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HomeMy WebLinkAbout0473 MAIN STREET (CENT.) P7: 7 41( a� � z y L y - x� �. .,'Y :.. .-, a _ rye, a .• - ", '. � o. a c - n c , , r .. x� J , _ N � V'r: '. .. • ( d". Woe '. 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Total Fee Paid r TOWN OF BARNSTABLE Permit Approval by..........N 7......:............on:...9. l................. BUILDING PERMIT . ................... .........Parcel...:8I.......a.... . ......... APPLICATION Section 1 — Owner's.Information and Project Location Project Address : 1 (O� e�,,�/ e� Village �3 .. Owners Named Owners Legal Address / A�e� f �✓ City41P �W T I a State Zip /-//0-<— f,�a � Owners Cell.# 'Y /gyp�.9� - E-mail �• Section 2 —Use 7of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet 0 Commercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section•3 — Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) 0 Finish Basement ❑ Family/Amnesty 0 Fire'Alarm Rebuild Deck Apartment Sprinkler System ❑ Addition ❑ ' Retaining wall ❑ . Solar El Renovation ❑ Pool ❑ Insulation Other—Specify Section 4 - Work Description a /6' Deco v e -5,e`" 1' o - Z G. S• Tact nnrintnd- 11/15/701 R - - I I 4 Application Number........ Section 5—Detail ' Cost of Proposed Construction Square Footage of Project"T'` Age of Structure Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms;(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics ❑ Wiring ❑ Oil Tank Storage 0 Smoke Detectors ❑ Plumbing Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑.Add/relocate bedroom i 1 Water SuPP Y 1 `` '`" ❑ Public ❑ Private , r.. Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units (on site) Setbacks Front Yard Required Proposed* Rear Yard Required Proposed Side Yard Required Proposed" Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 11/15/2018 The Commonwealth of Massachusetts Department of InduitrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia . Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plnmbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): µ Address: City/State/Zip: Phone#: ' Are you an employer?Check the appropriate box: Type of project(required): 4. I am a general contractor and I. � P ] ( e9 ��� 1.❑ I am a employer with g 6. Q New construction employees(full and/or part-time).* --have hired the sub-contractors 2.P I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have S. Demolition working for me in any capacity.acitY. employees and have workers' ' , [No workers' comp.insurance . comp..insurance.t 9. []Building addition, required.]. 5.,F1 We are a corporation and its . r 10 C Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself.[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no employees.tNo workers' 13.21�Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: - Policy#or Self-ins.Lie.#:. . _ Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL C. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. 1 do hereby c under pains and enalties of perjury that the information provideddabove is true and correct Si store: c/6^ Date: V lO ` 02 Phone# Qjftial use only. Do not write in this area,to be completed by city or town offkial City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: Information and Instructions - Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined as"an individual,partnership,association,corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152,§25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-aontractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town brat the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant:. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as roof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each aPP P year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: _ The Commonwealth of Massachusetts Department of Industriai Accidents Ouse of I,nvestiptions 600 Washington Street Boston,MA 02111 - Tel.