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0454 MAIN STREET (CENT.)
NY' M�`�j OF I All Vi� �JO Irw -_4 41, W. � ,, i'M, SUM RM W, �l b O"j"i"W -f iq E" lion q Wg 3 �9,A;ly ma qK ji W,T I IN NO'I M I R A", Mgt Z9 �j Y11-4 r I-Wm'ga Ru ""b gj, I A� a og, p"'i �l sl ��Jvg R, ,A�f Ul 41 tJ tA V_Rl M ."g g w ,i% I'v-4 W K �mums- n14 ms XE ;� A6 ;vxf iijg g ot Mai NX VGYR W� 0122 'all ,fj P;M'l, tilt, k�i M11i -f. rill t"w Town of Barnstable *Permit tr 6 mon m s Regulatory Services 'Fee' • 1ARNsiABIIr + 1- '�c -�F j 'Cr1w-w "A y� MASS: K� '� ' a S r,.Richard V.Scali,Director F e l`fd✓J JAN 202017 Building Division Paul Roma,Building Commissioner 1�t1DIF �t;r 200 Main Street,Hyannis,MA 02601 v`tlLJL ww.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXP S PERMIT APPLICATION RESIDENTIAL ONLY AM Valid without Red X-Press Imprint Map/parcel Number Property Address /�s/�/ij �l• G=�T�4�//�`�G� G . ff l esidential Value of Work$ ? � Minimum fee of$35.00 for work under$6000.00 Owner's Name&Address 4ON IeNl Or Contractor's Name/1'/G/1/fICL,QPa4 E 4a(3C�1�D//{(�' GQ? Telephone Number` Sag Home Improvement Contractor License#(if applicable)MQ FJ6p Email: /YJS�'Ui['!1�l'liq$LG j��J/GOi ,z_1 o0-7 Construction Supervisor's License#(if applicable) 051 , M'W"orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name ��C2LLS� �NSvei���c Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. . Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be to ❑Re-roof(hurricane nailed)(not stripping. Going over existing layers of roof) ❑ Re-side BAeplacement Windows/doors/sliders.U-Value a All -10 (maximum .32)#of windows W #of doors: ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is re ui SIGNATURE: Q:\WPFILES\FORMS\ uilding permit forms\EXPRESS.doC 06/20/16 . t o�+; 1"�ie C�a��rrar�x�Ft: �u�?�assaehirse;� _. De,arftnent of fi mtrial Accidents 600 MmIringfQzz Streei Aasfaaa,MA 02111 '' wFt:'tti�.rntzss:gafs�ilir� Workers? Campen�-zatian Iusurauce ffidaviL-Builders/Con"ctors/ElectdcianslPlumbers APWirant Information. Please Priat Dilly Dame "bU City/Stat&Zip: jPha> G 9 Are you an employer?Check fe.appropriate bow T , of. o-ect .r a- 4. I urns . crmfracfor aud'I � FT � ���'�- 1.[X I am a employer with I I 0 6_ ❑New won employees{full andlarpart-time}* have biredthe su i coniracta_5. listed on the attached sheet #- ❑Remodeling 7_El I am a sole proprietor orpar-Ener- m€nb t-conractors h.�re sb3p and have no employees Ti S_ ❑Deraolitioai employees and.have workei s' �_ ❑Building n working fos me in any capacrt�r_ $ addition- [No[No workers' comp_isi�ranre comp-rnsurarlc,-- 5_❑ We are a corporation and its 10_.❑Electrical repairs cr a6--:ioas required] 3_❑ I am a homeowner doing all wo&- officers have exercised their I I- Plumbing repairs cr ad�t myself [No workrss'conxp_ right.of eizemption per MGL IZ.❑1ZSofrepairs fimu anre required l c_152,§I(4},and we acre as employees_[No woAzesss l3_®Qther comp_insurance rtquired.l *flay wpUrxnf that checks boa rI most also fU o=tth---section below showing lh&two&ers'comensr ion policy-isffim-6a_- T SnmeQwnem rrhn submit this aftidsvif inn m-taey are doing sn Ira&and tiiea l&e outade coz1�c:Urs psi snb�it a�:a�d�i c„ roman�snr Cbntmcmrs thst check this box must stlached au additi=- sheet shaceiiag fire n o>the sn§s a icrs 5 cchet ec ornnt toss irides b e EWIuyees- Ifthe n*-contmctanhxe empIoybes,di}ynncst pm-,-ide tilt workers'comp polio numb IamartempIayerihatisprmizbk ltorle4-s'con.TensathnirtrttraRcefor:rye,rrplL,-ecu 3e�otristhepo&c}ruedjeDsle ittfotmaiiart Insurance CompanyName_ Policy#,orSelf ins Lio �(�� V / q I ExpiraEion Date: ,3'2P("zn -I Job Site Address: '1 _ a,on as J1�1 iib"Sta�Zip: l _ ��p3Z Attach a copy of the workers'compensation policy declaration page(showing dLe polio'irtmher• and expa-ation elate). Failure to secure coverage as required uadea Section 25 q of MGL c 152 can lead to the imposition of criminal pea--Dies i.es of a fine up to$I.500_if0 andlor one-year imprisonaxnt,as well as civil penalties M- fbe fozffi of a STOP WORK ORDER and a`17l P of up to S250-00 a day against the:violator_ Be advised that a cDpy, of this statement maybe forwarded to the Office of lrcvestigations of the DIA fbr n,exance,coverage verbcation_ I dd her-ekV catlijy n s M r enald-as af- pedury that the in brmrrtrnnpravidgdabtme cs. -"and carrer_-t Sianatare- 73ate: Phone i#: QjZcial ase anly. Da not ivrijbr in this area,to bs campLeted by cio or torn offieznL City or Town: Ptn rnituccuse fW Issuing Author4(circle one): 1.Board of Health Building Department I City f"a-v Fr Qerk 4.Electrical Inspector S.Plumbing aisp-,ctor 6.0the:r Contact Person: Phone 9_ 6 . Information and Instructions Massachusetts Creneral Laws chapter 152 requires all employers to provide workers'compensation for their employees. , Pursuautto this sfiatut�,1in ernployee is defined as"_-.every person in the service of another under any contract of hire, express or implied, ora�Ior written" YotherAn errp yer is defined as an individual,ra fnershir,association,corporation legal c;i ty,or any ny iwD or more of the foregoing engageAn a joint enterprise,and including the legal representtives of a deceased employer,or the receiver or trustee of an irdividua7,partnership,association or other legal en //,employing employees. However the owner of a dwelling house aviag not more than three apartments and who ides thereiD,or the Occupant of the dwelling house of another o employs persons to do maintenance,constru lion or repair work on such dwelling house or on the grounds or bull appurtenant thereto shall not because of such ployment be deemed to be an employer." .k s„ MGL chapter 152, §25C(6) o states that"every state or Iocal licensing agency shall withhold the issuance or renewal of a license or perm t to operate a business or to construct bu dings in the commonwealth for. auy applicant who has not produ ed acceptable evidence of compliance wz h the insurance.coverage required-" Additionally, MGL chapter 152 §25C(7)states"Neither the commonvweal nor any of its political subdivisions shall enter into any contract for the pe ormance of public work until acceptabl evidence of compliance,,,ride the insul�nce requirements of this chapter have ten presented to the contracting autho Applicants — Please fill out the workers' compensa on affidavit completely,by c1a ck rg the boxes that apply- j r,��r sia atron and,if necessary,supply sub-contractor(s)n e(s),address(es)and phone nu aper(s) along with heir t ei i catc-(s) of insurance. Limited Liability Companies LLC) or Limited Liability Par'+nershiips(LLP)� h no em�plcy.es other than the members or artners,are not r ed to c workers' com? tmsation insurance_ if au LLC Or LLP does have P e4wr t - -em to ees a policy is re used_ Beadvise that this afii d_vit may be ibmitted t e e .=-„ P Y P Y q y s o the D p��e_��o_ inau_�nal Accidents for confirmation of insurance cov rage. Also be sF?re to sign and date the affidq-i t_ 'I=�_e of eta-%,it sboui_d be returned to the city or town that the applic on for the permit or lilnse is being requested,not the Deparbnent of Industrial Accidents_ Should you have any que 'ons regarding the 14 f,,or if you are required to obtailii a;;corkers' compensation policy,please call the Depa_riment-- he number lister(below. Self-insured companies should enter their self-insurance license number on the appropriate Ike. City or Town Officials Please be sure that the affidavit is complete and printed legibly- The Deparb:atnt has provided aspac--at tht bottom of the affidavit for you to till out in the event the Office Nf Inveslig I ons has to contact you regar&-jag tht applicant Please be sure to fill in the permitllicease number which v M be its as a reference'number. rm adci iZcn_ Qn.aDi licant p that must submit multiple pernutllicense applications in any given year need only submit one ai1['�vA�ndicatng current policy information (if necessary)and under"Job Site Address'tht applicant should write"all locations ilZ (city or town)."�A copy,of the afii davit 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 tilt for futureP ermits\or Lcemes_ A new affidavit m,_t be h-lled 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 re4Lured to complete this affida,.it_ The Office of Investigations would lice 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,telephoae;and fax number- 5 y ' + The Commanv��I�i of I�Ia ssach>�ts. Department c h dusb al Accidents ��� az Ittv7�ti�-atFc�u� ', 609 Washington S`t t 134ston,'_ A G211 Tel, 617-727-4 00 Qxt4-Q6 or 1-87-7 MASSAFE Revised 4-24-07 Fax:4 617-727-7-74-9 oFti Town of Barnstable Regulatory Services } :Richard V.Scab Interim Director 16 '`e Building Division Tom Perry,Building Commissioner 200 Main Street Hyannis,MA 02601 • e www.townbarnsiablema.ns Offce: 508-862-4038 Fax: 508-790-6230 J Property Owner Must ' Copplete.and Siam This Section If Using A Builder I, �J « ;,as Owner of the subjectptopetty hereby authorize flUU T2�h ILW Orcn to act on my behalf; in all mattets telative to work authorized by this building permit (Address of fob) Pool fences and alarms ate the responsibility of the applicant. Pools are not to be filled ot-utilized before fence is Mi 'stalled and all final e inspections are petforined and accepted. , Signature of Owner : tore of p t Print Name - Print Name } .. a s Date I UWIt U1 .1 ZUM.3UII IG _.- Regulatory Services oft Richard.V.Scali,Interim Dfrector "• Building. 'on s6l�ticr.xrx Tom Perry;Building Co sionerARR - 200 Main Street, H ,MA 02601 www.town.b le-ma.us Office: 508-862-4038 F= 508-790-6230 :.. ROnEoWNl Ll SON ; Pleas riot DATE: JOBLOCATIOM* - number street village "HOMEOWNER": name . home ph e# work phone# CURRENT MAILING ADDRESS: city wn state zip code The current exemption for"homeown was extended o include owner-occupied dweIli�ags of six units or less.and to allow homeowners to engage an individual for ' e who does r of possess a license,provided that the owner acts as supervisor. . D ON OF HOMEOWNER Person(s)who owns a parcel of land on whi he/she sides or intends to reside,on whichthere is,or is intended to be,a one or two- family dwelling,attached or detached struc s accel cry to such use and/or farm.stmctues. A person who constructs more than one home in a two-year period shall not be conside d a�omeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she ere onsible for all such work erformed under the buildin ermit• (Section 109.1.1) • . - • The undersigned"homeowner"assume;responsib for compliance with the State Building Code and other applicable codes, bylaws,rules and regulations. The undersigned"homeowner" certifies that he/she md ds the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will c ly said procedures and requirements. Signaima of l3omeowncr Appiuval of BuildingOfflcial 1 Note: Three-family dwellings containing 5,000 cubic feet or r will be,required to comply-with the State Building Code Secdoa 127.0 Construction ControL HOMEOWNER'S ON The Code states that: "Any,homeo r performing work for,which a building permit is required shall be exempt from the provisions of this section(Section 10'.1.1-Licensing of construedo Supervisors);provided that if the homeowner engages a person(s)for hire to do such work heat such Homeowner shall act supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities*of a supervisor (see Appendix Q,Rules&Regulations for LitCensing Construction Supervisors,Section 215).TkiAs.lack of awareness.often results in serious problems,.particularly when the homeowner hires unlicensed persons.. In this case;our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. p To ensure that the homeowner is fully aware of his/her responsibilities,many co unifies require,as part of the permit application,that the homeowner certify that he/she understands the responsibilities Qf a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt-such a form/certification for use in your comm�nity it Q:1WPPTLESIFORM affdmgpernaitfmnslEXP ME.doo ,,onw�,/t��1� �.\ Office of Consumer Affairs&Busiuess Regulation z�sre ;r OME IMPROVEMENT CONTRACTOR egistration: , j82816 Type: d Expiration: -:7/2g2ga7 Corporation GABLE BUILDING CORPORA'T}pN ttg IMICHAEL SQUIER 1291 MAINSTREET CHATHAM,MA 02633 Undersecretary Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-051830 Construction Supervisor MICHAEL K SQUIER 682 BAY LN CENTERVILLE MA 02632 ✓ 1�=/►l^^� Expiration: Commissioner 02/03/2018 GABLB50 OP ID: EA ACORO CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDfYY,fY) ' 06/14/2016 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 con0ions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in liie:r.