ,ICI, ,:onlractors listed oil 7. ❑ Remo(.1elim,, the atta li<-d .1weLl El I ani at�c)I­ pruprietar or partni:rsllip These;,ih...,,ntra(aurs have 8. Derrialifion and have: nu Culployeds work-in" for emplo�'C(,.:1u,l have workers' comp. 9. Iiuil(ainf ilt.itlitiuu me in any capacity. [No workers' insurutr,.l 10, Electrical repairs or additivas CUltll) itlS(ILURCe ICCILI1rCd,J 5. We arc:I,,oipotmion and its olticet� ii:i .�ercised their right of 11. 1'lunlbulg rGl>arrs ur addilious L] l.nn a hol"cowuer doing all work exempt-on 1 r NIGL c. 152§ (4),and 12. Root repairs nry,rll I No woi kcl:s' comp. we havr ii,mployees. [No workers' 1 �1 13. 0(Llcr nisurauCc rr.clmled..I Comp. ui twiir,r.fequired.l L_.."......-.._..-- -- �. �uv apphiaul that Chucks box It I roust also till out the section below shmk ji,..the it workers'earnpansation policy information, i6 nic.•.vucis'Alm suliutit this affidavit indicating they arc doing all woi1,. .1 iL,a hire ouisidc eoim4citm must submit a new affidavit indicating such. nnta t-ii that check thls box must attach an additional sheet showing ilk, n:­i,of the sub-contractors and state whether or not those entities have eiupluyr.e.; 11 ..,nuiartors have crnployccs, nicy trust provide their workc[S'eouy, 1 do number. �1 urn it employer that is providing workers'e u mpensatio it Iiis,rrunce for my employees.Below is theyoliey unel fob site nt/0Imittiuit. 1l1it11 lt11 c c'('(lltlpally Nalz'te: A •�ry,L�� l',,i Icy 4, I .�cl I'-ills. LIC, it: 02 A Q 0 ��i' ' Expiration Date: " A o lubSILC Acldlc."S: . __. City/State/Zip: Aliarh a cupy of the worl(ersl coil Ipensation policy declaration page i..ii­wing the policy number and expiration date). 1 ailuir to,cuirC Cuval a0C as reduircd under Section 25A of MGL c. 1 i r.w Icad to the inlpositioil of climinal penalties of a fine up to$1,500.00¢w(Vut uu:-yca(nnposunmV.nt,as well as civil penalties in the form of a STOP'\�i)io:ORDER and a fine of up to$250,00 a(lay against the violatur. I:ir advised upy of this statement nla e forwarded to the Office of Investi;;.,ti,o-,„f the DIA for insurance covCruge verification. l do here c Y if under the .r zirts aritl penalties ul'p'rrr:v that the information provided above is true urtil i art'ect. Date- --- -- .!Z�L z g= �i, C!J iciul use unly. L)u riot write in this area, to be completed Gr r:tY or toirn official (:ily of.Tuwu: 11trinil/License# --- Issuing:Authority (circle one): 1.Iluard of Health 2. Building DepartrneW 3.Cite;l'i I II Clerk 4.Electrical lusheetor S.I'lumbiub luspector o.(hher ('unrari 1'r.rsurl: T ---....__ Phone#: _ F 10/17/12 CAPE CCU® INSULATION I � .. PIBtR OLA95 SlAMlC55 SPRAT fOACI SUSPENDED -- --. - BATTS GUTTERS INSULATION CEILINGS PTV - 1-800-696-6611 Town of Barnstable Regulatory Services Building Division 200 Main St Hyannis, MA 02601 Date: r°����-- Dear Building Inspector Please accept this Affidavit as documentation that Cape Cod Insulation, Inc. performed & completed the insulation and weatherization work at the property listed below. Cape Cod Insulation did this in accordance to the specifications listed on the building permit application. All work has been inspected by a certified Building Performance Institute (BPI) inspector. All work preformed meets or exceeds Federal & State Requirements. Property Owner Property Address Village C'E n Insulation Installed: Fiberglass Cellulose R-Value Restricted Unrestricted Ceilings ( ) ( X ) ( Y Z) ( ) (X ) Slopes O ( ) ( l o ) ( ) (X) Floors s,'c cs Walls ( ) ( ) ( ) ( ) ( ) Sincerely He y E C sidy , President Cape Cod nsulation, Inc. Assessors map and lot number ..crS.I.............. .1.7 ...... SER7-1c SYSTEM � rALLED I Musr eE Wr H N iOMPLIANc Sewage Permit number ....p( ` . .:............................ SAR�17 Aa^�TICLE r STAT E ARY COD E REGULATI S.CODE TOWM yoFTNeTo�y T0•WN OF BARNSTABL -y i 8AWST"LL PUL 9 •X a M t BUILDING INSPECTOR �EPY a' 4 APPLICATIONFOR PERMIT TO ............................................................................................................................. TYPEOF CONSTRUCTION ..................................................................................................................................... r ................................................19........ TO THE INSPECTOR OF, BUILDINGS:. The undersigned hereby applies for a permit according to the following information: Location ....I..l........ ........ .... ............................................ L....................................................... ProposedUse .... .KPI1 NA/A!f/....° "TZ!`��. ....................................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner .1.�!ZZ,Y...... .......SA.......:y.............Address .................................J /.... �...... C Name of Builder .. L......11�!rl................................AddressG�i�../!7AyN..1..T....... -...4te'!')a.+ .. Nameof Architect ...............-r-'....................... .............Address .....:-.......................................................................... Numberof Rooms-t.....X ..... .............Foundation .........t" ........... .................................................. Exterior ....... ...... ...................................Roofing ........ . . . ...................................................... Floors �.w14 Interior ....... . .......................... Heating ! !�.. !"......................................Plumbing ......1:..... .................................................................... Fireplace ..........................................Approximate Cost.................... ........................... ........ .. .................... . .. Definitive Plan Approved by Planning Board ________________________________19________. Area ... ..... ..........Od�' Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH l� I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regardin the above construction. Name ?. .. ............. ..,............. Smedley, Barry 16640 add 2nd fl No ................. Permit for ............................. ..... to dwelling ............................................................... .............. Location C5 .Indian Trai ad Centerville ............................................................................... Barry Smedley Owner .................................................................. ^ Type of:'Construction .....................frame..........:.......... •. Plot . i ................. .. Lot ................................ Permit Granted Octob®r..9...........19 73 Date of Inspection ................ ........ .........19 . .., ! ...�L.Date Completed .... ... ...19 t PERMIT REFUSED ................................................................ 19 r � - ............................................................... ............ 