#617-727-4900 ext 406 or 1-877-MASSA,FE Revised 4-24-07 Fax#617-727-7749 WWW;maSS.Vv1dia D v nrision of Prrtfessronat:L,censure Board of Building.Regulations and'Staridards construxtW` d rvlsor CS-091391 x 6 } �p � fires 10/28/2021 r� AI _... : .. h . FRAN; 6C f10N0 104.C:ARLOYY&�AVENUES . n' rf HYANNIS.AAA-02 01 f: ' Commissioner " C-�fte tpobran2aruaekl�.a�C�/[��av6crc�u�lld .. ..... � i w. K Office of Consumer-Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Re istration valid for md,vidual use only l+ ! TYPE Individual" `; before the expiration date. If found return.to:.. . ). Registrat,onN Expiration Office of Consumer Affairs and Business.Regulation 164521 ?'�'`3'10/18/2021 .. 1000 washingt'o.n:Street -Su,te 710 Boston,MA 02118 FRANK DONOVON `tea t I j j - FRANK J.DONOVAfJ 104 CARLOTTA AVER a 1 { 1 ' MYANNIS,MA 02601 ,,.~ -Not valld without'signature Undersecretary r i 1.4 r ' Ra : F' .. t s� r d , e. .. I C/. ! , - �� 1� °�� ��h` "" ` j t `- l v # < Y, z a ���� 7 yh�e Y ° i ,? k t : '' P�t�bf iR, al �r� 1� I�:',',—'�--. , /11h: - - �,I��;v� �� . � ti ,`h :y , .i. 4"3• xT1 A C v ':R.�.2 H: .. t"Fl .' a - 7 f T 1a4Y4 `s - s�.. V` l �, f , Y t ° A �. FI.5 s # .� fY c "i r ,- '.:.+ . �' W _ / �. >,'> . . N, , -- . I - � . . �. -:... � : � 11 . :.�, � .- — �. s x'y r 1_ C: 2 -� .. 1 �X x r� ° ...� 6edr��. .F F i 1l L k 4 �3 1— +i Paz i <�t Q t. i a c y x "I. F r gr k Fib - , +xi I Yv .t i rtP.pa r q ' ✓z:.- _ .. h° : ° any j a 'b xc: s ,r 'r �° t ; ' e : 1J :i 7 /�- /: 9: f ae: ©V' k - i i 3 &I oQ (Jc t h ,ry j ". I t �,�i!f�r -- , �' �: ,, ._ .,� Lam• ,, w r s'. r _ . ,' . , cRTzi�a P ©T pay = s. �I 1 MAS s i>; CEITiFY THAT THtl.vi1,c -' R J O Nf,4Plil, /NS, RLS RS;' SHOWN ON THIS PLAN HAS BcEN 1348 RGUTE 134 LOCATED` ON THE GROLiNQ AS iNQICATED EAST D_ENNl3, Mass � . '. DATE `y� _ SCALE' m. ,7 - - ,��� Nc.. CLEW 2�!�.!rv,� � ; m. /. .. DA E..; fGIS3ER. L G. SURVEY.OR DR. .8Y.:1 _:.- SHPE ,m m OF . -. : - ,. . I Y Application Number........................................... Section 9- Construction Supervisor Name =t�L<�_� �; Telephone Number Address City a State 44&4 � , Zip 6, / License Number License Type Expiration Date Contractors Email ( a a_ I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the.construction inspection procedures,specific inspections and documentation req ' ed by 780 CMR and the Town of Barnstable.Attach a copy_ofyour license. Signature Date Section 10-Home Improvement Contractor Name �{,rc�n(5 ,v~ Telephone Number Address_//6C('46 /tw City State Zip !1C3��D / Registration Number Expiration Date I understand my responsibilities under the rules and-regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable.Attach a copy of your H.I.C... Signature L4L- -- Date g- ^a Section 11 —Home Owners License Exemption Home Owners Name: Telephone Num Cell or Work Number I understand my responsibilities under the rules and re atio for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the cow nsst130� ection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date -�.. APPLICANT-SIGNATURE Signature Date 5-- �' Print Name K Telephone Number E-mail permit to: CA'Le dn�&raS'Wtgn `G DD u Cpyp'� Last updated: 11/15/2018 J Section 12—Department Sign-Offs" Health Department ❑ Zoning Board(if required) ❑ ' Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ r Conservation ❑ For commercial work,please take your plans directly to the fire department for approval Section 13—Owner's Authorization E - / i I, �,I'e,�- ��Ak/ , as Owner of the subject property hereby authorize ;f ! T)�Iqo)ywe^ to act on my behalf, in all matter relative to work authorized by this building permit application for: e_W, (Address of job) gna a of O erI date de Print Name a Last updated: 11/15/2018 .A Town of Barnstable • Ti' rP»ro3 st Th�s,fitC-a.:rd'' So Th°.atw;i"tmr