^i such endorsement(s). PRODUCER - .CONTACT - . __ Sullivan,Garrity Sr Donnelly NAME: PHONE - FAX 508-754-1767 AIC No Ext:5U8-754-1767 __ -� A/c No: 508-754-1885 10 Institute Rd E-MAIL Worcester,MA 01609 ADDRESS: Kerry O'Keefe INSURERS)AFFORDING COVERAGE _ NAIC# _ INSURER A:Peerless Insurance Company _ 24198 INSURED Gable Building Ccr;p, INSURERB: 1291 Main Street Chatham, MA 02633 INSURER C INSURER D: INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: RE.S/M1C)K NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUER POLICY EFF POLICY EXP LTR WVp POLICY NUMBER MM/DDIYYYY MM/DD/YYYY _ LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE +$ 1,000,000 CLAIMS-MA..:)E IOCCUR CBP9702220 03/24/2016 03/24/2017 DAMAGETORENTED PREMISES Ea occurrence _�$ 100,000 MED EXP(Any one person) $ 5,000 PERSONAL&AD_V INJURY 'j$ 1,000,000 GEN'L AGGREGATE L MIT AP IES PER: - _ GENERAL AGGREGATE j $ 2,000,000 POLICY❑ P"0 7 LOC r .. 'f-iODUCTS,COMP/OP AGG_j$ 2,000,000 OTHER: !$ AUTOMOBILE LIABILITY _ - COMBINED SIiv 31L LIMIT � Ea accident $ 1,000,00 A ANY AUTO BA1075489 03/24/2016 03/24/2017 BODILY INJURY(Per person) �$ ALL OWNED SCHEDULED - X BODILY INJURY(Per accident) AUTOS i AUTOS C .. N^,!I-OWNED PROPERTY DAMAGE X HIRED AUTOS X' A''-,OS S (Per accident f$ I$ UMBRELLA LIAR i OCCUR EA.C.F'OCCURRENCE _f$ EXCESSLIA3 AGGREGATE $ DED RETLNTION$ ---_-_—- $ WORKERS COMPENSA AON =r. _ OTH- / AND EMPLOYERS'LIA;;ILITY .F/N X i S7AFU T EJ_ ER .• A ANY PROPRIETOR/PAP-NER/EXECUTIVEE WCV01219001 03/29/2016 03/29/2017 E.L.EACH ACCIDENT $ 500,000 OFFICER/MEMBER EXC•-UDED? NIA -- -.- (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE" 500,000 If yes,describe under ---- DESCRIPTION OF OPI*RATIONS be!on EJ_DISEASE-POLICY LIMIT� $ 500,000 DESCRIPTION OF OPERATIC4NI,I LOCATIONS/VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) - CERTIFICATE HOLCyER _ CANCELLATION BARNSTI SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THERE':4, NOTICE WILL SE DELIVERED IN Town o Barnstable ACCORDANCE WITH THE POLIO PRt'?V-SIGNS. Building Department 200 Mall St AUTHORIZED REPRESENTATIVE Hyannis,MA 02601 ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD name and logo are registered marks of ACORD TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel Application # Health Division \��`� �0�`� ®�` Date Issued Conservation Division r �� ��� �� Application Fee Planning Dept. 6<V Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH — Preservation/ Hyannis Q ;Q,I/U1Gc (J Project Street Address Village U Owner Qn1\ �1G1'1 Address SAME Telephone 506= 1 yam)ll ' Permit Request 7—wo W/lvooc"'S //y Tkj 7,iIVO )C_4001-� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District bi— Flood Plain Groundwater Overlay Project Valuation`t1�, 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 C 1�d5 - 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 0ablL bui ldiviG ODC12- Telephone Number PI Address 1191 n 51Ye-eJ License# 05155 D ��.ka am rtiNA tmo Home Improvement Contractor# )3 ZS 1 lD Email NGquiP,r(2oDb'le-bL)Ild,i rto.com Worker's Compensation # �ZIG Db f ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE I /'30 f 2Q 1 -7 FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ` INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ,r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-051830 ►?,; Construction Supervisor MICHAEL K sQUIER 582 BAY LN f CENTERVILLE MA 02632 s E Expiration: Commissioner 02/03/2018 Vlee arrcriearocuutll�a�C/�licuac a G6, _ _Office of Consumer Affairs&Business Regulation OME IMPROVEMENT CONTRACTOR egistration: 182816 Type: Expiration: 7/29/2017 Corporation GABLE BUILDING CORPORATION: MICHAEL SQUIER 1291 MAIN STREET CHATHAM,MA 02633 Undersecretary Town of Barnstable Regnlatory Services t RAAIVGTA�R!Y f ' YAM Richard V.ScaIi,Interim Director , 6R�0 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 67 t ,as Owner of the subject property hereby anthotize 4 aD 1(vt rl4 to act on my behal� in aIl matters relative to wotk.autb.otized by this budding permit (Address of Job) Pool fences and alarms ate the responsibility of the applicant. Pools are not to be filled or utilized before fence is installed and all final inspections are petfotmed and accepted. Sign2tme of Owner tore of p t Print Nine Print Name Date l�1 GABLB50 OP ID: EA CE14TIFICATE OF LIABILITY INSURANCE D 06;M14/2016y) . 0 611 412 0 1 6 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 Sullivan,Garrity&Donnelly NAME` — 508-754-1767 AIONN Ezt:508-754-1767 ac No; 508.754-1885 10 Institute Rd E-MAIL Worcester,MA 01609 ADDRESS: Kerry O'Keefe INSURER(S)AFFORDING COVERAGE NAiC# INSURER A:Peerless Insurance Company 24198 INSURED Gable BUlldIng Corp. INSURER B: 1291 Main Street ---- — — — Chatham, MA 02633 INSURER C: ' INSURER D: INSURER E: I INSURER F: COVERAGES CERTPVCATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN! IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF UCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IN RI - ADDL SUER POLICY EFF POLICY EXP LTR TYPE OF INSURANCE IN SD WV POLICY NUMBER MMIDD/YYYY MM/DD/YYYY LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE _ $ 1,000,00 CLAIMS-MADE I X 1 OCCUR CBP9702220 03/24/2016 03/24/2017 DAMAGE TO RENTED - LJ PREMISES{Ea occurrence) $ 100,000 -.- �RED EXP(Any one person) $ 5,000 R_SONAL 8 ADV INJURY !$ 1,000,00 GEN'L AGGREGATE LIMIT APPLIES PER: ` - PRO GENERAL AGGREGATE $ 2,000,00 POLICY❑JECT �.LOC �— �ODUCTS,COMP/OpAGG $ 2,000,00 OTHER: iS AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT Ea accident+ $ 1,000,000 A ANY AUTO BA1075489 03/24/2016 03/24/2017 BODILY INJURY(Per person) I a ALL OWNED SCHEDULED - AUTOS X AUTOS BODILY INJURY(Per accident) S HIRED AUTOS NON-OWNED X X . OPERTY DAM AG AUTOS E $ i- - Zr accident/__�, UMBRELLA LIAR _H OCCUR EACH OCCURRENCE $ EXCESS LIAR CLAIMS-MADE AGGREGATE _ I$ DED RETENTiC-N,, _ ! $ WORKERS COMPENSATION AND EMPLOYERS'LIABILITY YIN X STAT Uf E X OR H- A ANY PROPRIETOR/PARTNER/EXECUTIVE WCV01219001 03/29/2016 03/29/2017 1 E.L.EACH ACCIDENT i $ 500,000 OFFICER/MEMBER EXCL UI?ED? ❑ N/A _.. .. (Mandatory in NH) - E.L.DISEASE-EA EMPLOYEr_j S 500,00 It yes,describe under DESCRIPTION OF OPERATIONS belowE.L.DISEASE-POLICY LIMIT Li 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,.Additional Remarks Schedule,may be attached if more space is required) - CERTIFICATE HOLDER CANCELLATION BARNST1 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN Building IaEr)ariment ACCORDANCE WITH THE POLICY PROVISIONS. 200 Main St Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE ` ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Customer-. Gable Building Corporation Project Name: GV-454 Main Street Order Number: 182 Quote Number: 8534668 Line# Location: Attributes 75 J-Family Architect, Inswing Door, French, Right, 33.5 X 81.5, White Item Price aty Ext'd Price 1: 3482 Right Inswing Door Frame Size: 33 1/2 X 81 1/2 PK# General Information: Standard,Clad, Pine,5 7/8",4 9/16",No Certification,Standard Sill, Bronze Finish Sill Exterior Color/Finish: Standard Enduraclad,White 33.5 1974 Interior Color/Finish: Prefinished White Interior Sash/Panel: Standard Viewed From Exterior Glass: Insulated Dual Tempered Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options: White,Order Handle Set,Multipoint Lock ,• 0 ���� ���/�, Screen: nc Screen /b'"J /'"� Performance Information: U-Factor 0.29,SHGC 0.18,VLT 0.33,CPD PEL-N-218-00069-00001, Performance Class LC, PG 55, Calculated Positive DP Rating 55,Calculated Negative DP Rating 70,Year Rated 08 Grille: ILT, No Custom Grille,7/8",Traditional(3W5H),Ogee,Ogee Wrapping Information: Foldout Fins, Factory Applied, No Exterior Trim, No Interior Trim,4 9/16",5 7/8", Factory Applied, Pella Recommended Clearance, Perimeter Length=230". Rough Opening: 34-1/4"X 82" Line# Location: Attributes 90 A-Garage Architect, Replacement Double Hung, 30 X 60, White Item Price Qty Ext'd Price 9 i 1: Non-Standard SizeNon-Standard Size Double Hung,Equal Frame Size: 30 X 60 General Information: Style,Clad, Pine,4 3/4",3 1/4",No Certification PK Exterior Color/Finish: Standard Enduraclad,White m 1974 Interior Color/Finish: Prefinished White Interior Sash/Panel: Standard Viewed From Exterior Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options: Cam-Action Lock,White, No Limited Opening Hardware,Order Sash Lift Screen: Full Screen,White, In ViewT'" Performance Information: U-Factor 0.30,SHGC 0.25,VLT 0.47,CPD PEL-N-178-01275-00001, Performance Class CW, PG 50,Calculated Positive DP Rating 50,Calculated Negative DP Rating 50,Year Rated 08111 Grille: ILT, No Custom Grille,7/8",Traditional(3W2H/3W2H),Ogee,Ogee Wrapping Information: No Exterior Trim, No Interior Trim, Pella Recommended Clearance, Perimeter Length= 180". Rough Opening: 30-1/2"X 60-1/2" For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pelia.com Printed on 12/29/2016 Contract-Detailed Page 9 of 23 (;stomer: Gable building Corporation Project Name: GV-454 Main Street Order Number: 182 Quote Number: 8534668 J Eine# Location: Attributes 180 Q-Bed Special Architect, Single Hung, 33 X 51, White -Item. Price Qty Ext'd Price 1: 3351 Single Hung,Equal Frame Size: 33 X 51 X 41 General Information: Standard,Luxury,Clad, Pine, 5",3 11/16", No Certification f PK# Exterior Color/Finish: Standard Enduraclad,White 1974 Interior Color/Finish: Prefinished White Interior ' Sash/Panel: Standard Viewed From Exterior Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options: Cam-Action Lock,White,Order Sash Lift '^ Q� Screen: Half Screen,White, InViewTM Rz Performance Information: U-Factor 0.30,SHGC 0.25,VLT 0.47,CPD PEL-N-179-01275-00001 ! q� Grille: ILT,No Custom Grille, 7/8",Gothic(3W1 H/3W1 H),Ogee,Ogee /y i Wrapping Information: Foldout Fins,Factory Applied, No Exterior Trim,3 11/16",5", Factory Applied, Pella Recommended Clearance, Perimeter Length= (� 156". Rough Opening: 33-3/4"X 51 -3/4" Custom Product Instructions: f NOTE:Pricing is not complete. This product must be approved by Pella before final pricing will be calculated. Line# Location: Attributes 185 R-Bed Architect, Replacement Double Hung, 17 X 42, White Item Price FYt'd Price C i. 1: Non-Standard SizeNon-Standard Size Double Hung,Equal a Frame Size: 17 X 42 General Information: Style,Clad,Pine,4 3/4", 3 1/4", No Certification i PK# Exterior Color/Finish: Standard Enduraclad,White 1974 Interior Color/Finish: Prefinished White Interior Sash/Panel: Standard Viewed From Exterior Glass: Insulated Dual Low-E Advanced Low-E Insulating Glass Argon Non High Altitude Hardware Options: Cam-Action Lock,White, No Limited Opening Hardware,Order Sash Lift Screen: Full Screen,White, InViewTA° Performance Information: U-Factor 0.29,SHGC 0.28,VLT 0.53,CPD PEL-N-178-01273-00001, Performance Class CW, PG 50, Calculated Positive DP Rating 50, Calculated Negative DP Rating 50,Year Rated 08111 Grille: No Grille, Wrapping Information: No Exterior Trim,No Interior Trim,Pella Recommended Clearance, Perimeter Length = 118". Rough Opening: 17-1/2"X 42-1/2" For more information regarding the finishing, maintenance, service and warranty of all Pella®products, visit the Pella®website at www.pella.com Printed on 12/29/2016 Contract-Detailed Page 19 of 23 27e Corawoynreah*a Maiya limeft s` .� nr Deparhment efr sbid Acciderntr QDW o,f'�Qticr�rs. 600 Was/sirtgtm Street Boston,MA 02HI -- fervxu masmgovfdia Workers' CUIMU �# an InmwanceAffidavit Ei&ders(CuntracWrsIEIectricianslPhEmbers AppH=tt Infarmatign Pease Pxin F lY Nam - Palle.- 3vi I Ain,G Cron A&iress- J ZG 1 M®;,a SiY"-t city,/Starer g454M 2— Are you an employer?Check the appropriate box: T f r am a general contractor and I Y�o project(required): 1.IK I am a employer veith ❑I l 6_ ❑New c mstrucEiun employees{firll anNor part-time).* have hiredihe sub coabmcfors 2.❑ I am a sole proprietor orpartaw- Tisted an the attached sheet. I- ®RernodeHng d�p and have no employees These sub-corilractors have g_ ❑Demolifioa waling forme is any capacity- employees and bave wo&ers' 9. ❑S.uilding addition [NO wad=&Comp.fimw tJ.ce_ camp.manrance 5. ❑ We a a corporafil m.and its 10-❑Eleehical repairs or additions 3-❑ I required-] re homeowner doing all wank officers have exercised their 11_0 Flumbragrepaiss'or a dditioms of on Per MGL myself[No w�laers' _ ,§1{ d we have no 12.❑I�ofre pairs i ' stcnxastre required-]i employees.[NO WoA=e i3_❑Odier comp_it mince required-] *,ay "BOM tcbeftl=#lumtstalsoMomithesBcdonbelowsha i ea& woaels'comp�asperugi�v=xd=- # amevacaers Who sebmut dds effidarit imdk=;g dney mm dom.