1 ................................................................................ / ............................................................................... i 9 •. Approved ................................................. 19 ............................................................................... ► t Barnstable Bldg. Dept. Approved by: Permit#;i._ I 'i_ Z 12' • SMOKE DETECT? S REVIEWED BARDS A LE BUILDING DEPT. DAf E o z �► FIRF DEPARTMENT DATE BOTH SIGAIATURES ARE REQUIRED FOR PERMITIM Lai1 11' 10��8" N 4' ol Kitchen Bedroom 10'-31 5 2._i s „ Lin GI. 11'6516„ �2 -12'-2 " 13' 115�8" s-, closet closet Garage 2668 Door (y I 12' Living Room 13 33�4 Bedroom 1 b' 11'-103�4" p 32 I Existing First Floor Plan Pamela McGirr & David Coogan Date:2/21/2019 15 Indian Trail Centerville, MA 02632 � Drawn by: Mark Macallister Existing First Floor Plan Scale: 1/4"= 1'-0" Macallister Building, Inc. r 5heet No. � _ 64 Ebenezer Road Osterville, Ma 02655 - I Roof Roof Knee Wall 45 1/2"H Typ. Knee Wall Roof Roof Roof Bedroom O edroom lY 15'-8" ti Closet 3'-8Y2" Closet Knee V4all Knee Wall 32 Existing Second Floor Plan Pamela McGirr & David Googan Date: 1/21/2019 15 Indian Trail Centerville, MA 02632 Drawn by: Mark Macallister Second Floor Plan Scale: 1/4"= 1'-0" Macallister Building, Inc. Sheet No. 64 Ebenezer Road Osterville, MA 02655 AP 2 Ridge 2x8 ceiling joists Roof Bedroom Bedroom 2x10 second floor joists roughly measured in field Second floor T-21 „ 58"G.O. 8 Bedroom 2x4 wall construction 13'-11%1-Partition length First Floor 2x8 Floor joists (3�2xb Girder Screw jack lallys 2' Existing Finishes Notes Existing Conditions cross section 1. Painted sheetrock on walls and ceilings Typ. 2. 2 1/4"Oak flooring 3. 2 1/2"Colonial casing on doors&windows 4. Tile on kitchen and bathroom floors Pamela McGirr & David Coogan Date: 1/21/2019 5. Interior doors are solid Pine 15 Indian Trail Centerville, MAC 02632 Drawn by: Mark Macallister Cross section Scale: 1/4"= 1'-0" Macallister Building, Inc. Sheet No. 64 Ebenezer Road Osterville, MA 02655 Raise slider to new floor hgt. 28"off 1 ' IIIF-'\3f 166 2-,a Lin. F.H.Sink Raise mudroom floor to Kitchen Sa[aBe 3 a'ah Rais door to new 11'3" match Kit.hgt. 24'B°°° 24 eBBO Range Tw.3is v c floor hgt. Lll� Z Shelves � jN/l Glos. L--�-- 36"x12"Island Q Ilgn with all ❑ e /�(2)9 z"LVL beam above Garage Raise door to 2665 ry new floor hgt. .s x 3.5 FSL post /8 5 144-"x 5;"P51- /4 in all ea.end typ. post wrapped in - trim 1 2' 24"x 24" Table 16' Living Room Master Andersen A3251 Awning Bedroom King Bed p 5'6" 24"u 24" Table 32' Proposed First floor Plan Pamela McGirr & David Coogan Date:2/21/2019 15 Indian Trail Centerville, MAC 02632 Drawn by: Mark Macallister Proposed First Floor Plan Scale: 1/4"= 1'-0" Macallister Building, Inc. Sheet No. 64 Ebenezer Road 4 Osterville, MA 02655 AP Ridge Roof 2x8 ceiling joists Bedroom Bathroom Bedroom 2x10 second floorjoists roughly measured in field Second floor New (2)91/2"LVL continuous r+ew(2)2x5 h-d—im 112•sp—Typ. T-2yii .5 x 3.5 FSL post 2468 Pkt 8 in wall ea.end tip. 2eee voor Door and at mid point 2x4 wall construction Typ. First Floor 2xb Floor joists Add solid blocking dawn Exist.