iz `ias"�ble F».ro,tApved IPIa,n�"sEM ; y "�':: r>, °fi?,�. t•" 'v.a`• S'_i 1Cll g d nReaeo u MsW proeoasrAea M Posted Until Final Inspection Has Breen Matle` s k :w"' "' red unt>l aFinal Ins'''ectionhasrbeena.made Permit Where a Certificate of Occupancy is Required,such Building shall Not be Occup # p Permit No. B-19-2538 Applicant Name: Roland Langevin Approvals Date Issued: 08/06/2019 Current Use: Structure Permit Type: Building-Insulation=Residential Expiration`Date: 62/06/2020 Foundation: Location: 473 MAIN STREET(CENT.),CENTERVILLE ¢ Map/Lot: 208-085 003f Zoning District: SPLIT Sheathing: Owner on Record: GLADCHUK,CHESTER S JR& KATHLEEN B`, 4 Contractor Name ROLAND LANGEVIN Framing: 1 Address: 16 porter rd '% Contractor L ice n se CS1: 03861 2 ANNAPOLIS, MD 21402 ": Esf Project Cost: $4,403:00 Chimney: Description: attic damming, 12"open R-42 cellulose to attic flat,`rgid poard to Permit Fee: $85.00 kneewall,seal and insulate attic hatch,ventilation chutes,vent e Insulation: Fee Paid $85.00 bath fan thru roof 4",wood gable vent,home air, 3 Final: sealing,weatherstrip and add door sweep, R 13 fiberglass and rigid Date � 8/6/2019 board to common wall t Plumbing/Gas Project Review Req: n :,` r �` Rough Plumbing: g W a Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within siz months afterjssuance. :All work authorized b this permit shall conform to the approved a ligation end the.approved'construction documents4br which`•th s permit has been ranted. Rough Gas: Y p pp pp P g All construction,alterations and changes of use of any building and st uctures shaM156 in compliance with the local zoning by laws,and codes. This permit shall be displayed in a location_ clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures bythe Building and Fire Officals are provided on'this,permit. Minimum of Five Call Inspections Required for All Construction Work Service: 1.Foundation or Footing. Rough: 2.Sheathing Inspection •ri-= g 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed • Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) . Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations.- Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT w` F r M►�:..,� 5 E�-r cRIBALAN E AC D - o Company Name Cape Cod Insulation Phone Number 508-775-1214 Applicator Name Jose Espinal ,�o�e' Installation Date 4-11-2016 Jobsite Address 473 Main St. Centerville, Ma. A-Side Lot #'s PA86001524 Permit Number B-Side Lot #'s 360555 W O • O `w�lr"' i O "`� f' a x r O - O O O • 6 r a Walls 5 1/2" R-24 280 Attic 1111 R-49 640 V7- TN' G� • e- �O �° • O O �• , ,. . . -n �.7P. .Y s , e w� 1.5 Uri www.Demilec.com j, cODEMILEC DEC 212015 TOWN OF BARNSTABLE BMNG�P�EMT�� hCATION UDC' n Map Parcel 1� U Application #Z0 1 50 7�I Health Division Date Issued 1 /11_ 1 6 Conservation Division � Application Fe U.' 00. Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation / Hyannis Project Street Address V-, Village " Ka/ll AA- Owner 4 ee+ f� 'CAez Address Telephone :Pt Permit Request � e = oiz?/l Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation °° Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family (# units) Age of Existing Structure S �� Historic House: ❑Yes %No On Old King's Highway: ❑Yes *lo Basement Type: 11 .Full ❑ Crawl *Walkout ❑ Other .Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) (Number of Baths: Full: existing oZ new Half: existing f 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 Telephone Number `` �1®� Address d License # C Home Improvement Contractor# Mo qS-4 I Email &G14 UP Q0 0 Worker's Compensation # 9 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO N SIGNATUR DATE Za3, l I i FOR OFFICIAL USE ONLY T a E ,APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE .OWNER ;t } DATE OF INSPECTION: F i� FOUNDATION FRAME L`{ 3n3�1� MR ll4 j n INSULATION 'i `f FIREPLACE a ELECTRICAL: ROUGH FINAL