-zH wak and den]use a'¢is&cnatxtmrssmist submit a new affidavit mdirsai¢g sack. ZCautcactmsSmtcbeckiidsbaacntastavarls msdditimm shed kho�the—of ffie sd4-caWnxt=sad stamwhethecar not thmeen&ieshsoe employees.If tbesah-rsonto�hwe employs,theY=stpmt&their worlcrO'tom+p.palm number. I am air srlipJer flcatisprQuitiirtg taetrkers'coprperrstaft i�rsuraacs for at}a emPFa3�ees Sdoev is f7is paticy ruv3 job rite J irrf otmradam InswMce Company Dame: "?,e er C S S n S U [ 4 - Policy 4 or Self--iris-JUc- %/ r `/o #.I"1 CC J ExpirationDate: Job Abe Address: CIAO-8N](l.Q �- Aftadh a-copy of the workers'comzpensationpelicp ded Earation pap(slowing the policy number and expiration date). , Far-lure to secure coverage as required under Se-cticn 25A of MJM m 1572 can lead to the imposition of crimimal penalties of a fine up to$L500:00 andror aria-gem impdsm m xd,as well as rim pemk%es is the fora of a STOP WORK ORDER and a fine of up to -00 a dap against violator_ Be adidsed.ibat a copy of this statement may be fxwauded fn the Office of Jrt;restegatiarss offlre D g t�cati0a. I r/o Irergby egrb pa2ns d n a 17erpuy fhatiJie iafotwraiZm prm•�ided abmv is bug card correct �t�e: `i ''L Date: 1-3 •20 Phone A: 50 8 a41:5 4y 2 Ojo al wa milt'.. Dd not write in fhb area,to be CMMPfetesd by city arto}en a•,l'aL CRY err ToWw PerwitUcenseI Lwo-%g A.nfimrity(d rck one): L Board of Beat& Ig Dqmtmart 3.CitpTown.Clerk 4.Fleelr➢cal Inspector S.Plumbing Inspector 6.other Contact Person MOM 9: -- — 6 Massachuseft Gem Laws chapter 152 requires all ca p oyers'to provide workers'compensation for$iem employees. pu s2mottu ibis sty,an ernpIayee is 3eflued ash.evetypersoam lie scz-vice of anther uades a¢y,comtra ofbire, express or implied,oral or 7rhen" Air eznp&yer is dofm d as"an m findml,per,assocb&am,corporattoa or other legal e�y,or any two or more of the foregoing=gagedis aJoint Vie,and mcbLcFmg the legal represexves of a deceased employer,ar the receiver or tmstes of an huaTidml,pmtwxahip,association or otherlegal entity,employing eluPlOyees. However the owner of a.dwelling house having not more than tbree apartments and who resides tllereia,or the occapant of tlx: - dweilIing house of anolhm who employs persons to do maj3fx2�constractian or repair work on such dwelling house urtenauttherem shaIlnotbecanro of such employment be deemed to be an employer." or on the gro�ds or bmldmg app MGL chapter 152,§25C(6)also StafPS that'evays&-te or local__—b agency shOwi hhold file issuance or ' renewal of a fi encen a or permit to op EL bIIsinem or m cmnsi-act TituZdings itt the comatanwe2li3z for any applicantwho has notproduced accep#able evidence of compHanm Ivitlz the ftmwanrz cov=&ge required." MGL chapter 152,§25CM states aNadhm the not�3'ofifs political snbdivisians shall Additionally, - enira into any contract for the,pm-farmance ofpnbIic wmkuobI able evidea}of rompliancew h Ito incrr c;6._ ,• q=,m=ts of this cbapt er have been presented to the contracting anihozity Applicants PIease tiQ oil the wows' compeLmfion affidavit completely,by checking the bones ffiat apply to your situation and,if. necessary,supply sob-conixactor(s)name(s), address(es)and phone nr= ei(s) along W&the_r cesiifrcate(s) of mmm nce. Lmmited Liability Companies(LLC)or Lmiited LiabllityPaitozships q I P)wi$ino employees other than the m ernb,crs or partners,are not required to C231y wonders'compensation fiLwxance. If aui LLC or LLP does have employees,a.policy isregnnud. Be advised that this a$da�rt 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 reined to!he city or inv m that the application for the permit or license is being requested,not the Department of Eadm ial Ac=Imfs. Sbouldyou have:any questions regardmg the brw or ifyou are requiredtn obtain a workers' compensation policy,please call theDepartnentatthermubcrhsted.below. Self-mmuedcompaniesshouldendstiaeir self-msurauce license nmhm on the appropriate line. City or Town Of Please be sure that the afdavit is complete and priaf ed.legibly. The Department has provided a space at tTie bottom of the affidavit for you to fill out in the event the Office oflnv - t;on has to co�t you regardiogthe applicant'. Please be sure to fill in the peniirt/license mmrber which-WM be used as a reference n=ber. In-addition,an applicant at must submit nulfrplepeWIicense applibations in arty givenye:ar,need.only submit one affidavit g cunrnt ch policy information(if necessary)and under'Job Situ.Addres"them should vie an locations in (,y or. town)-"A copy of the:•affidavit that has been officially s mTed or madced by the city or town maybe provided to the affidavit is on file for folm permitsor licenses XA new`aifidav must be,fIle d out 6a.ch or cotineacu-aal=Zia home owner or"citizen is obtaining a license or pmmit not related tD any bustncss ` Iete this affidavit (ie.a ding license or peuvit to burn leave$et;.)said person is NOT requued to comp The Office oflnvesli�would-Iiketa ffi=kyouinadvanca for your cooperadon and should yam have,anygaesfions, lease do not hesitam to us a call. P � The Department's addrsss,telephone and fax number: f, Dmarhinmt cif hides Art ident% of in t�nti Btu MA Oil 11 Tf,-L1617' -49W eat 4-06 or 1477 lvi'A gAFE Fax 9 617` 27 774 Revised 4•-24-07 9PgIdi0. J4J♦fain\tr—t \ / - f K 1 in ilk 11n i„11,11,r � H Cam- Uj ✓"Ate, . . .� '`�`` Nam- .��—�t��•- - " - G G NON 1 K«? t'rn•fnal t Er�s�.� - Brcnkl'ntil Garage Kitchell Room 22'\$2' 1(non, S,m t r Itlrnn �._.. .. k�`P Slltr -•.�• �- �\ Lndr � � L 1=oycr rill _ 3Mmwj 'xG' 1)rU Y.-.. f F k" All measurements are approximate and not guaranteed. This illustration is provided for rmarketinq and convenience only. All information should be verified independently. Q PlanOmatic 444 NIAn,Vu•,i f r'plrl�ilG - " Kitchell �..� • ; _', �1't[' lintilcr �1 rl -'xq' i licdraonl , - ' Iti`Y _ W11C ;< .1 1 I•Y'X:V4 F7 , (:urs1 8'v6' 1Bedroom Room " 12'S:Q' SiUin1; Room M 12'X 14' �- - b'x--' CI. Bedroom .-Ow N N Ali meaSUrements are approximate and not guaranteed. This illustration is provided for rnarkPtlnn And rnnyPnianrP nniv All infmm;i inn chm ilrl ha vPnfiPri inrlPnPnrlpntly n PlanC)rn;otlr Bedroom 1:3'X 1 j' CI. 3'X8' , 3°X5 A\IJ 4 ti5 R WIC Landing; Bedroon-k 3'x8' 8'x8' 1 S'X 1,' . CL 4,X4� f 't i C WIC, Bedroom 1 Y 4'XI.5 litx15' 4'x 10' Q • I cm N cn m cn w w V Q lz N o p0 7 g NO \" 2b0 7- 0 i o � N m w Q o \\ PROPOSED \.� ADDITION of M'qs STEVEN tiN RUMBA c^ v i5�g SUR��� L , N , BUILDING LOCATION PLAN LOCATION: 454 MAIN 5T., CENTERVILLE, MA CLIENT: RONALD KNIGHT SCALE: DATE: DRAWN BY: 1 " = 50' OG— 1 4-2005 TMW JOB NUMBER: REVISION: SHEET NUMBER: 00-050 CPP—I WELLER * ASSOCIATES I G45 FALMOUTH RD. -- SUITE 4C P.O. BOX 4 17 CENTERVILLE, MA 02G32 TEL.; (50-5) 775-0735 -- FAX: (505) 775-0754 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION <T Map 12®1z, Parcel Zl_ Permit# Health Division /), tI Date Issued Conservation Division lll�® ���-� Application Fee Tax Collector Permit Fee Treasurer Planning Dept. EXISTING SEPTIC SYSTEM Date Definitive Plan Approved by Planning Board LIMITED TO_2_#OF BEDROOMS Historic-OKH Preservation/Hyannis Project Street Address Village C've1T t'✓ /, 1l e, Owner 1 9 ►�� R Address Telephone 7 y Permit Request eCJ r ✓�/! XA_ �fz T - Square feet: 1st floor: existing 5�� proposed &q 2nd floor: existing 7S6T proposed _ (9p •Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type hleb ' Lot Size 1, 3(o Grandfathered: ❑Yes Cl No If yes, attach supporting documentation. Dwelling Type: Single Family Er— Two Family ❑ Multi-Family(#units) Age of Existing Structure /�/, Historic House: ❑Yes l�"No On Old King's Highway: ❑Yes Flo U Basement Type: Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new C? Half:existing rg. co Number of Bedrooms: existing new Total Room Count(not including baths): existing / new�_ First Floor Roo ount nr 4, Heat Type and Fuel: Aas ❑Oil ❑Electric ❑Other Central Air: ❑Yes &No Fireplaces: Existing New Existing wood/coal tove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: glee^xisting ❑new size gy0_TF Barn:❑existing ❑new size Attached garage:9 existing ❑new size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization O Appeal# Recorded❑ Commercial ❑Yes U No If yes,site plan review# Current Use - - - = -Proposed Use BUILDER INFORMATI 11 3 (o ^ S' 1) Name "/'c Telephone Number �� < Z-q 3 -,-s �-o Address �6 ve r— %� -t- J .License Home Improvement Contractor# A0 �z Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO A�a<_o mk°1^ SIGNATURE DATE FOR OFFICIAL USE ONLY . PERMIT NO. DATE ISSUED MAP/PARCEL-NO. ADDRESS - VILLAGE OWNER DATE OF INSPECTION: FOUNDATION t' FRAME b `\ _ Z L3 INSULATION Q2� FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGHIX „ FINAL GAS: ROUGH 0, FINAL FINAL BUILDING ae 0 _ DATE CLOSED OUT kit kj,� , ASSOCIATION PLAN NO. 0 a. BY EMAIL and FAX To: Tom Broadrick, Barnstable Planning Director Danielle St. Peter, Historic Preservation Division Jackie Etsten, Planning Department Nancy Clark, Chair, Barnstable Historical Commission From: Sarah Korjeff, Preservation Specialist Date: September 13, 2005 RE: Addition to National Register property at 454 Main Street, Centerville I have reviewed plans for an addition to 454 Main Street in Centerville, which is listed on the National Register of Historic Places as part of the Centerville Historic District. I also visited the property to see the addition under construction. As you know, the.Cape Cod Commission has jurisdiction over changes to National Register properties if the property is located outside a Local Historic District and the alteration constitutes a "substantial alteration." In this case, it appears that the project is exempt from Cape Cod Commission review because the size of the addition represents less than 25% of the floor area of the building. The Cape Cod Commission Act contains an exemption from review for single family homes if the proposed work constitutes less than 25% of the gross floor area of the building. Despite the project's exemption from Cape Cod Commission review, I have reviewed the design of the addition in an effort to address questions about its impact on the historic structure. Based on reviewing the plans and visiting the site, Commission staff has determined that the proposed project does not constitute a "substantial alteration based on the following reasons: The addition is sited well back from the front fagade and connects to the house behind the central mass of the historic building. The proposed addition does not require the removal of a significant amount of original building material from the historic structure. Most of the exterior wall removed to accommodate the addition is part of a rear ell of the building, and thus appears to be an appropriate location to allow for change. Because the addition is one-story in height, it does not alter or compete with the gable roofline of the historic structure, and does not alter the key character-defining features of the building. The design of the addition appears to be compatible with the historic building. Several design features from the existing building are incorporated into the addition, and changes in the exterior walls of the addition give the massing a level of variation compatible to that found in the historic building. If you have any questions, please feel free to contact me or Dorr Fox, Chief Regulatory Officer, at the Cape Cod Commission. = _ -- The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations -- 600 Washington Street, ;th Floor %Y Boston,Mass. 02111 Workers'Compensation Insurance Affidavit:Buildin lumbin /Electrical Contractors ename'. hill C.L. j address ('3 I`t oe— city 6P.Q��.0 VA` state: B" l zip: O�Wu ohone# work site location(full address): ❑ I am a homeowner performing all work myself. Project Type ❑New Construction❑Remodel ❑ I am a sole proprietor and have no one working in any capacity. [i✓]`Building Addition I am an employer providing workers' compensation for my employees working on this job. companvname• 5 ��l2C- lioy,, C-- �� /L address• city ...ohone M. insurance co. ay,\ '� ❑ I am a sole proprietor general contractor or homeowner(circle one) and have hired the contractors listed below who have the following workers' compensation polices: n company name• 0 1 V\-C-- - address• 5k l oar city: 1-*5 V'��\`5 phone#• insurance co. company name' address' F city: ohone#• insurance co. . 01i Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. 1 do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature rG ! Date Print name Phone# Y official use only do not write in this area to be completed by city or town official city or town:, permit/license# ❑Building Department ❑Licensing Board ❑check if immediate response is required ❑Selectmen's Office -. ❑Health Department contact person: • phone#; ❑Other (revised Sep,.2003) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law",an employee is defined as every person in the service of another under any contract of hire,express or implied,oral or written. An employer is defined as an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner df 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 section 25 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,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 in the workers' compensation affidavit completely,by checking the box that applies to your situation. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may 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. I in �^ fli ,;P City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions, please do not hesitate to 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,71b Floor Boston,Ma. 02111 fax#: (617)727-7749 phone #: (617) 727-4900 ext. 406 . ,Q r Town of Barnstable Regulatory Serviices sSTAB ,g Thomas F.Geller,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Pesmitno. A Date _ AFFIDAVIT Hwa R CONTRACTOR SUPPLE APPLICATION MC}L c. 142A requires that the"reconstruction,alterations,renovation,rep ai modernization,conversion, r, occupied e existing owner- improvement,removal,demolition,or construction of an addition to any pre-existing btulding containing at least one but not more than four dwelling traits or too structures which are adj acent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. fi Estimated Cost /S® �� - Type of Work- Address of Work: Owner's Name: Date of Application: �� y I hereby certify that: Registration is not required for the following reason(s): r []Work excluded by law ❑Sob Under$1,000 ` []Building not owner-occupied ❑Owner pulling Own permit Notice is hereby given that: GISTEnD OWNERS PULLING THMIR OWN YERNIIT OR DERALINMEWI 0 NOT HAVE CONTRACTORS FOR APPLICABLE HOlY1E IMY UNDERMGL c.142A. ACCESS TO TEE ARBITRATION PROGW4 OR GUARANTY FUND SIGNED UNDER PENALTIES OF PERJURY �S ���3�� I hereby apply for a permit as the agent of the owner: 1 c �3ss9 3 Registration No Contractor. ame . Date OR Owner's Name _ r, Date Q fbri.homeaffidav nO CMR AppwAh 1 "y r 'Table JS3-Ib(Continued) " Prescriptive packages for One and Two-Famiiy Renide ck ntlal Buildings Heated with Foul Fueb MAXfMUM MINIMUM Houing/Cooling Glazing GIazing Ceiling Wall Floor 9asemeat peseta Equipment Efficiency' Area,(%) U-value= R-value'' R-value I Wall R-��T R-value` Package 3701 to 6500 Heating Degrse Days' Normal 6 • Q 12% 0.40 - 31 13 19 10 6 Normal R 12% 0 52 30 19 19 10 " 6 .85 AFUE g 12% 0.50 38 13 19 t0 Normal NIA --.'T. _._.__._.15%__....__._..-..0.36_ ..... 38 13 25 N/A Not -"'- -- - U 7S% 0.46 38 19' 19 10 i N/A IS AFUE v 15% 0.44 38 13 . 25 N/A 6 85 AFUE W 15% 0.52 30 19 19 10 N/A Normal X 18% 032 38 13 25 N/A N/A Normal ' y '18% 0.42 38 19 25 N/A 90 AFUE Z 18% 0.42 38 13 19 10 6 6 90 AFUE AA 18% 0.50 30 19 19 10 • 1. ADDRESS OF PR OPERTY: 12 �-e 2. SQUARE FOOTAGEOF ALtEXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING 4. %GLAZING AREA(#3 DIVIDED B Y#2): 5. SELECT PACKAGE(Q;-AA-see chart above): NOTE: OTHER MORE INVOLVED'METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION.' .. a,,. fr BUILDING INSPECTOR APPROVAL: : ` A •'YES' z • • is ! 2 n q.forms-f980303a . r. ' 780 CMR Appendix J Footnotes to Table J5.2.1b: -' Glazing area is,.the ratio of the area of the glazing assemblies (including sliding-glass doors', skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage.Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 fe of decorative glass may be excluded from a building design with 300 ff of glazing area. z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R 38 . . ._._ insulatio.n.and R-38 insulation-may be-substituted for--R-49-insulation: Ceiling R-values-represent the sum of cavity----- --- insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing.must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing(if used). Do not include exterior siding, structural sheathing, and interior drywall.For example, an R 19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frame or mass(concrete,masonry,log)wall constructions,but do not apply to metal=frame construction. S The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces,basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned basements must be included with the other glazing. Basement doors must meet the door U-value requirement described in Note b. ' The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. ° If the building utilizes elgbtric resistance heating use compliance approach 3;4, or 5.• If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. For Heating Degree Day requirements of the closest city or town see-Table J5.2.Ia NOTES: a) Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall,floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 Town of Barnstable 5 Regulatory Services BAPMX"'S Thomas F.Geiler,Director 1639. Building Division t_ Tom Perry, Building Commissioner 200 Main Street, Iiyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property.Owner Must Complete and Sign This Section If Using A Builder I;� ® 4a as Owner of the subject property hereby authorize ���- : t_�r� ^ce aSCZ to act on my behalf, in all matters relative to work authorized by this building permit application for: Ae V, R, 0-2 6 32— (Address f Job) ignature of Owner bate Print Name Board 9. TOR $PEaing R¢gnia. ., :: OVEME EONt�F.tAC . HOMEiMP� 13559 Rsgistr� 212006 e Corporation R " � f M.L.CONStR �r C(ltWN MP+U2635 A ggpp pp I'ti.l 'tital'�AX .i].:2 200;c -6 : 1E:'s PACT' 2/2 Righ.t,FAX tll{�I�11����w��IrJt3Gu turf.: Cl'I:'_SIGN REPORT - US ui!-da:y,July 12,20051 1:5;? (-'6iiulg 110 20" BUD a900 2.1 O µ � 01 cs l � m File�,aune: BC CALC Ptojelt:J Job Name: FLOOR JOIST DesaPtion:iv1AIN JOIST @ 160(:: Ad'aress: Specifier: DON STAIR City,:Mate,Zip:, Desig;ner. CHRIS ALLISON Custon'ler: BOTELLO Colnpwiy: 1NSIINC Code.re.ports: ICBO 4665,NE:R 446 Mis INFO FROM DON ......L..,.Iom...m.1...®1.�..®.I®®RI..®vw..l..aa.�..®. .I.v..®.m.m1>o„ .. ®.®..,.......�,.am®�.I.... I®..v®m...�mm.�..Ivl�..l....,,,..�m,. .�---1.—•--:'Land:`rd Luady60 p_f 12(1 p t UC Spirc�ng II:Z�— -- --.�..L_._ _1_._._._�..---� y'rf`DIIVVv.IVOVIPSVR..WIW.IWIW...MIIWP.vWIV..m911V.ViRPR.Ym1.IWm11W.W 41PIvvRYR.vivAtly. RIV11.I.11 WPl RW P.ItvN9WVVW.µgl.vvvvvvmllWllvmPlpN.1/.lmv.WII61.' ImRIVIMIV.IP.IWWImviPIN.• d{13Yb'".�vvluaovuvvmm®vvm..v.®vm.vvv0•®9om.ma.®.vv.vv.m v.m,�.vmma.............. v vv.t • Iv.®.®�®v.vvvnuv..... .vv v..... avvv�a.u� tjv Eli),'k,13 4" ®®® . Bs,1-31473 t2i;10 ball- 11.:')Q11):i U. 400 lhaa[A. 4110 Its,ILL ota Haiionita Length-3b.00.Oo''V ' ..®.�,.In.m......a.m...m®.m..® m®......m.®W.®...1. n.m......,.�..IRIv.,..v®.�.vm....l.n.... ®®m.m�..m....v.m...m..,..n..........,R.....�....m:. hc:neral Ll.atlr Loacl7suvnnnar�f c'. Verson: LISliriperial ID lyesclripdon I_nad71me IZI!t, Stvt•-44 End- Type Value OK.,), Ulnr. S Standard Load 110.Area LEA: r)C I ICa�f-r;s r 3(3•C�0 Live W Psf 16' 1 c0% lulemtar T'Irpe: Jci:d: "bead :'.0 psf 16" EUX, Nurnblr of Spans: 1 felt Cantilever: No Controls Summary i Right L':antllever: No Cont'cd-rype Value: °k A116erable Duration (Load I.tase: Span Location, Moment 1;2It0Gt4dbs 7-3.6C111 100% 1 -1lteinal ;51ahe GI92 Neg.Mcmimt Oft-ibs Ja 160°n DCS adng: 1611 End Reaction 1130014s (t4-0110 100%. 1 -LIA" Reietitive: Yes Total load Del. L.)3'i1 (G'1!1" r c>4'7cY, 1 ("onStI1A(;d(v'I 7 p::Glued Live Load Dell. IA14(D.77.B'" Max De:fl. 0.971" Live Lra3d: 60 psf Span/De:flth 1131) Dead Load: 20 psf Partition Load: 0 psf Cautions Duratir-n: 100 Web Stiffeners are required at eadi be iring:'icfation: Dilmlosume Notes , r l 'rhe a:rnpletene:ss and accuracy cf ' the input must be verifuN9 by anyone Design me+:as Code minunu n(L.r2,O)1 ot:ai load defl�aot cn aite ia.. { vh:�w ould rely on the celtp Ut as Design meets User specirie d(t,!46n 1 I Iyta icacl di3flertlon c ltla'ia , avidesnce of suitability fix a DE--Sign meets arbitrary(I )14ta'd-mum I aa,d clef 1 r6.,i alteria pamicul•ar application. The cutp.It Minimum bearings length lilr BO is 1 3 abcve is biased upon inlildirng Minimum bearing)length 1cr B l co'ae aµx opted de>ign propertie:c `nteredlE6isplayed He ri,xrit al Spc Liz-igh's)m(,ear 1.pan-1.1 i2 min.end bear-ing+'if? nterme date beaing an i:'ar-ialysrls rrm4hads. Installation al Is1O1°3t::en0-iee•ed wood prcoki a:s must be in aa;axdaria:: I !,vift thr current:Installation G uide Ianc tl-!applimble builcing ccdras. To dotain an Installation Guide or if 'rou have any questions pie.Ese acll (600)2'32-0-/U before beginnin cl u' •`: .�;. prcducF installEdicn. 13C CAl_Ct€),E3(::FRAINIERIF:,BCIe, ty;o,.r,,,• ry, , 13C iRI1il BOAR01111 BC;OS El RIM 130ARDr,1°.E3C11SE:GI_IJLAMT"'1, iJcl25J'i-Lr'•iDA€),VERS A-RINI(R, VERSA-RINI F'L.US0; JERSA-STRAND'" VERSAS-fUD.&ALLJOISTID and AJSTn,are trademarks of 11111. ', s°;,;,1". • , Bc1.-Ciasc ack:Corperation. , • •?tip,1, , Page' cd'1 �) Uniformly Loaded Floor Beam[AISC 9th Ed ASD]Ver: 6.00.5 Bv: on: 07-13-2005 : 1:08:31 PM Project: KNIGHT RESIDENCE-Location: BEAM AT EXTERIOR WALL/ADDITION Summary: This analysis was generated by an evaluation version of StruCalc 6.0 A36 W 10x30 x 12.33 FT Section Adequate By: 68.4% Controlling Factor: Moment Deflections: Dead Load: DLD= 0.05 IN Live Load: LLD= 0.16 IN =U899 Total Load: TLD= 0.21 IN =U700 Reactions(Each End): Live Load: LL-Rxn= 9617 LB Dead Load: DL-Rxn= 2743 LB Total Load: TL-Rxn= 12361 LB Bearing Length Required (Beam only, support capacity not checked): BL= 0.81 IN Beam Data: Span: L= 12.33 FT Unbraced Lenqth-Top of Beam: Lu= 0.0 FT Live Load Deflect. Criteria: U 360 Total Load Deflect. Criteria: Ll 240 Floor Loading: Floor Live Load-Side One: LL1 60.0 PSF Floor Dead Load-Side One: DL1= 15.0 PSF Tributary Width-Side One: TW1= 15.0 FT Floor Live Load-Side Two: LL2= 55.0 PSF Floor Dead Load-Side Two! DL2= 15.0 PSF Tributary Width-Side Two: TW2= 12.0 FT Wall Load: WALL= 10 PLF Beam Loading: Beam Total Live Load: wL= 1560 PLF Beam Self Weight: - BSW= 30 PLF Beam Total Dead Load: wD= 445 PLF Total Maximum Load: wT= 2005 PLF Properties for:W10x30/A36 Yield Stress: Fv= 36 KSI Modulus of Elasticity: E= 29000 KSI Depth: d= 10.47 IN Web Thickness: tw= 0.30 IN Flange Width: bf= 5.81 IN Flange Thickness: tf= 0.51 IN Distance to Web Toe of Fillet: k= 0.81 IN Moment of Inertia About X-X Axis: Ix= 170.00 IN4 Section Modulus About X-X Axis: Sx= 32.40 IN3 Radius of Gyration of Compression Flange+ 1/3 of Web: rt= 1.55 IN Design Properties per AISC Steel Construction Manual: Flange Buckling Ratio: FBR= . 5.70 Allowable Flange Buckling Ratio:. AFBR= 10.83 Web Buckling Ratio: WBR= 34.90 Allowable Web Buckling Ratio: AWBR= 106.67 Controlling Unbraced Length: Lb= 0.0 FT Limitinq Unbraced Length for Fb=.66*Fy: Lc= 6.13 FT Allowable Bending Stress: Fb= 23.76 KSI Web Height to Thickness Ratio: h/tw= 31.5 Limiting Web Height to Thickness Ratio for Fv=.4"Fy: h/tw-Limit= 63.33 Allowable Shear Stress: Fv= 14.4 KSI Design Requirements Comparison: Controlling Moment: M= 38102 FT-LB, Nominal Moment Strength: Mr= 64152 FT-LB Controlling Shear: y V= 12361 LB Nominal Shear Strength: Vr= 45230 LB Moment of Inertia(Deflection): Ireq= 68.05 IN4 1= 170.00 IN4 Permit Number REScheck Compliance Certificate Checked By/Date Massachusetts Energy Code REScheckSoftware Version 3.6 Release 1 Data filename:C:\Program Files\Check\REScheck\#5016.rck PROJECT TITLE:New Custom addition CITY:Centerville(Barnstable) STATE:Massachusetts HDD:6137 CONSTRUCTION TYPE: 1 or 2 Family,Detached HEATING SYSTEM TYPE:Other(Non-Electric Resistance) WINDOW/WALL RATIO:0.17 DATE:07/15/05 DATE OF PLANS:04-27-2005 PROJECT DESCRIPTION: The Knight Residence 454 Main Street Centerville,Ma. 02632 DESIGNER/CONTRACTOR: M.L.Construction Company,Inc. P.O.Box 870 Marstons Mills,Ma. 02648 PROJECT NOTES: REScheck by Cape Cod Insulation,Inc. #5016 COMPLIANCE:Passes Maximum UA= 190 Your Home UA= 177 6.8%Better Than Code(UA) Gross Glazing Area or Cavity Cont. or Door Perimeter R-Value d Value LJ Factor UA_ Ceiling 1:Cathedral Ceiling(no attic) 1044 38.0 0.0 .28 Wall 1:Wood Frame, 16"o.c. 810 19.0 0.0 40 Window 1:Wood Frame:Double Pane 140 0.430 60 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 1044 19.0 0.0 49 Furnace 1:Forced Hot Air,82.7 AFUE ' 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'Massachusetts Energy Code requirements in RES checkVersion 3.6 Release 1 (formerly MECchec4 and to comply with the mandatory requirements listed in the RES checkInspection Checklist. The heating load for this building,and the cooling load if appropriate,has been determined using the applicable Standard Design Conditions found in the Code. The HVAC equipment selected to heat or cool the building shall be no greater than 125%of the design load as specified in Sections 780CMR 1310 and MA Builder/Designer Date ` REScheck Inspection Checklist Massachusetts Energy Code REScheckSoftware Version 3.6 Release I 3 DATE:07/15/05 PROJECT TITLE:New Custom addition Bldg. Dept. f Use f Ceilings: } 1. Ceiling 1:Cathedral Ceiling(no attic),R-38.0 cavity insulation Comments: Above-Grade Walls: [ ] 1. Wall l:Wood Frame, 16"o.c.,R-19.0 cavity insulation Comments: Windows: [ ] f 1. Window 1:Wood Frame:Double Pane,U-factor:0.430 For windows without labeled U-factors,describe features: #Panes Frame Type Thermal Break?[ }Yes[ }No Comments: Floors: [ } f 1. Floor I All-Wood Joist/Truss-Over Unconditioned Space,R-19.0 cavity insulation Comments: Heating and Cooling Equipment: [ ] I. Furnace 1:Forced Hot Air,82.1 AFUE or higher Make and Model Number Air Leakage: - [ ] f Joints,penetrations,and all other such openings in the building envelope that are sources of air leakage must be sealed. [ } f When installed in the building envelope,recessed lighting fixtures shall meet one of the following requirements: I. Type IC rated,manufactured with no penetrations between the inside of the recessed fixture and ceiling cavity and sealed or gasketed to prevent air leakage into the unconditioned space. 