(3)2xb Girder to girder posts Solid Block dw Add(2)2.a to-W to girder b"Foundation Exist.5crew Jack lallys Add 36"x3b"x12"Footin L——— J 5awcut exist.conc.floor Add 3"concrete Red steel as needed. See engineering Notes 2' column under new post location Proposed cross section @ New Beam Pamela McGirr & David Coogan Date: 1/21/201q 15 Indian Trail Centerville, MA 02632 Drawn by: Mark Macallister Gross section Scale: 1/4"= 1'-0" Macallister Building, Inc. Sheet No. 64 Ebenezer Road 5 Osterville, MA 02655 12' Q Pull up oak flooring r-s O 4' ° Kitchen f Bedroom �=`n 5 7u,U. Garage - closet r Closet 2668 Door III N 12' L 16' Living Room Bedroom Demolition Notes up Hatched wall indicate walls to be removed 1. Pull up kitchen tile and underlayment 2. Remove all fixtures,flooring and drywall from bathroom 3. Remove cabinets from kitchen 4. Remove all doors and door frames indicated with dashed lines 5. Pull up hardwood flooring remains at removed bedroom closets 32 all the way to the rear of the home 6. Remove drywall from walls in existing bedrooms. Drywall in front bedroom basement stair wall to remain in place 7. Lable all existing wiring prior to cutting/capping or re-locating 8. Ensure proper temporary shoring is in place prior to removing existing walls Demolition Plan Pamela McGirr & David Googan Date: 2/21/201'1 15 Indian Trail Centerville, MA 02632 Drawn by: Mark Macallister First Floor Demolition Plan Scale: 1/4"= 1'-0D Macallister Building, Inc. AP Sheet No.64 Ebenezer Road V Osterville, MA 02655 l A J, • SOIL LOG , vAn.,6q{�,"•..__../..._ >L•PEASTONE 4. LOAM^6 Flli•"nr, �00'.D4 4h4 OICIDIST. A��C.I. BOX I;.o• o . ° o 1000 1• , 24"' ;-eie- 10'MIN. GAL p•.•'e PRECAST OR o >. sr SEPTIC I': BLOCK : ° ;I MIN TANK 6' I •' SEEPAGE ° • PIT • ° ° I S 20, MIN. - . - �` - FOUNDATLON I 1 %2�� WASHED STONE -,- ELEVATIONI • >> k SKETCH ' 10' —I PERC. RATE-* SCALE I"= 4' TEST" BY TOWN INSPECTOR: J��s.,I- A'^"'tare < BACK HOE. OPERATOR' Z&,Ate+ TEST MADE ON ! rt.Y ♦o�iS,2! - • �,•_,,,_ --• `ter �„�3�s-,err a�c'�T _ —�'T• c,,a l ��Lr AGa . JlJ 0 ,. ,V 98 y jet rJ. y .z" We-, E8 7�v,�-r rN,E' _ g'♦c � `�-- ....: �" "�+ � _ �.�„,,, ,r..•. ��.,.';J �iS/�:";�t�7� �"r.�l/•s� ,q^>"'�rQ�S/. .ar'Ngs.sr.Y . • /�♦ `"�._ r �� � w � '`fit mil' 1 •i.'Sl�9/� /7�{/ �/ Q�S byr!e'A�.%�? ?'Q: Tf+i,� zo vlev 4f 7W,6 -710 v cam' .8 ,I?41X7"�d4C 6�Nc-mil .� 0 ,� j�+ 'r ��y=+r ^^ . ,,, ," 1 t 5 OF 'ht.�s,Cej,�. 4.oAJt.• � w Cy � • �iA.t-Z�/off'7�, _�` Q2 � :ya i}. � �' ,, _ : •+ .. ;` _ � •�.A si:cv y •`• • logy ...• 'rQl� j•:! j �."� r� -.` ri. -P ...tr r ri„ fi' »�i S * _ �y�'ye'„ ,i�,;``+ R ' I •. - �.� �..r:� ,�••-.•� ♦. • ; • - •i �� •• y- n . •••♦2.i,� n�.;.:,.. • .+M+.. ..•_•.+v++`•Yrt^rr+,T_�.`•^•*':"^"`e'M/J".,.��tw..�-•e"- -s•.r.'<"r".1M'W"^ wnr+_Ar+,A.w....+.w[r+wrs�rti�a�.^'.!`!+", •.-..•..nimc•wW ...��- • � w� 'Y ,. . �... rA.a� +..�n. _P4."�4:r•i•+..-�. - ..a.*[e'1^TI""'. • 4 • •-� 3 $�t3.,�caa!»S �'.yo �q�$�4F'.' ;�Q�'!�.>"'��' � �•4c, C,:t��Li�fg,�j�*`�_ 33rr3 .�rt�: I?. •• '• ,. -_' _ �. ►, ,s, is ,P` , To?'� G G +►i 5. F - _ _ � 'C3 .` �_ + t, T ,a, _ i x �+ 9 Tr_..- P�SN OF.41 .+... .. ..- t78.._ «.. .,. .IfCl,1�`� f tf "'�""GW - _. . REIrWa(; ycp G p 1 CHAPMANy t t •p No.27654 0) T�ft� �s`� FSS�OlVAL'� , ELEVATION SCHEDULE PROPOSED SITE PLAN, I. INV. AT FOUNDATION = a _. �a SEWAGE SYSTEM. DESIGN 30 2. INV. INTO SEPTIC TANK IN + 3. 1 NV. OUT OF SEPTIC TANK-. -;8� rt 4. INV. INTO DISTRIBUTION BOX SCALE' I"'=ZO.' e'i1Ll�1 19/"7 5. INV. OUT OF DISTRIBUTION BOX = 8i'•4`0 C 6. INV. INTO SEEPAGE PIT = $1•20 CAPE COD SURVEY CONSULTANTS ROUTE 132 7. BOTTOM OF PIT = 6 �' o - HYANNIS ,MASS.'