r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING II DATE CLOSED OUT ��1 qj`d� t ASSOCIATION PLAN NO. r_� a ?Ire Connnorrivealth of_Vassachusetts Depi rtrrment of industrial Accidents Office of Im�estigatians 600 Washington Street Boston,MA 02111 . ruass_govIitirz Workers' Compensation Insurance Affidavit Builders(Cantracturs/EIectricians/Plumbers Applicant Infoiination Please Print Legibly Naazne(Susmess,�Organization/fndi�idaal)_ ' / j,� Address:l � 14U CityfStatef2ip: Phone Are you an employer? ee the appropriate box: Type of project(required): am a genera contractor and I 1_Q I am a employer with 4. ❑I l 6. Q New construction employees(full andfor part-time).* have hired the sub-contractors 2. I,am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling slip and have no employees These sub-confractors'have g_ ❑Demolition wading for me in any capacity_ employees and have workers 9_ Buildin addition jNo worlcers' comp.instance comp.insuranm g required.] 5. Q We are a corporation and its 10_ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised thew 11.Q Plumbing repairs or additions myself_[No workers'comp- right of exemption per MGL 12.❑Roofrepairs insurance required.]s c.152,§1(4),and we have no employees-[No workers' 13.Q Other comp_insurance required.]; 'Any applicant:that checks box rl®osi also fill out the section below showing their worker'compensation policy information_ I Homeowners who submit rhis affidavit indicating they are doing all weak and then ham outside contracrors mast submit anew affidavit indicating such. :Contractors that chit this boor must attached au additional sheet showing the name of[be sub-ccatacAms and age whether or not those entities have employees.If the sub-contmctots have empIoyees,they n=pmtiide their workers'comp.policy number. I aril art elnpinyer thatis pramding workers'conrpertsa(ion irtsruance for rrt}'enrplv3es. Below is the policy and job site information. r •r Insurance Company Name: Policy or Self-ins.Lic-4 Expiration Date: Job Site Address: City/Statelzip: Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of NfGL i~ 152 can lead to the imposition of criminal penalties of a fine up to S 1,500:00 andfor one-Fear imprisotmienk as well as civil pen alties,in the farm of a STOP WARS ORDER and a fine of up to$250.00 a day against the-violator. Be advised that a copy ofthis statement may be forwarded to the Office of Investigations ofthe DIA for insurance coverage verification. I do hereby ce under the pidiis artd peiiabYes of u►y that tide information prmRded abmw is true and correct SiErrature: Q/ Bate: Phone#: l '0 � �.� OBMai use only. Do nut iwrite in this area,to be completed by city artotrn ofciat City or Ta%m: PermitUcense-9 Issuing:-uthority(c rde one): 1.Board of Health 2.Budding Department 3.City/Town Clerk 4.Electrical Inspector S.Plumbing Inspector 6.Other Contact Person: Phone#: ` Information and Instru Bois ' hfassaehusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. pm mjMt-to this sty,an w pfoyee is defined as."-.every person m.the service of another render any contract of hire, express or implied,oral or writ r=" An Moyer is defined as"an individual,partnmsbip,association,corporation or other legal entity,or any two or more of the foregoing engaged is a joint enterprise,and including the legal representatives of a deceased employer,or the receivcr 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- dwelIing house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or bt;Eding apply-ecp r>t thereto shall not b Maus e of such employment be deemed to be an employer." E MGL chapter 152,§25C(r7 also sues that"every state or Io p.l licensing agency shall withhold the issuance or renewal of a license or�per it to operate a business or to construct buildings in the commonwealth for any applicant who has not p�rodu acceptable evidence of co, pliance with the insurance.coverage required" Additionally,MGL chaptix 152,`k25C(7)states`Neither the mmonwealti�nor any of its political subdivisions shall enter into any contract for the perfomhaace ofpublic work acceptable evidence of compliance with the in saran ce. requirements of this cbapt�r have been presented to the.con Ling authority." Applicants Please fH out the workers' compeusatiou�d— it couple Iy,by chMIdag the,boxes that apply to your siinafion and,if necessary,supply sub-contractors)name(s), addess(es)and phone number(s)along with their ceriificate(s)of insurance. Limited Liability Companies(LLC)or Limited Aiabrlity Pacfnersbips(LLP)with no employees other than the members or partners,are not requited to cagy workea5<compensation insurance. bran LLC or LLP does have employees, a policy is r(-.quired. 13 ed that this affidavit maybe submitted to the Department of Industrial Accidents for confirmation of msFance coverage. Also here to sign and datedre affidavit The affidavit should be retume:d to the city or town tha�#aRplication fur the p or license is being requested,not the Department of Lrh,stri al A ccideuts. Should you have any questions regarding e law or if you are req�ed to obtain a workers' compensation policy,please call tha.D6p k iment at the n= er below. Self-k=ed companies should enter their self-m stuan ce license number on theappropriafe line. City or Town Officials ` Please be sore that the affidavit is comply to Viand printed I ly. 'Ihe Departs has provided a space at the bottom of the affidavit for you to fill ourt in the e �et tie Office Investigations has to c tact you regarding the applicant Please be sure to fill in the pehmiVliceme n i car whit be used as a reference umber. In addition,an applicant ° . that mast submit multiple penaitlIicense ap ' dafions i any given year,need only sub� -t one affidavit indicating current policy information Cif necessary)and under of Site _dress"the applicant Should,, "all locations in (may Or town)_"A copy of the affidavit that has been ffiei stamped or marked by the city or t vm may be provided to the applicant as proof that a valid affidavit is on e for permits or licenses. A new affi ' vitmust be filled out each year.Where,a home owner or citizen is ob " ar tense or permhuot related to any basin s or commercial venture Ci-e. a dog license or permit to bairn leaves eta:) d person is NOT read to complete this davit The Office of Investigations would like to thank ou in.arivance for your cooperation and should ou have any questions, please do not hesitate to give us a call- The Department's address,telephone and fax n-amb Tht CG ; aZtl�`Qf Mas§achUS-(,-tks ' Deparimet lad a1 Acci�tmts tie Q vest igatio=4 y Wa&ZGII S[r�t Bost YA G2111 s TPL#617-727-4A0 cxt 406 or 1-977- I -S�,, Fax#617-727-7749 Revised 424-D7 wW mgQvIdza 11/30/2015 10:23 FAX 5084201637 FREDERICKS INSURANCE [6001/002 _�. ..... ...,�., .,. �.,.�. ,u, rn%.FL a.Vv% rax berver ACo eon CERTIFICATE OF LIABILITY IN DATE �...- INSURANCE 11.3D.2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER, THIS CERTIFICATE DOER 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: It the certlticoW holder Is an ADDITIONAL INSURED,the PORWIes)must be endorsed, If SUBROGATION IS WAIVED, —biectto the terms and conditions at the policy,certgn policies may tequire an endorsement A sMtement on this cert?rrcats does . riot Comer rights to me certifrcats holder in Ilea of such endorsement(s). CONTACT SULLIVAN GARRITY 6 NAME: 1046 MAIN ST PHONE Ell. FAX No. OSTERVILLE,MA 02RO1 -MAIL INSURERIAFFORDINCCOVEPAGF NAIC1 Ik^d)R EI}q:I RAV EL F R6 ND EMN ITY CO OF AM E RICA NUURD !NSURER a. f SILVA PROPERTY IMPROVEMENT INC 1046 MAIN ST INWHER C: OSIERVILLE,MA 02855 INSURER D: ASURFR E NEURCII F. tIA THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INUICATED. NOTWITHSTANDING ANY REQUIREMENT,.TERM OR CONDITION OF ANY f CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS ChRTIFICATE MAY BE ISSUED OR MAY PERTAIN` THE INSURANCE FF A ORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT. TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POu01ES,LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. atlSR TYPE OF WSURANCE POUCY IANW SU POLICY NUMR .