2. Type IC rated,in accordance with Standard ASTM E 283,with no more than 2.0 cfin(0.944 L/s)air movement from the the conditioned space to the ceiling cavity. The lighting fixture shall have been tested at 75 PA or 1.57 lbs/ft2 pressure difference and shall be labeled. Vapor Retarder: [ ] j Required on the warm-in-winter side of all non-vented framed ceilings,walls,and floors. Materials Identification: [ } Materials and equipment must be identified so that compliance can be determined. i [ ] �„ Manufacturer manuals for all installed heating and cooling equipment and service water heating . ` I equipment must be provided. [ ] I Insulation R-values,glazing U-factors,and heating equipment efficiency must be clearly marked on the building plans or specifications. Duct Insulation: [ ] ( Ducts shall be insulated per Table J4.4.7.1. I Duct Construction: [ ] All accessible joints,seams,and connections of supply and return ductwork located outside conditioned space,including stud bays or joist cavities/spaces used to transport air,shall be sealed using mastic and fibrous backing tape installed according to the manufacturer's installation instructions. Mesh tape may be omitted where gaps are less than 1/8 inch. Duct tape is not permitted. [ ] I The HVAC system must provide a means for balancing air and water systems. Temperature Controls: [ ] I Thermostats are required for each separate HVAC system. A manual or automatic means to partially restrict or shut off the heating and/or cooling input to each zone or floor shall be provided. I Heating and Cooling Equipment Sizing: [ ] I Rated output capacity of the heating/cooling system is not greater than 125%of the design load as specified in Sections 780CMR 1310 and J4.4. I Circulating Hot Water Systems: [ ] I Insulate circulating hot water pipes to the levels in Table 1. I Swimming Pools: [ ] I All heated swimming pools must have an on/off heater switch and require a cover unless over 20% of the heating energy is from non-depletable sources. Pool pumps require a time clock. Heating and Cooling Piping Insulation: [ ] I HVAC piping conveying fluids above 120 T or chilled fluids below 55 OF must be insulated to the levels in Table 2. s, Table 1: Minimum Insulation Thickness for Circulating Hot Water Pipes. Insulation Thickness in Inches by Pine Sizes Heated Water Non-Circulating_Runouts Circulating Mains and Runouts Temperature(Fl Up to 1„ lip to 1.25" 1.5"to 2.0 Over 2„ 170-180 0.5 1.0 1.5 2.0 140-160 0.5 0.5 1.0 1.5 100-130 0.5 0.5 0.5 1.0 Table 2: Minimum Insulation Thickness for HVAC Pipes. Fluid Temp. Insulation Thickness in Inches h Pipe Sizes Piping Syc_tem Taps Range(F) 2"Runouts 1 and Less 1.25"to 2" " Heating Systems Low Pressure/Temperature 201-250 1.0 1.5 1.5 2.0 Low Temperature 120-200 0.5 1.0 1.0 1.5 Steam Condensate(for feed water) Any 1.0 1.0 1.5 2.0 Cooling Systems Chilled Water,Refrigerant, 40-55 0.5 0.5 0.75 1.0 and Brine Below 40 1.0 1.0 1.5 1.5 NOTES TO FIELD (Building Department Use Only) 4 y °FINKS Town of Barnstable °^ Regulatory Services snxarsrnei.EMAM Thomas F. Geiler,Director 059. Building Division Thomas Perry,CBO,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 PLAN REVIEW Owner: Map/Parcel: 2 0 B 13 2 Project Address 4 5 hl\co y� Builder: I\K. Cam, The following items were noted on reviewing: ���•, Q IQ 0 y n_ �r OV 4YL. e 1 n G. ?roy d a /D n SUl1 641, Reviewed by: Date: it TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �00 We 4 Map o2(' Parcel Permit# MAY ---h Health Division �y � Date Issued Conservation Division Fee 3/ Tax Collector ,� �e •-/j/d d o Treasurer �- SE 11C SYSTEM MUST BE INSTALLED IN COMPLIANCE n � Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address qsy Village , 2V4 Owner &? - )cry Address q,5 Y Telephone Permit Request Square feet: 1st floor: existing proposed 126 2nd floor:existing proposed Total new Valuation Zoning District D_ t Flood Plain Groundwater Overlay 1`1 Construction Type voljw Ag., Lot Size o Grandfathered: ❑Yes . ❑No If yes, attach.supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Pp-a-e Age of Existing Structure Historic House: ❑Yes U40 On Old King's Highway: ❑Yes QA-101 Basement Type: ❑ Full ❑Crawl Cl Walkout ❑Other W7)& :�46U Basement Finished Area(sq.ft.) A 4 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 YNo Fireplaces: Existing New Existing wood/coal stove: ❑Yes Detached garage: ❑existing ❑new size Pool:Yexisting ❑new size 8 _Barn:❑existing ❑new size Attached garage: 5(existing ❑new size 10'40 Shed:❑existing ❑new size Other: 54 I�T— Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes C 'No If yes, site plan review# Current Use 4>/'0't�'� Proposed Use BUILDER INFORMATION Name Telephone Number 7l Address �5Y t- License# Z6 5 Z Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO P XSIGNATURE DATE B FOR OFFICIAL USE ONLY • PERMIT NO. DATE ISSUED MAP/PARCEL:NO. ADDRESS, a VILLAGE j OWNER " _` A DATE OF INSPECTION l. -_ - FOUNDATION, FRAME INSULATION t= . FIREPLACE e 4 ELECTRICAL: ROUGH FINAL PLUMBING:- ROUGH 9 FINAL GAS: ROUGH`, _ " FINAL ( F' ' FINAL BUILDING , c 2 t?a V1� O l V� �,(�2 C 1 ate} k tn� i DATE CLOSED OUT --► ;> i -*t ASSOCIATION PLAN NO. < y 4 f ESTIMA TED PROJECT COST WORKSHEET Value LIVING SPACE (high end construction) square feet X$1151sq. foot= (above average construction) square feet X$961sq. foot= (average construction). square feet X$571sq. foot= GARAGE C� FINISHED) square feet X$25/sq. foot= PORCH square feet X$20/sq. foot= DECK square feet X$15/sq. foot= '7 OTHER P (� square feet X M/sq. foot= Q d Total Estimated Project Value f, � : The Town of Barnstable 9� 059. �.� Regulatory Services Thomas F. Geiler,'Direetor Building Division Elbert Ulshoeffer, Builduig_Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: . 508-790-62=0 HOMEOWNER LICENSE EXEMPTION Please Print DATE: Sj/ll `� DO/ JOB LOCATION: Y5"/ rn fI/a/ 5 T v'ILLZ—� number ssoIUt village "HOMEOWNER":964AI k101�1Y7- rI L 1— YL?(9 name home phone# work phone# CURRENT MAILING ADDRESS: q,5 c����,�✓lam tea. 3,-x- dry/town state rip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s) who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered_ a Homeowner. Such"homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work Performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she,undr,3tands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. (:� Signature of Hom caner Approval of Building Official Note: Three-family dwellings containing 35.000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S=WnON 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 log.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 I supervisor(see Appendix Q,Rules&Regulations for licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems.particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities.many communities require.as part of the permit application.that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q:FORMS:EXEMFM r � � N ,y p ,`ddpoo t f m ��L.U. -- �N �.U. y 6oj{, ; _e h ok t J:. of� 5` CERTIFIED PLOT. PLAN FOR 454 MAIN STREET . . CENTERVILLE, MA ASSESSORS MAP 208 PARCEL 132 PREPARED FOR y O R ti. U RONALD KNIGHT ss,a�°`� N •y i DATE: JULX .21, 2000 SCALE: 1" = 40' WELLER & ASSOCIATES 16.45 FALMOUTH RD. — SUITE 4C P.O. BOX 417 CENTERVILLE, MA 02632 (508) 775-0735 f The Commonwealth of Massachusetts r = -_ Department of Industrial Accidents _ 600 Washington Street --- ` T Boston,Mass 02111 Workers' Compensation LLmrance Affidavit name: location: 45 CitV hone# 1' 14T S I am a homeowner performing all work myself. Cl I am a sole rietor and have no one woridn capicity I aman em 1 rovidin workers' compensation for mq employees working on this job. . ...::; :::{::i:i:fi•:i:::i:i:i::::i::i::::: 1 .. .. :::» ::>::>:::::>:<:> :<:::»:::»:>QhDII okicv �nsuran ❑ I am a sole proprietor,general contractor,or homeowner(circle one)and have hired the contractors listed below who have wtnkers' compensation polices: the following mP.. .... :.:::.P::::..::::::::::.::: ...::.::.;:.:.;:;.:.;::::.:.::::::::::.:::.::::::.:::.::::::.:..................::::::::...:::::::::::.::.:::::::::..:.::: ::::::.;:::}:.;::.;;;:.:;;'.<:»::>::;: ::::.........:::<.:;::.,:: ::::........::...::::::::::::::::::::::..................:.::..:::._........::..............:.....................................:::.:::::::::::::::..::::.::: .......::.::::::>........ :::::::,.. X. gosling :.�.::::::::v:... :............. ....................... ..........r..x....................• ,.............v:... f.:v}:•}};:::n:j}}'•;{nyiv:•:tivY.•}i:QOi;tii:;i:;{::},:ji:h:•i::n}y}•:•,y......................:::::•.v:::::.�::v::::::::4:;•i}}}}i:•;;}}:}}:8::;.}}:;j�:ijj:jr.'::jt: ::Sjri:�::iji�i: .:.................c..r....,...t:. ....:•,. .�}Gi'::.�:;.i'::2:<:c:;<n;•:>:•»>;:;;�:;-::;:.:::.,::::. :,.;.........:............. ............ _.. :: :'• ::: ................................. .. ..r..::.. .... .,:..;. ............. ........................................:-:::..................... :::::::::::::.......::::::::: SR:ram .�.:::::::�:::::::• ...-..... ... ...... ... :...... ....... w•.,;<i.,;;,:::k::`?�i�i�i':; ...................................................................................... �'oui ........................:::......:::.:...................:::..:.:.:.::...,:..,::..:::..:..:.,,:,.::....:::::::. ....... ....................................................................................................... ................. ..........................:•......................:::.......................::::::..:::,,.:::::.................................................. ... ':..:::::..;'!..:i:i;•-4:^•:.:y:ry.::.}iY•ii:'l. ,:w:::::v.::::::::v::::.v.:�::.v.::.......... .............. u'y •}:NY:}:;i;:; ::w::.;.;::{..:.:::•:is v;...........•y.}••.}:}}:v'�}}:v:^}}}isJ}}}}:;4}}i:•iiY}}ii}}i:;•iii:;.}}i}}:;::}:v}}:;;;•i?}}}:;......n'.:::':::::.':::::. o > :: Fannre to se—coverage as required under Section 25A of MGL 15Z can lead to the impositios<of cetminal penalties of a tine up to 51,500 00 and/or one yam,imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fte of$100.00 a day against nm I understand tint a copy of this statement may be forwarded to the once of Investigations of the DU for coverage vcdnckh n. I do hereb certify under t aruu and penalties of perjury that the information provided above is tru.and coned Signature Date Print name Phone# - be completed by city or town official city or town: permdt/Ucense# OUcen gg Board oo;meld CO checkif mediate response is required ❑Sdectrnen's Office ❑Health Department contact person: phone#; 0�e1 or ued 9/95 pw Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law'%an employee is defined as very 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, constru 'on or repair work on such dwelling house or on the grounds or building appurtenant thereto not because of such loyment be deemed to be an employer. MGL chapter 152 section 25 als states that every or local licensing agency shall withhold the issuance or renewal of a license or permit to operate business or to c truct buildings in the commonwealth for any applicant who has . not produced acceptable evidence f compliance 'th the insurance.coverage required. Additionally,neither the commonwealth nor any of its politi subdivisions enter into any contract for the performance of public work until acceptable evidence of compliance the ce requirements of this chapter have been presented to the contracting authority. A iicmts pp ;^` situation and Please fill in the workers' compensation affi vit c letely,by checking the box that applies to your supplying company names,address and p numbers ong with a certificate of insurance as all affidavits may be for on of insurance coverage. Also be sure to sign and r, submitted to the Department of Industrial < date the affidavit. The affidavit should be to the or town that the application for the permit or license is have an ons re the"law"or if you being requested,not the Department of Accidents. You Y T Bares are required to obtain a workers' compensidan policy,please the Department at the number listed below. City or Towns Please be sure that the affidavit is lete and printed legibly. The Dep has provided a space at the bottom of the affidavit for you to fill out in the event Office of Investigations has to you regarding the applicant. Please be sure to fill in the pemmt/license t er which will be used as a reference er. The affidavits may be retaaied to the Department by mail or FAX males other arrangements have been made. The Office of Investigations would to thank you in advance for you coop on and should you have any questions. please do not hesitate to give us a call. WMA y j The Department's address,telephone and fax number. The Commonwealth Of Massachuse Department of Industrial Acciden Office of Imlastlgatlons 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 eat. 406, 409 or 375 a CF 7HE 1py� The Town of Barnstable • anxNsrnsM ��� Regulatory Services �EDMA'ts Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type of Work: F�L �k o S P - Estimated Cost 6 Do G Address of Work: Owner's Name:, Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied EOwner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. SLQ Lb ` Date Owner's Nalo g1orms:Affidav :t a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 3a Permit O `1 t: Health Division 7 , Date Issued _� Z ZCno Conservation Division s -Q2 Co Fee ) D- D Tax Collector10 �~ Treasurer 0 I Z-1 G6 SEPTIC SYSTEM MUST BE INSTALLED IN GOMPLIANC-1 Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRON ENTAL 00 w, Historic-OKH Preservation/Hyannis Project Street Address ''IJ� Village ��n OwnerR >�4 s r\ + Address H5q Fna c n , Telephone �� - q C1 ( G Permit Request r G` i d ' CL- Square feet: 1st floor: existing proposed 2nd floor: existing proposed -Total new u Valuation u C) Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size Grandfathered: 0 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:0 existing ❑new size Pool:❑existing ❑new size Barn: ❑existing ❑new size Attached garage:❑existing ❑new size Shed:0 existing 0 new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use i BUILDER INFORMATION Name Ly c 6 �( s Telephone Number Address License# Hgg a,on l ( o a&o 1 Home Improvement'Contractor# (� Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 166 FOR OFFICIAL USE ONLY PERMIT NO. k DATE ISSUED P MAP/PARCEL NO.. ADDRESS VILLAGE OWNER4 t DATE OF INSPECTIO E FOUNDATION 10 ` FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH ., FINAL GAS: ROUGH ` FINAL FINAL BUILDING DATE CLOSED`OUT ASSOCIATION PLAN NO. The.CurnmuttT+ achusctlti Depurity''t of Ifith rrial.9 cciclems Office nilnyesUg,711a ts, 60011 ushi,t"toll Street, �561;:. r Bustatr.A ups. 02111 Workers' Compensation l:nsurancc Afi7davit. a7inlic.inf itiforniation• Please PRINT Dam Poo J� S u•� l 1 a .zf,o U:1 'u L ❑ 1 am a hom owner performmi! all wort. myself.. ❑ f am a sole proprietor and have.no one workin- in any capacity .I nm an employer providing worl.ers' compensation for my employees working on this job. cnrr t v L-1 S n"�. ('`� o z . i cur ri I am a sole proprietor;general contractor, or homeowner(circle orreJ and have hired contractor u the foilowin-:workers' compensation polices: s listed beloHi who have m an\ na nc 1 t trci r r incurancc ro. -1 Cr U Q Ulf not �s —:,,r ..�•-,,. �_� ...,_ any nainr• •y.... _jam flip: ' • . .. :_ - - hone rOu t Attach additional sheet if neccssary� _ Failure to secure cr►vcr r¢c sit required under Section ISA o IIjCL j5Z can Icn�d t�h imposition of criminal penalties of tine u to ^ unc\care' imprkonmeni ns\aril as ciiil penaltics in the form:ofa STOP.II' -��>.+P_-+3_.1•'Lq` n. cop. of(his suttcntrnt ntal he forwarded to the OMcc of lm•cstigations of the,DlA for cotcragr i crification. .. P SiSOU.UU anJruir OR 1:ORDER and a fine ofS100.00 a day against me. I understand that a 1110 hercht ccrtlj rrrulrr ncC prrlrr nrr perrrrlties of perJun tlrui tlrc lnjorntnrlon provided above is frur urrd corr ect, Sicnature 1y;, Date " as �'t,� Print name nrricial use only. Jo nrir i\rite in this area to be com ilded.bi cin or town.ofricial: cirr or tnt�n: ". permit/Itcense N UutlJinfi llcpnr(ment O cheek if immedinle response is require) �Liccding (Tour; OScicctmcn's Urticr. F.. contact person: h (]health Depurtment pone i1; The Town of Barnstable Department of Health Safety and Environmental Services Eo o;�p1` Building Division 367 Main Street.Hyannis MA 02601 Office: 508-862-4038 Ralph Crossen Fax: 508-790-6230 _ Building Comr Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. l.0 Type of Work: J Ov G Estimated Cost Address of Work: Hs 1 G l Owner's Name: �`U 1�1 1 S n L114 Date of Application: I hereby certify that: Registration is not required for the following reason(s): QWork excluded by law Job Under$1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEM OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner. a o 0 JA 4 A Date Cork=rName Registration No. • O 4 Dace Own 's Name q:forms:Affidav m } N ��� 280oq +\yd A0 r r +d•o ` r q 51 4q. � , t No 4 r� /.a coNp� CERTIFIED PLOT PLAN FOR 454 MAIN STREET CENTERVILLE, MA LAAA. kA ASSESSORS MAP 208 PARCEL 132 ', PREPARED FOR It V • .hR�ly�y RONALD KNIGHT DATE: JULY 21, 2000 SCALE: 1" = 40' ) 5 , , WELLER & ASSOCIATES 1645 FALMOUTH RD. - SUITE 4C 4 P.O. BOX 417 CENTERVILLE, MA 02632 (508) 775-0735 k�._ - - _ -_ 4>Yh f'•ir b.J n..LY.x 2di1M. S '_� V EGG �N77�/hLO7LU��QA�/L ��CLC{LUQU'�O BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR r�. a NUmb4,.�I§; 010538 ti �k Ei phis &101�/2061 Tr:no: . 1425 t { , Fesrictetl,To: 00 ° TIMOTHY R LUZIETTIl`i 79 ARBOR WAY HYANNIS; MA 62601 Administrator .., ` V/�i U/O�)t/I79.IY/7.L(/CQ.GUL O�✓��IJ.G7.LCOe1,(p! - Board of Building Regulations and Standards 1 HOME IMPROVEMENT CONTRACTOR Registration:.108238 f Expiation: gj14/02 Type: PRIVATE CORPORATION LUZIETTI,INC. Timothy Luzietti I 955 Rt. 132 _ Hyannis,MA 02601 `` Administrator h h D 11-8'Plain Panels 2 C 08-009-5 08-009 L 2-0'Plain Panels 08-016-5 OB 016 :L 34'-0" 2-2'Hain Panels 08-018-5-08-018 �_ 1-90*Comer Set 08-020 OB-020L E F G HF— `F 'K�--I 2 r $ 8 8 8 11 Braces 1-Steel Hardware Kit ' OS 214 O8 21 O SIZE A B C D E F G H J K l 08 204 08-204 16'A 34' Ib' 31' d' 3'1'. 10' 14' S'6' . 4'6' `4'6•,. 7' 4'd' 1-18z36 Straight(Dpmg Set 6'Radius I OA2 .10-002 ,6,,,,,,,- 4' 1.90°Coping Comer Set 10-004 14004 roa noa� 16' 34' S'6' 3'1' 10' 14'. 5'6- a b'. 'e6'. T rr 6' 1•Vinyl Liner T• 1 w • - JI_ FRLIi�V �z FRONTI=R �7.0' 3T-7"# STERLI C voo�s 16'—0" 8' 6'Step-Remove 2-8'panels.Insert 1-6'siep,2.5'ponds ._: BRACKET— ANGLE �Aw NG and 1-brace. rvmmuuat . THREADED 'STEEL POOL PANEL STEEL PDOL PANEL 8' 8'Step-Remove 2-8'ponds. Insert I-8'step,2-4'panels'. �muR MADMAN 4' and 1-brace. PLATE PLATE _ ONE PIECE FORMED .. 7w0 PIECE BOLTED p ANGLE BRACE ANGLE BRACE 2' 8' '' g' 8' 7opfi.n.1 Replace 48'plain panels wfih: 00NCREfEFOO�" ���+1-8'skimmerpanel Optional rPooLaOSEzPooLaA E 2-8'inlet panels OS-010-518'Light pdnd 08_112.5 STAKE A S'TA EMBLY COPING LAYOUT 34'-0". 2' 88' 8. 4 8' 4 4' S 16'-0" 8 37'-7" 8, 6 FILLET COMERS � 4. ,.�,. 5' - PAN 2' 8' 8' 8' 8' 7N5 OOdYABft IS FOR LLIbIRar1YE RA:Poses ONLY. "pen.b6a.a Anerafion Dealer.hi °m s respon UGy b aee d.m the_6"P�'•9.pro—by FWP I...d b pod wnr�-4 IMI d.e A" Ui . ..9wd'o^fo�aanid.Ped,m{'el FWP a.e om.L�ably b tl.e ddc�maeeo. •. NSP1 TYPE If "a°s' ader«dFVP TMm"°"° "od tee.. ERLING' BUILDING THE e.edb��r�a,ea, ,�..d a� r'Diagonals given to 90°point of corners. ��.,�h� P�.�«"d.di>� `��..)7+-� FOLLOWING POOL NOTESTheedgdume«n�d,.ddeNon«olsp,edPodlndMe f 1 C3LS- ❑STERUNGe - — E .veml d;,..<,.a:wfw 1 Sal b haw mn.:.n.e b.o;.q<xgo;y d 20%P.S--F- 3.Eao.ao.d.aa b.!6T-dv,o�d d e.oad. * ,b.d«ds br raidn.dal pml u d.ing b°«a.«s!.de,«e b u,ed'. ❑.FRONFIER' i I<a,w ap d ve<I a Im A•daw..a.a,,,y,g M.e:da a.d..6—d P«.d.«d p-6p6— .ub dv�w.doa.ers mmecf«.a«d d.e Aaiael . •-ov - . b.np.e�I, Pod hunM.1 n.....,....y.dad'P^«b e.wD^s d^^9 bo«da«,•• S,a e..e.I..a4.. .. 6— F RZ a .:. ,. �.. .. ,.- .i-d..ee�e,d Nm:ad s a O N T 1 -f2 °JANUARY 16'X 34 4 P _-- ::-_; r :;:; ;- -- - --- —- o 2]J.Me:>CD.6�8 P o� ems- < <F 1999 RECTANGLE 6"RADIUS' °^`•� e 3 JILKNI 0 JAI 4 01 FJ With today's hectic pace,you have to Through innovative design and ifi, make the most of modern conveniences a unique filtration concept,System:3 ' just to find time for fun. For pool owners, Mod Media delivers the dirt-handling r this happens once they discover capacity that outperforms all other . . Sta-Rite's line of Mod Media" similar-sized filters. filters.Get one working for - you and pool maintenance Make the most of your leisure time becomes a distant memory. with the one filter that's no work at all— �� ;r no kidding! [, 4. , i Ultra Capacity Filtration" sides of each module,using every inch P tY Filter Performance p . , Sta-Rite takes a major leap forward in of its pleated surface As a result it holds significantly more dirt than filters of equal Filter Optimal* Flow Rated#. (. creating the filter technology that virtually Area Performance GPM eliminates maintenance.Innovative size.Which means it can operate an Model (sq.ft.) at this GPM per sq.ft. entire season before it needs cleaning! S7Mt20 300 50-80 50-100 design and the latest in media science Less cleaning also increases the life of 58M150 450 50-110 50-124 q delivers the ultimate in I the filter module.'` labor-saving pool �. Turno3er Rate(Gallons) a' equipment. . (FlowRatex6oxHours) Minimum Maintenance r y Model At 6 Hours At 8 Hours At io Hours Maximum When cleaning time s7Mt20 18-36,000 2 4 48,000 30-60,000 _-_ Performance { does roll around, S8M150 18-45,000 24-6o,000 30-74,000 simply remove the *Operating at this GPM will provide the longest filter - The System3 4 f g g cycles combined with the best and realest dirt loading it L;1�ll�..l , tool-free lid and spray f: capacity. Mod Media 1', } rinse the modules y* { **Based on NSF rated Flow range Of.333 GPM per square incorporates �� foot fortheS7Mtzoand.z75 GPM fortheS8Mi5o. While still in p lace.In balanced Flow tank No backwash valve required. minutes the filter is ready NOTE:Operating Limits—maximum continual operating design that directs pressure of So PSI.Pool/spa(bather)applications, 'for another season. maximum operating water temperature(internal filter) q- water through both 1 i ~'Modules used in conjunction with certain poollspa sanitizers may require 1040E(400Q soaking in special cleaning solutions. ye ¢iT to ....fir-.. .. r How To Choose A Series 2 Heater For Your Pool How To Choose A Series 2 Heater For Your Spa • Using the sizing chart below to choose the correct size To determine which size heater to specify,first identify''the heater,first determine the difference between the desired . number of gallons your spa holds.Decide the heat-up time pool temperature and the average air temperature during which is most consistent with your lifestyle,and then note the coldest month you will be using your pool(referred to in on the chart below the Series 2 model necessary to achieve the Heating Table as"Temperature Difference").Second, that.The chart indicates the approximate time required to calculate the surface area of the pool in square feet(length raise spa temperature 30°F.For energy conservation and times width).Third,refer to the heating table below.Listed lowest heating cost,refer to Series 2 operating instructions or are the maximum pool surface areas for each heater model Teledyne Laars"Facts About Spas and How to Heat Them" with typical temperature differences.Make the appropriate Note there is a significant difference in heating time for the selection. various size heaters.For example,to raise the temperature from 70°F to 100°F,a 125,000 BTUH input heater on a 600 gallon spa will take approximately 1 hour and 30 minutes Sizing Chart For Pool Heater (depending on additional factors such as wind,spa insula- Model No. 125 175 250 325 400 tion,etc.).With a 400,000 BTUH heater,heating to 100°F Temp.Diff. Maximum Pool Surface Area(Sq.Ft.) would be accomplished in about 28 minutes.By comparison, 150F 667 889 933 1244 1333 1778 1733 2311 2133 2844 a 6kW electric heater would require about 7 hours and 19 minutes,and a 1.5kW electric heater would heat a 600 gallon 20OF 500 667 700 933 1000 1333 1300 1733 1600 2133 spa in 29 hours and 15 minutes. 250F 400 533 560 747 800 1067 1040 1387 1280 1707 30OF 333 444 467 622 667 889 867 1156 1067 1422 . 350F 286 381 400 533 571 762 743 990 914'1219 Sizing Chart For Spa Heater Model No. 125 175 250 325 400 1. Sizing Chart is based on 31h mph average wind and average pool depth of Spa Size(Gal.) Time to Heat Spa 30°F(Minutes) 5.5 feet.Shading on chart indicates sizing at 0(zero)mph wind. - 2.All Series 2 Models are design certified by the American Gas Association 200 30 21 15 12 9 as gas-fired swimming pool,spa and hot tub heaters for natural gas 300 45 32 23 17 14 outdoor and indoor installations.All models constructed for 75 psi 400 60 43 30 23 19 working pressure. 3.For installations above 2,000 ft.altitude,contact your distributor fora 500 75 54 38 29 23 special High Altitude Heater:This is important for safe and effective 600 90 64 45 35 28 operation.For altitudes above 5,000 ft.,select a High Altitude Heater one 700 105 75 53 40 33 size larger in capacity than above chart indicates. 4.ESC models are available in natural gas and LP(LP for outdoor use only). 800 1 86 60 46 37 5.Teledyne Laars maintains a policy of continuous improvements and 900 135 96 68 52 42 therefore reserves the right to change specifications without notice. 1000 150 107 75 58 47 Specifications IIIII Type and BTUH (W) (S)Stack (V)' Outdoor Model No. Input Width Outdoor Indoor Vent Weight Convertible Y Y ESC-125 125,000 15 14% 177s 5 194 _. ESC-175 175,000 18 14�e 24�/s 6 239 y ? ESC-250 250,000 221h 183/4 25 7 252 Indoor ESC-325 325,000 263/4 18 25 8 296 ESC-400 400,000 313/4 203/4 26 9 331 Vent Cap I Draft hood 14, 5 6"r 6z" j-1&1/2r r a 38.5/8' 38.5/8 �':�• r.110403 P 28I/2" e 1 F,r7551-i;:,,7, Caronn,do w I/21"12.1/2" 12- Outdoor _ .. ; Low Profile/Optional Vent Cap Indoor With Drafthood . .. . . f . . 11 TELEDYNE LAARS 6000 Condor Drive Moorpark,CA 93021•(805)529-2000 480 South Service Road West Oakville,Ontario,Canada L6K 2H4 (905)844-8233 20 Industrial Way Rochester,NH 03867•(603)335-6300 Litho in U.S.A.