(MM!I I POLI�p/gYh, .LwM GENERAL I IA81LrI� EACH OCCURRENCE g COMMERCIAL 3ENERALLIABILTTY OASIAGt tORFNrED CIAIM&MADE rXGUFJ PRFMI ME EXP-;Ag one pe(5oa) PERSONAL&ADV1I4JURY y GENERN:AO39EGATE S GPN'L ACGFIEGATE LMIT AP?UES K.A: PRODUCTS•COMP,OPAGG II POLICY dCRCT UDC AV OMI LIABIlTY c�Oe�I E:SINGLE UMIT 9 ANY AM ALL L OOS NED WTI LCD DOILY IWURY 41+er person) $ BODILY IWUFIY(,-*r amkientl S NRECAUrOG ALIMSWNED OPtH Y FAMQE $ y, UlA[IRELlAL1AB OCCUR EACH OCCURRENCE S EXCESS UM CLAIMS-MADE ACGiECATE qEp Aa TENTION$ 9 WORKERSCOMP&MATgq X YJCSTATU- OYH- AMD E IPLOYSRS 1LABLI Y rt3RY LIMITS ANY PROPMErORIPARTNEWEXECUr-V N i A FR OPFIOENMELBER EXCLUCEDY I1-20-201$ 11 20.201t3 EL.EAGa ACCIDENT $100,000 Il oft�desube under .Imy in NH) 13Q EL UISEASE•EA EMPLOYEE $10000 DESCRIPTION OF OPCiIAT(ONS below E,L DISEASE•POLICY LIMB $500,000v. W DESCRFT=OF OPERA71M a LOCATIONS I VEHICLES(Attach ACORD tart,A4411111=0 Remarks Sclbdute•H mole Spam m*Ldr Raj CEFMFICATE ER CANCELLATION FRANK DONOVAN SHOULD ANY OF THE ABOVE DESCRIBED POLICIES, BE 104 CARLOTTA AVE CANCELLED BEFORE THE EXPIRATION DATE•THEREOF, BARNSTABLE,MA02601 NOTICE WILL BE DELIVERED IN. ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORRIED REPR89lTATME ®19W2010 ACORD CORPORATION.All right resented., ACORD 25(2010/0) The ACORD naltne and logo are registered ranks of ACORD DATE .4co O® CERTIFICATE OF LIABILITY INSURANCE 12/18/D2015) `..�� 12/18/2015 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 endomement(s). PRODUCER NAME: Melanie Begley The Fair Insurance Agency Inc. a/co No Ext: (508)775-3131 VC No:(508)790-1677 619 Main Street E-MAIL melanie@thefaira en com ADDRESS: g Suite 1 INSURER(S)AFFORDING COVERAGE NAIC# Centerville MA 02632 INSURER AA 24 26158 INSURED INSURER B: Frank Donovan INSURER C: 104 Carlotta Ave INSURERD: INSURER E: Hyannis MA 02601 INSURERF: COVERAGES CERTIFICATE NUMBER:CL15111601168 REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MM/DDIYYYY MM/DD LIMITS COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ DAMAGE TO RENTED CLAIMS-MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ POLICY❑PRO ❑ LOC JECT PRODUCTS-COMP/OP AGG $ POTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident) $ AUTOS AUTOS NON-OWNED PROPERTY DAMAGE HIRED AUTOS AUTOS Per accident $ $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ hDXED CESS LIAB CLAIMS-MADE AGGREGATE $ I RETENTION$ $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/N STATUTE I I ER ANY PROPRIETOR/PARTNER/EXECUT E.L.EACH ACCIDENT $ 100,000 OFFICERIMEMBER EXCLUDED? N/A A (Mandatory in NH) VWC10060199012015A 3/12/2015 3/12/2016 E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 100,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached If more space is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town Of Barnstable THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Jackie Stewart/FAIMCIL2 � ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD INS025(201401) t u : Town ofBvwtable Re foal Services �,us, Blct�td'P. p�ermr Dtv oa ` o=1' s 70 Big C=0401=ar ` �ow�a:barnatabl�ma.�s 00=: sas-962-4038 fat 509-79,04230 Pmpexty OwnerMus Complete and Stu Tb-.s Section A C ,as Owner of t6 subject property �...,.. is xu mai"At m= ktiva to work aao6zed bythis Mnkfing permit apokatoa fox: , 4"73 ?4/0 0 4 4 00 (AM=s of jc)b) **Pool fasces and ala11T1S 2te tie responsiibilkyof Tba applZcaat Pooh are not to be f&d or ii&ed before fearer is iastdIad axad all final :{' mspe=zs_are pedomied axul accepted, A _ d S' of r Siga�xte O$A€'FJ7cnnr �1�ikNR= Prux Nam` { I etta Coll pa�avnza�zulea i a P/�/`aa�ac�u� . 