©Teledyne Laars 9304 ESC Document#3105A i Materials and Design - . 'Trap ELECTRICAL j PE Series features a 5"trap with 1-1/2" .Motors are dual voltage 115/230V. Certifications NPT suction port,ABS strainer basket, Voltage Ran e F clear polycarbonate thread-on lid,and g g Max-E-Glas PE Series high service fac-` low-friction O-ring seal.Bolt-on de- ±10%nameplate rating for models conform to NSF Standard sign. •Maximum Limits 50. P4 Series features an integral 6"trap Ambient Air Temperature 50°C All Max-E-Glas and Max-E-Glas II's with 2"NPT suction port, (1220F). are U.L.Listed,U.L.Standard 1081. polystyrene strainer basket,clear Liquid Temperature 1'5°F. polycarbonate threaded lid and O- Pressure 50 PSI less trap,30 PSI with ring seal. trap attached. pH Range 4-9.' PUMP BODY •Material , Glass-filled thermoplastic Dura-glas with carbon black for ultraviolet resis- tance.304 stainless steel volute clamp. Pump Performance with hand knob. • Internals 120 Bolt-on diffuser with bronze wear ring.Copper heat sink for shaft seal protection.Buna N O-ring seals. 100 Closed impeller of polycarbonate, brass threaded hub. w LU • Shaft Seal 80 Mechanical seal of ceramic,carbon z o ♦ and stainless steel,with neoprene bel- Q 60 lows. . _ I ♦ E T H MOTOR ,40 ♦ G .O , •Frame Size A 1/2-2-1/2 HP 48 frame,3 HP 56 = 20 B C D F frame,square flange type. , • Type " 0 Open,drip-proof,continuous duty. - 20 40 60 80 100 120 140 160 180 3450 RPM 2-pole speed. U.S. GALLONS PER MINUTE •Design Capacitor start/capacitor run KEY - • Shaft - A.PE5CUPEA5DL E.PE5EUPEA5FL = —Max E Glas Threaded,303 grade stainless steel B.NEAHL F.P4E6FUP4EA6GL Max-E-Glas II • Bearings 203 sealed ball bearings both ends, -C.PE5DUPEA5EL G.P4E6GU P4EAA6GL permanent lubrication. D.P4E6EUP4EA6FL H.P4E6HL • Overload Built-in thermal overload,automatic reset • Base Elevated,high-density polyethylene. ," . � � I `a TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map _ Parcel eZ I�' Permit# 3 Health Division D® �LY /�� �j�/�j�j� Date Issued F acUo Conservation Division - , Fee 3� Tax Collector S e Treasurer 01,e,, �3�ZdU� SEPTIC SYSTEM MUST BE INSTALLED INCOMPLIANCE , Planning Dept. WITH TITLE 5 ENVIRONMENTAL CODE AND Date Definitive Plan Approved by Planning Board _ TC%�"N REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address f� Village CM46 U I /f Owner �()-�')i9 L1� P d" 1 z)A- 14 s 'J Y �/J J/ r�247t � Telephone Permit Request �c0 h Cy ea_<X, msr Q PfC�t OstQ C 1 �. 4 4 4 4 � co vs, LNIF 46 RVV Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Valuation Yl on"6410 Zoning District Flood Plain C_ Groundwater Overlay Construction Type l Lot Size (. G CeGye-9 Grandfathered: ❑Yes o If yes, attach supporting documentation. w Dwelling Type: Single Family [ Two Family ❑ Multi-Family(#units) Age of Existing Structure �(Qayso(4 Historic House: ❑Yes &No On Old King's Highway: ❑Yes Wo 909 (A 2 Basement Type: C&Fu -drawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Q Half: existing new Number of Bedrooms: existing new p Total Room Count(not including baths): existing new 0 First Floor Room Count Heat Type and Fuel: X Gas ❑Oil X1 Electric ❑Other Central Air: ❑Yes TAJVo Fireplaces: Existing New a Existing wood/coal'stove: ❑Yes ANo Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size islx3L 24;rA3z, Attached garage:V existing ❑new size Shed:❑existing ❑new size Other: A Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes C9l o If yes, site plan review# Current Use /,rA4 Proposed Use o2 '4�44 BUILDER INFORMATION Name � _ Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATUR DATE FOR OFFICIAL USE ONLY �. MIT NO. ,. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE ' OWNER t- DATE OF INSPECTION: FOUNDATION FRAME ® INSULATION ~' FIREPLACE f ELECTRICAL: ROUGH ' FINAL ' PLUMBING: ROUGH„ • ' ' FINAL _ GAS: ROUGH' �-- ° - FINAL FINAL BUILDING DATE CLOSED OUT ! f ASSOCIATION PLAN NO. } . tne tomm ot Barnstame sAsrrsrAsr.� 94�, & } �' Department of Health Safety and Environmental Services 01 Building Division 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 _ Raloh Crosse.^. Fax: 508-790-6230 BuiIdinn Conizii—, Permit no. Date AFFIDAVIT HOME IDWROVE MEENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"recaw=cdcn,altmmdons,renovation,repair,moderai" on,conversion, improvement,removal,demolition,or cons =don of an addition to any pre-existing owner-occupied building containing at least one but not more than font dwelling uaits onto sttmtures which are adjacent to such residence or building be done by registered connzctms,with certain exceptions,along with other requirements. Type ofWork: ! ) qqs FT t® 0*t Ln9 GWr"9 C Estimated Cost 3 A Address of Work: q S cE% 1 v LUe e Owner's Name: Z11 t::�1 Ct Date of Application: IF AIM9'l I hereby certify that: Regisaarion is not required for the following reason(s): Q Work excluded by law j QJob Under SI,000 ❑Building not owner-occupied ZOwnerpulling own pmmmk Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR-GUARANTY FUND UNDER MGL c. 14ZA. SIG 4M UNDER PEl•TALT'1ES OF PERJURY I hereby apply for a permit as the agent of the owner. Date Contractor Name Registration No.' �t3�ao o i Date Owner'sR=2�) ,rforms:Affidav V ESTIMA TED PROJECT COST WORKSHEET Value LIVING SPACE (high end construction) square feet X S115/sq. foot= (above average construction) square feet X'S961sq.foot= (average construction) square feet X S57/sq. foot= GARAGE (UNFINISHED) square feet X S25/sq. foot= U PORCH square feet X S20/sq.foot= DECK square feet X S151sq. foot= OTTER square feet X S??/sq. foot= _.. Total Estimated Project Cost 6 4 jr I OFtSE Tay Department of Health Safety and Environmental Services Building Division • 367 Main Street,Hyannis MA 02601 WANsrasn.E. KASS 9 s639• �0 �'OtFD sAA'1� - Ralph Crossen Office: 508-862-4038 Building Commissioner Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION , -- Please Print DATE: I` y C.�G I Le V W ✓ 6 ` `r� Z JOB LOCATION: street village tuber "HOSWE4R t p one# work phone# name home CURRENT MAILING ADDRESS: state zip code -city/town The current exemption for"homeowners"was eztende d to include owner-occupied dwellings of six units or less and to allow homeowners to engage anmdividual for hire.who.does not possess a license,provided char the owner acts aS supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which aesides sh d tends t reside,acres ory to such use,Or is and/or intended.to be,a one or two-fWuilY dwelling�_attached----_..-. in a structure two-year period shall not be considered farm structures. A person who constructs_m�_t Ione home . a homeowner- Such"homeowner"shall subaDit m Building Official on a form acceptable to the Building Official,that he/she shall be n esponsiMe for all such work performed under the building permit . -... (Section 109.1.1) for c liance with the State Building Code and The undersigned"homeowner"assumes responsibtY_ °� other applicable codes,bylaws,Hiles and the Town of Barnstable Building The undersigned"homeowner"certifies that heJshe e that will willcomply with said Department and miniannm inspection procedures s�R4 pro dunes and re s- ature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION exempt from the The Code states that "Any homeownerPam°fo °g work for which a building permit is required shall g provisions of this section(Section 109.1.1-Liceosit►g of construction Supervisors);provided that if the homeowneerr 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 Rules&Regulations for this licensing Coign Supervisors,Section 2.15) This lack of awareness often results in Appendix Q, hires unlicensed persons. In this case,our Board cannot proceed against the serious problems,particularly when the homeownerThe homeowner acting as Supervisor is ultimately responsible. unlicensed person as it would with a licensed Supervisor• responsibilities' acting many communities require,as part of the permit To ensure that the homeowner's fully aware of hisllter respo of a Supervisor. On the last page of this issue is a application,that the homeowner certify that hdsh,understands the responsibilities form currently used by several towns. You may care to amend and adopt such a form/certiftcation for use in your community. Q:FORMS:EXEMPTN U_ I I ! II II'!1?;;�;;; <�nlllli ) P � LI11 I 1 I I I i I I I I I E pl r k I: N f I ' LEFT ELEVATION RIGHT ELEVATION SCALE: 1/4' 1'-O" SCALE. 1/4' P-0' I I_,iI PnFM 111111 IllllllllllNil I�� llll�ll1l 0 Lo .__ .__ Q Z Q W. LU EACEDED p1p NOT ------------------ REAR ELEVATION -M' SCALE, 1/4' - P-0' DRAwN BY" w.r DAT& 6/6/00 J N A 29 9-CITE / INFILL IXISTING O.H.DDOR_.._._ 1 I ON I I I ANDERSEN ALIGN WITH EXI5ITNG GARAGE a44c p F WIN 1 RAISE GRADE NC 4'COW" SLAB "�_ _ 7 H F Z I I t E BR I RUES FLOATNi.DCGR AtI�NC 'I TEf. I TRUCT, S I S L 4•I S , 6.6 ST kVCT .TEE d:.d ST RIIiT STEEL t Vt1N CO1 LItIN 1 II T I 1 -e---------- _--__.— ------_---- WIa.36 STEEL BEAn ABODE l] WALL N FO RErI(NE FIRST FLOOR 4 , II REMOVE EXISTG UNDATION—i _ W NI I �' 1111�1 REMOVE EXISTING 5T-R CASE---.-j �Q -- ADDITION ARAG I Pr, 0 DI �' SECOND FLOOR PLAN 4'CONCRETE SLAB 4I PITCH TOWARD DOOR5 i SCALE: 114' - V-O° u F 2Q I __._ - _... W :. .._—___.L I 9-CITE I Z ' OVERHEAD DOOR 7'•9' mo OVERHEAD DOOR ._-.__.. _-...._....._ T W/TRAN501'1 ABOVE bU TRANSOYI ABOVE a i CONCRETE APRON I I I B FOLJNDATIONONE UP 4'-O' ADDITION EXISTING STONE - _ AT OLTOLD NEW WALL ION OP FOUNDATEW.GARAGE DOOR I i o Z I FIRST FLOOR PLAN �Flf,,OVE I �- FxisTiWG STONE SCALE; I/4- . 1'-O° TO BELOW SLAB GRADE r I I I I 3G43i'v24'CONCRETE PAD I I r Q 4B'CONCRETE WALL I W. In W'X 10,FOOTING I I c d Z a I I ADDITION GARAGE i 1- 4'CONCRETE SLAB I I Q = Q F4T04 TOWARD DOORS I I U' CL I z I I I I I POR OP IW PRDOOORR L----- POOR ----- ------- I SHEET NEVI fgINDAT A2ION FOUNDATION PLAN ,D9: • . ::�5 DR.WN BT- Iw SCALE- 1/4' DATE- 5/6/00 ._. ,....._.. ..».........+...sw....,.....M............:..rvwar:mr+wmras+w+.auem:..e,.:.,1.�.:.n..-....«•w,r..• -. I F. • - .1 t1 EXISTING S U ROOF YSTEI"1 EXISTING ECOND.F OOR 5/3 COY.PLY. 1/2'ROOFING UNDERLAYMENT IN RU55ER MEMBRANE - _ _ O P.T.SLEEPERS/nANAGONY - ". cl • 'DECKING NO EXISTING SA5 D MEMBER P 16'O.0 W BEAM 3 V 1 O- - 4•SOFFIT _ -HEADER -6x6 5TRUCT.STEEL COLUMN .. ry 3-2x12 . _ GARAGE EXISTING EXI TING ADDITION GARAGE FIRS -FLOOR 2x6 STUD WALL/I/2' - - PLY.5NEP.T14ING/TYVEK W.C.SHINGLES �-4 CONCRETE SLAB. ` EXISTING IST LCOR JOISTS -3 - ..Z O • - ♦ STONE FOUNDATIONj• - f- r LLI x SECTION !'A .r .SHEET 14-11 r - A3 ..,, ♦ £ �,a _ r A°>. v URAWN BY. KWS. ,_. DATE, 5/5/Do TOWN OF BARNSTABLE SIGN PERMIT I PARCEL ID 208 132 GEOBASE ID 12774 ADDRESS 454 MAIN STREET (CENT. ) PHONE Centerville ZIP - LOT B BLOCK LOT SIZE DBA DEVELOPMENT DISTRICT CO PERMIT 14815 DESCRIPTION 454 MAIN STREET ANTIQUES & GIFTS (11.254 SQ.'. PERMIT TYPE BSIGN TITLE SIGN PERMIT CONTRACTORS: ,t Department of Health, Safety ARCHITECTS: and Environmental Services TOTAL FEES: . $25.00 BOND $.00 CONSTRUCTION COSTS $.00 753 MISC. NOT CODED ELSEWHERE * sARNSTABM +' MASS. OWNER KNIGHT, RONALD F & LIND 039. ADDRESS 488 SOUTH MAIN ST G ON CENTERVILLE MA B ' LDIN DIVISION BYE - i DATE ISSUED 04/29/1996 EXPIRATION DATE The Town of Barnstable p=tno Department of Health, Safety and Environmental Services aA VWZMerAsrs sum Building Division Aare 361 Main Shag,Hyannis MA 02601 �fee�•s� Application for Sign Permit Applicant: t.rJ DA N-7 Assessor's no. .20. /3d Doing Business As: 461f M A-! IV ST- Telephone<S 0 ��7 -Q I Sign Location street/road: KYJ 4�� S� �d v 0 �'�0 3 Z Zoning District Old King's ITighway District? yes no ✓ Property Owner Name: R an a c..i� F L Telephone Address: 'I Ste( rti f/ "� 65 i C�n�e l/U I�� ; M u-2,6 3 Wage Cf_0F15tZV I ur, 1//I SS Sign Contractor Name: G e��1 JC I,(, Telephone q90 -_3/5-0 Address: 13 �/ G�Sx�r ! �� : Village ���tJrG'tPrU/l Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new si- to be drawn on the reverse side of this application. Is the sign to be electrified? yes no t (Note: if yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinances. 02'7 / 9G . ) 9 Date Signature of Owner/Authorized Agent Size (sq. ft.) l� aS SQ T Permit Fee W Jr- Sign Permit was approved: disapproved: Date Signature of Building Official �r 1. .. r f e r Ps r nl ST�ZGt j i � I PROPERTY ADDRESS I I ZONING I DISTRICT CODE 'SP_DISTS.I DATE PRINTED I CLASS I PCS I NBHD -KEY NO. 0454. MAIN: STREET CENT. 10 RD-1 300 loco 01/04 6 1011 : 00 54AA L&Rzu 1 1 y LAND/OTHER FEATURES DESCRIPTION ADJUSTMENT FACTORS ADJ'D Lane By/Dale Size Dimension ,, UNIT .UNIT ACRES/UNITS VALUE D.-,ipli.n K N I G HT. R O N A L D F 8 L I N D A H MAP- /IC ath/Acres LOC./YR.SPEC.CLASS ADJ. COND. P. PRICE PRICE #LAND 1 : 90.900 CARDS IN ACCOUNT - L 10 �18LDG.SIT.1 X' 1 =10C 100 79999.9 .79999.99 1.00 80DUO #BLDG(S)-CARD-1 1 206P000 01 OF 01 A 11 1RESIDUALil ' X' .30 =10C 189 16000.00 30240.00 .36 10900 #PL 454 MAIN ST CENTERVILLE N #DL LOT MARKET 149100 D BATHS 3.0 U XI A= 100 16300.00 16300.00 1.00 16300 a #RR 0950 0220 0898 0280 INCOME FIREPLACE U X. C= 100 3100.00 3100.00 2.00 6200 B #SR LINDEN AVENUE USE pEXT FIREPL: U X`. C= 100 1300.0 1300.00 3.00. 390U B APPRAISED VALUE D i A 296,900 A U PARCEL`SUMMARY T LAND 90900 A T BLDGS 206000 0-IMPS E TOTAL 296900 F E N CNST E N DEED REFERENCE ,ype DATE Recorded PRIOR YEAR VALUE q T Beak Page '"'t' MD. vr.p S.lee Prom LAND 90900 T S 9281/2301TE1,07/94 550000 BLDGS 206000 U 4108/354�. I:05/84 .A TOTAL 296900 R 848/121 :00/00 E BUILDING PERMIT HOUSE IS IN S Number Dole - Type Amount EXTREME NEED OF LAND - LAND-ADJ ' INC ME SE SP-BLDS FEATURES BLD-ADDS UNITS REPAIR. 90900 26400 * MUCH FUNC. 8 Class Cansl. Total Base Rat. Ad.Rate year Bwn A. N.rm ob:�. P H Y. R ENV NEEDED : 1 Units I Unils I A ( B Depr. CiOn(). CND. Loc. %R G. Repl.Cost New Atlj.Fool.Value Stories I Heigh Rooms Rms Botha I a Fi.. PertIll F.c. F Y 9$ CONDITION 018+ 000 110. 110. 73.6,0 80.96 .56 70 24 74 75 100 55.5 371084 206000 2.4 15 9 3.0 11.0 UPGRADED. D plion Rate Square Feet Repl.Cost MKT.INDEX: 1.00 IMP.BY/DATE: / SCALE: 1/00.31 ` ELEMENTS CODE CONSTRUCTION DETAIL ( S SAS. 100 80.96 1304:: 105572 GROSS AREA 4 SINGLE FAMILY.DWELLING CNST GP:00 FEP 65 52.62 430 22627 *---32---* T STYLE _ _100LD STYLE _ 0. ------ R FOP 35 28.34. 98 I 2777 *---G20--* ,UESI6N ADJM_T_ 020ESI6N ADJUST 10.0� U FEP 65 52.62i 54 2841 11 2SF 11 E_XTER.MA_lLS 114000 SHINGLES 0.0 ------------------- - C FFB 6 65. 24 1560 *-* * EAT%AC TYPE 08GAS H W-ZONED 0.0 T SF 150 121.44 . 730 88651 *-* ! INTER.KIN ISH OSPLASTER 0. _ U 620 90 72.86 352 25647 ± 8 21 t ill TE9.LATOUT 139EC6 Av_ERAGE 0. R 824.. 90 72.86 . 1304 95009 FFB ± INTER.QUALTT _02$AME AS EXTER. 0. A 10FEP--18--* FLCOR STRICT 02 D JOIST78EAM _ 0__I p W ! 824 ! EFLOOR COVER 08 . INE 7 Fl00RIN ___ 6 IT - - ----- - ------------------- --E TelalAreas A..= so.._ 34' 23 23 ROOF TYPE t7i GABLE-ASPH SH 0. T BUILDING DIMENSIONS ! ! E LEET R I C AL 03 B E L0 W A Y ERA 6 E 0. BAS W08 S16 FEP N16 E07 S24 W38 ! BASE ! FOUNDATION 05STONE HALLS 99_ A N10 E07. S02 E24 FEP -------------- --- ---------------------- � .. BAS W24 -8-* *-X � N16 FOP W07. S14 E07 N14 .. BAS FOP6 16! NEIGHBORHOOD 54AA MAIN ST. CENTERVILLE W08 N23 E10 FEP N09 E06 FFB N08 *-* ! 24 LAND TOTAL MARKET W03 S08 E03 FEP S09 W06 .. 10*--24--* ! PARCEL 90900 296900 BAS E06 2SF N21 W08 Nll G20 Nll *---FEP----* AREA 20874 E32 Sll W32 .. 2SF E32 Sll W06 VARIANCE +0 +1322 SEE APR FOR CONTINUATION STANDARD 25 ib . 1 ➢ t le 000f 1 11 i War 4 pp , l I �'rIIF 'If ��,I`�Fild rrj.N I.�•�,I.1; �(1�'• ti. W _'. I ) I -5 f f -�_ E' 1 ' i 777,77 �� G Aj . i b� I {-1f1'I ��• 5'4 F e i I • 6 t i a P R- �qe • W IA R TO ALL NEW BUSINESS OWNERS: ®® FII in below: NAME OF NEW BUSINESS: TYPE OF BUSINESS (5- N T/(� u�3 IS THIS A HOME OCCUPATION? Y. 5 ADDRESS OF BUSINESS /A-t 4_/ � 5 i,ef=" ET ht ✓v�'i f , �1 Z s2_ MAP/PARCEL NUMBER If you are starting a new business there are quite a few things you need to do in order to be in compliance with all rules and retulations of the Town of Barnstable. Once you have been checked off on this sheet you may apply for a business certificate at the Town Clerk's office (Ist floor-Town Hall). 1. GO TO BUI G IN R'S OFFICE(4TH FLOOR TOWN HALL) This indivi s i c li ce and ha een explained the procedures needed to start a business Building Inspector's Signature 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has beA-n-lqformed of any pe requ' e�nts that pertain to this type of business. o m Health Inspector's 'g atu 3. GO TO CONSUMER AFFAIRS (LICEN G AUTHORITY)-(3RD FL SCHOOL ADMINISTRATION BUILDING This individual has been info ed of any licensing requirements that will pertain to this type of business U nsing A ority Signature After being check y all of the above-remember to return to the Town Clerk's office to actually obtain your business certificate. i TOWN OF.BARNSTABLE MASSACHUSETTS BUSINESS CERTIFICATE ` D DATE ISSUED: 9/21/95 DATE RENEWED: "= BOOK: 178 RENEWAL BOOK: PAGE: 95-24.1 RENEWAL PAGE: - CERTIFICATE EXPIRES: 9/21/99 a :�:K In conformity with the provisions..of Chapter One Hundred and Ten (I10), Section Five (5) of the Vaheral Maws, as amended, the undersigned hereby declare(s)that a business is conducted under the title of 454 MAIN STREET ANTIQUES"AND GIFTS located at 454 MAIN ST CENTERVILLE„MA 02632 by the following named person,persons,or corporation: LINDA H KNIGHT 454 MAIN ST CENTERVILLE, MA 02632 Signatures: ON September 21, 1995 THE ABOVE NAMED PERSON(S) PERSONAL PPEARED BEFORE ME AND MADE OATH THAT THE FOREGOING STATEMENT IS TRUE. ITLE Identification Presented: In accordance with the provisions of Chapter 337 of the Acts of 1985 and Chapter 110, Section 5 of the Mass General Laws,Business Certificates shall be in effect for four years from the date of issue and shall be renewed each four years thereafter. A statement under oath must be filed with the city clerk upon discontinuing,retiring or withdrawing from such business or partnership. Copies of such certificates shall be available at the address at which such business is conducted and shall be furnished on request during regular business hours to any person who has purchased goods or services from such business. Violations are subject to a fine of not more than three hundred dollars($300)for each month during which such violation continues. CERTIFICATION CLAUSE I certify under the penalties of perjury that I,to the best of my knowledge and belief,have filed all state tax returns and paid all state taxes required under law. �,_$gna e of Individual or Corpora le Nam andatory) By: Corporate Officer(Mandatory if applicable) ** or Federal ID Number * This license will not be issued unless this certification clause is signed by the applicant. ** Your social security number will be furnished to the Massachusetts Department of Revenue to determine whether you have met tax filing or tax payment obligations. Licensees who fail to correct their non-filing or delinquency will be subject to license. suspension or revocation. This request is made under the authority of Mass. G.L.Cha 62C,S.49A. r Aar - syoFlNro`, . The Town of Barnstable i lAtlf7Ar4[ :cart. Inspection Department � . 367 Main Street, Hyannis, MA 02601 508-790-6227 Joseph D. DaLuz Building Commissioner TO: Warren J. Rutherford, Town Manager FROM: Joseph D. DaLuz, Building Commissioner SUBJECT: 454 Main Street, Centerville A=208 132 DATE: November 3, 1993 The "gift shop" use of the property owned by Isabel Dawson located at 454 Main Street, Centerville, predates my tenure as Building Commissioner for the Town of Barnstable. I have spoken with two life long residents of the village and to the best of their knowledge the gift shop has been in existence for many years. One estimate was at least thirty five (35) years and the other approximately fifty (50) years. A telephone call to Mrs. Dawson revealed that her mother, Mrs. Zappone, operated the shop as early as 1942 and the operation has continued from that time. Mrs. Dawson indicated that she does have the old records in packing boxes and could, if necessary, produce copies of same. I might add that Mrs. Dawson was very cooperative but dismayed that someone would question the legality of the long time use of her property. It is my opinion that the use of the property falls under Section 4-4 . 1 Lawful Non-Conforming Uses: "Any lawful building, or any lawful use of a building or premises, or part thereof, existing at the time the Zoning Ordinance was originally adopted in the area in which such building or use is located, may be continued, although such building or use does not conform to the provisions hereof" . Zoning is based upon land use and not ownership. One need not reside at the location. Warren J. Rutherford, Town Manager November 3, 1993 Page 2. Attached please find information from the Assessor's office re the property assessment. July 31, 1950 Dear Madam: I am the person who:, bought the sugar bowl, which was part of the sugar and. flour set. Upon reaching home I find I could use your suggestion of having the flour bowl made into a lamp and, if convenient to you, I should appreciate your sending it to me, if you still have it. I will pay the postage. Please let me hear from you. Yours very truly, �., P.S. As 'I do not know your name, I am sending this to the P.O. in Centerville and asking them to address the envelope. Please advise me before you send it. H/< AUG 17 T 3 -PM • t Antique Shop Centerville Mess. (same side of street as P.O. , about four houses away toward t _ � J i I 1 10 04 -- -W/C SNINGLES . . FIRST FLOOR -- - . 22 ASPHALT SWINGLE 5/0° CDX PLY - 4- 3t8 RAFTERS ® ul 2x4 STUD WALL W.C. SHINGLES .. P.T. ar8's .-. 10" SON-0 PIER • - Lu Z W z 22'-0" Q z Q g Irl u1 R d a WE'( P7Mz a. (jl - ace e w O.C. = z w z � V /-4x4 P.T. POST - .ems Lot j... GALS. METAL POST ANCHOR 10° 50N0 TUBE" PIER TTP. EET .lr�. OR4 } DRAWN BY. iCW }' DATE: 5/,/00 �.. V P N 2 .�N r \ BOO �\ ,L� - � _- -=_--• ,. - _ Vo_ CERTIFIED ' PLOT PLAN FOR 454 MAIN STREET CENTERVILLE , MA ASSESSORS MAP 208 PARCEL 132 PREPARED FOR o R J RONALD KNIGHT qN DATE : JULY 21 , 2000 SCALE : 1" = 40' WELLER & ASSOCIATES 1645 FALMOUTH RD . — SUITE 4C P .O. BOX 417 CENTERVILLE , MA 02632 (508) 775-0735 a IMPORTANT CL ANY CONSTRUCTION THAT INCREASES LIVING SPACE ---_ BEYOND 1200 SQ. Fr. PER LEVEL MAY REQUIRE THE ,I INSTALLATION OF ADDITIONAL SMOKE DETECTORS. NOTE A SEPARATE PERMIT IS REQUIRED FOR THE INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL (( PERMIT DOES NOT SATISFY THIS REQUIREMENT. I EXISTING SEPTIC SYSTEM LIMITED T0�_#OF BEDROOMS ! I - Z I= �_ 1 �7u l I T_I -- _ — - �— - -- iAROKE ETECTORS REVIEWED BUILDIN DEPT. DATE � co , li - -�I I L___ -- - I .__1 __. _-_ -_.- -- �i ' ►1 II L: .1 -_ ,1II l i I ils IIl1i 1 �l:�I 1I 1a, I �li NI i i P,; ; I I�I�� if,� _I c I I:( � �II�II I�I II II �1 �::�� � ',I ,',I :L„)I'Ii 1II�: {i ,�I II. I,I,� IIi I'i 1 1l,:1 I lI,� Ii'=�i I►.��,rIi iI, II^(' I I: �f,,�l;� 1I Ii�. r���II;, iL�,I,'�I IlI�li;. },fiI,.'!:�' iId; I���1� •fI�I,I iIi�s� aII►� 11l1III I I � L�n DATE BOTH SIGNATURES ARE REQUIRE •Or PERMITTING FIRE DEPARTMENT J-- IT, z i I I � L u i fir- C-�- I-----� I ' I I � I I l flfl_Il f 1 l t .I ! : l I , i Y 3-1' I -1 -i -1 { � I I W •- Z 34'-0" --------- -- z ADDITION ` R'_ Q RIG�4 `T ELEVATION � w SCALE: 1/A" = 1'-0" — Z V_ SHEET JOB: 0305 DRAWN BY: KW ...-.., ��. nATF. A in--7 J^r a— i a t i � f I CL REAR ELEVAT 1 ON \� SCALE: I/4" = 1'-0" I \;�,.� FRON7 E L E V A7 0 I V SCALE: 1/4" = 1'-0" I i ix8 FASCIA / VENTED SOFFIT ALUMINUM GUTTER f DOWNSPOUTS T rP. �� EXISTING 5/5" PLYWOOD 5NEATHING/ 1/2" ROOFING UNDERLAY COND FLOOR � RUBBER MEMBRANE/ FLOATING P.T. DECK: / REVERSE TAPER SLEEPERS / MAPAGONY DECKING I II 36" GUARD RAIL I ' W U � AJ5 25 16" I-JOISTS @ 12"O.G. — <_—W10x30 STEEL BEAM -- ix3 STRAPPING / 1/2" {- Q GYP. BOARD TYP. W j ii W ADDITION o z � EXISTING, I i i f �� 2x(c EXT. STUDS @ 116 O.C. ---- El ST FLOOR i i __ 3/4" TAG PLY GLUED 1/2" GDX PLY. SHEATHING TYVEK (OR EQ.) / Rlq F.G. INSUL. & NAILED 5U5FLOOR z > W.G. SHINGLES TYP. � W iI - - AJ5 25 it 7/5" I-JOI5T5 @ 16"O.G. 00001W 3-2x12 GIRT EXISTING �\ NEW z BASEMENT ) BASEMENT l " w u Iil- n1 Iil ! SHEET 1_J q -III .III III r v t-1-ii 0_11 CONCRETE SLABQ = S EGA'" 1 ON ;tP2 SCALE: 114" = I'-0" JOB: 0305 ADDITION DRAWN BY: KW DATE: 4/27/05 I1'-4" o �0 T W2851073�TW28510 �o 'X i�B v o TW28510 8. T O \` ��8`S/p - - -- -- - 3 `n 00 BLILKNEAC; BREAKFAST FANIL.Y ROOK i y � 1 i i j I 11 . 22'-O" 21'-0" REMOVE WINDOWS R CREATE PASS THRQUGH 0 L REMOVE WINDOW - - -- CREATE WALK THROUGH � I -- --- - __-- - -- �- REPLACE WINDOW W/ DOGR I WIOx-0 STEP-L BEAM ABOVE KITCHEN LIVING - II GARAGE 12'-511 12'-411 71 OII BATH r KEEPING NG I W Li Z w Q W cn w uP ° Q/ c>_Fl z � Q I FIRST FLOOR FLAN NOTE: SCALE: 114" = 1'-0" WINDOWS ARE ANDERSEN TILT WASH 400 SERIES W/ SHEET SIMULATED DIVIDED LIGHT MUNTINS JOB: 0305 DRAWN BY: KW DATE: 4/27/05 cI 34'-0" BI-oll 2'-4 11 71-0" 21-4ll z 4 -8 3f z F- Wx 7'q" CONCRETE WAIL Z 10"x IV' CONTINUOUS FOOTING TYP. LJ �D ADDITION FOUNDATION z 4" CONCRETE SLAB < CA: 3-2x10 GIRDER V BILCO I 3 1/2" DIA. STEEL COLUMN BULKHEAD 30"x30`x12" CONU'-':'TE PAD t DOOR pq/ 18" EXT. L t START LAYOUT `O - - - - - - - - - - ALIGN 2x(o WALL L WITH CORNER REMOVE EXISTING NOT EXCAVATED- MATCH EXISTING m BULKHEAD FOR FIRST FLOOR J 17, ACCESS TO EXITING I l ELEVATION Lu BASEMENT u I ---------------- 41-0" DO NOT EXCAVATE F-I--I---1 -1 -1 Lu BELOW CRAWL SPACE DEPTH EXISTING EXISTING GARAGE GRANIL SPACE I I i i i i EXISTING BASEMENT 5HEET FOUNDATION PLAN 144 SCALE- 114" = 1'-011 JOB: 0305 DRAWN BY: KH DATE: 4/27/05 u d j T 3A'-0" I _ T- ,l _ Lr o� LP ROOF FLAN — SCALE: 114" CONNECTOR _ EXISTING STAIRS -- - I STEF TO h1ATG1-I ROOF SYSTt�:: O.G. 5/8" CDX 16" 1-JOTS"T'S 6' / L -EXC5TING 22'-0" GABLE ABOVE SHEATHING / 1/2" ROOFING � - EXISTING 22 0 GABLE ABOVE ---- --- - -_ UNDERLAYMEMT / RUBBER �` - ---- — - --- - -- - - ROOFING / FLOATING DECK - - -- - - -AI3OV E W/ 36 RAIL w Lu GARAGE ROOF DECK ----- - - ---- ------ ----- - ---- --------- Z V Z I i SHEET A5 J08 0305 DRAWN BY: KW DATE: 4/27/05