4 Office of Consumer Affairs&Business Regulation License or registration valid for individul use only fig~ 1HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: -J Registration 1ti4521 Type: Office of Consumer Affairs and Business Regulation Expiration_ 10/19/2017 Individual 10 Park Plaza-Suite 5170 Boston,MA 02116 FRANK DONOVON _t i FRANK DONOVAN 245 SO.MAIN -- CENTERVILLE,MA 02632 'Undersecretary l - Not,valid without signature � I d _ Massachusetts -Department of Public Safety { Board of Building Regulations and Standards - �.iliiJlf UlllUll Jii()Lt♦3YiJ1 ;'� i C License: CS-091391 TiRANKDONOVAf 104 Carlotta Avenfie Hyannis MA 02651 f VVE) 't.s >ri�ti N` Expiration 10/28l2016 Commissioner o�VE, Town of-B arnstable Regulatory. Services Th om as Y. Gei]er,Direetor Building Divisiob ..: Thomas Parry, C130,BuEcEmg CO-MM SSiOI]Er . 200 Main Straet, Hyannis,MA 02601 w�Yw.fow71��2'nstab]e.ma..us . OicE: 508-862-�038 Fax: 508-790-b230- ' - PLAN REVVED Owner: C�4 �1 MaplParcel: ZO $ Pas 003- • Project Address 'f73 OK—W ST Builder: f4AMj 606VA6) The following items -Ware noted on reviewing: Z STD r�� Ip E� 7�� Cm R PER— 2 0`12 At V. l TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map a0 Parcel 0 9560)_5 Application # Health Division Date Issued t,EDb Conservation Division ";Application Fee Planning Dept. �'Permit Fee Sc� Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/ Hyannis Project Street.Address l �ir1 t Village �C�9A�er Owner ( :j'12�S�f-r°i� �Q.CI�IstGc�i Address a o mp- Telephone 24gzs Ui M Permits quegt � ne e O m SquarecRet: floor: existing proposed J��7S— 2nd floor: existing proposed Total newas Zoning stricg Flood Plain Groundwater Overlay Project Valuation s 060 Construction Type Lot Size 34/' 737 Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ,❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure 36_ Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: gFull ❑ 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 :7- new First Floor Room Count Heat Type and Fuel: W Gas ❑Oil 4 Electric ❑ Other Central Air: ❑Yes JJ No Fireplaces: Existing New Existing wood/coal stove: V Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: 4,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 Telephone Number i� 6166 Address �211S , 6jk 04a" . S-� License# Go' _y'lln� /"n a - Bab S 2— Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 'O`� J FOR OFFICIAL USE ONLY y t APPLICATION# G . DATE ISSUED MAP/PARCEL NO. , ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE J ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING l���o Zl u DATE CLOSED OUT r ASSOCIATION PLAN NO. 4. I The Commonwealth of Massach usetts .. Department of Industrial Accidents 11 Office of Investigations IY �� l 600 Washington Street , w Boston, MA 02111 yr www.mass.govldia Workers' Compensation Insurance Affidavit:.Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly- Name (Business/Organization/Indivi dual): �(Z/,1y1 j� y�t1K Address: Scy,,Il r l0t�t S City/State/Zip: n_jar P Phone #: 5-681 41�0 Are you an employer?Check the appropriate box:. Type of project(required): 1.❑ I am a employer with 4. 0 I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑ New, construction 2. I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working for me in any capacity, employees and have workers' [No workers' comp. insurance comp. insurance.$ 9. ❑ Building addition required.] 5. 0 We are a corporation and its 10.0 Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 I.❑ Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.❑ Roof repairs'. insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. if the sub-contractors have employees,they must provide their workers'comp,policy number. 1 am an employer that is providing,workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Policy#or Self-ins. Lic.#:' Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator..Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby er fy under the aims and penalties of perjury that the information provided above is true and correct. Si nature: Date: — 3U' dq f Phone#: S 'U8- 7 Official use only. Do not write in this area, to be completed by city or town official City or Town: Permit/License# Issuing Authority (circle one): 1.Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector S. Plumbing Inspector 6. Other Contact Person: Phone#: 10/01/2009 10: 14 r 8'13861528 C A POWERS RANDOLPH PAGE 01/.01 DAT9 IMMIDONYI ..�.. CERTIFICATE OF LIABILITY INSURANCE 09 �RooUC R THIS CERTIFICATE IS 18$UED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE CHA3 LES A .POWERS 9 SONS HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 233 NORTH MAIN STREET ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. RANDOLPH, MA 02368 —�-- INSURERS AFFORDING COVERAGE N9URE0 CAPE COD CahrTsmN CO, 114C INSURER A - rvxm 1yC2pIOVAN 245 SOVTH I AIN STREET - TMWnLLZ, MA 02632 INSURERC: -- I INSURER E; , ;.OVERAGES THE POLICIES OF INSURANCE.IJSTED BELOW HAVE BEEN ISSUED TO THF'.INSURED NAMPD ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING . ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT IPAT H RESPECt TO WHICH THIS CERTIFICATE MAY 9E ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT-TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS Of SLICH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAIL)CLAIMS. Faut?M$I4iA K --�I TYPE Or INSURANCE PC9L.PCY Ni1M�]��R � l.1PAf1'S GENERAL LIABILITY 6Acw OCI.URfaENC-E a ^COWERCIAL GENERA),LIABILITY FQF DAMAGE(Any one nre) 1-S -- J CS,AUS MADE. [:D OCCUR i - ' O tX0(Any onepePann) IS ' PFRSONAL&AM'INJURY S t —5ENERALAGGREGATE 4 I GEHL A3GREGATE LIMIT APPLIES PCR: , r PRODi3CBS-COMB/OpA60 $ _ POLICY -- AUTOMOMLE LIABILITY - a I SI =LII4RIT GOMBNF.G.NGLL g I ANYAUTO {Exr acttd4nt) i ALL GOWNED Auml r._.._._.�......., .« i `_ BODILY 114mY $ SCHEDULED AUTOS i - � � (Parpwaml) _a HIRrO AUTOS BODILY INJURY 3 I ent _y NON-0WNeIT]AUTOS � i i(PM exld`—f PROPERTY DAMAGE S • I + i{Par gCCtd®nl) GARAGE LfAalLITY i AUTO ONLY-CA ACCIDENT $ I ANY AUTO I I O DER BAN EA ACC $ AUTOONLY: AGG S i EXCESS LIABILITY EACHOCCUeR6N^E is _ OCCUR n CLAIMS MACE A13CRECATF C7 DEDUCTIBLE REM 0 KERS COMPENSATION AND jM ;---C ^Ti �EMPLOYERVI-LARILITY l VVFC601287601W009 06/30/09� 06/30/10 E.L,r;ACHAGc10 Y 3 .� I j � i E.L.bi$o=J18F_-EA MPLOYEI:!s< � �— III I 6,L,DISEJ1SE-PO4tCYLtM1T j S OTHER DESCRIP'TIOM OF OPERATPUN$A.00AIIONStVEHICLESIEXCLU$IONS ADDED EY ENDOR;SEMIENT19PE.CEAL PROVISIONS CERTIFICATE HOLDER �ADCTTIONAL INSURED;INSURER LEMA: CANCELLATION ^.,'MOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLIDD BEFORE THE EXPIRATION TOWN OF BMWST"Lll � DATE THEREOP,THE ISSUING INSURER DRILL ENDEAVOR TO MAIL _-_..-OAYS wRSFTEN TOM .L NOTICE TO THE CERTINCATE HOLDER NAMEID TO THE LEFT,®UT FAILURE TO UO$0SMALL SUIMINK; 3:NSPE'CTOR IWOSF NO OBLIGATION DR UACILITY W ANY KIND UPOfd THE INSURER.ITS AGENTS OR MUSLE I, MAREtiRI 9@NTATIV I. - 508-190-6326 AUTHGRIWC REPRE$ENT•ATM r, ACOAD 26S(7101) �,, e)A �? b ORIPORATION 1988 j 'yrCrr�c, ti\t VI / r � :?x:-C.C�� .�E M�-7LJEF�.�1Z DRY- j J#jryy1 ��� / - �--•f^� r ,Fyi TOf/R—' X •/'-Yt -\ iq L,h -{. i ` ?, 3 P f?o�i LE o F r`- S A N I T A I? Y D J 5 P O S L �oT T-0 SCRZ_ & DE5 AJ DAT F} r 3. rto ,v r c 5 o3 Go.ti'SrLvrIC�Tv OF SF�NIrA TZY DISPosr4 L jO S*,/ r •N C E S �t CONyO�M TO Mf}.SS- �?�51G�rJ fLOYL' �6►r3L ��]A� S L ��rcw/ /eA-re Ml .y,/l,zf/ El,3J li?o/'�141� UT(��- copes '�rTcE �" /}N +� 'rNE TOw O� /?�5TACiGE s rfEAL.'TN TEGULs3TrD JS; z �,._r,:, ` !•.� 7i _ S I T- E PL A rz oPosE © S7`rzOC-7-� �� L 0 C!R T 10 A 19__ CALs - oAr6: L3D ,RllD OF Ic,4LT-1-j h 2E F 6 r-EA-) GA i ' k 311HA�l3�iSLi`J 31 Ol Au iV,O�ddV 1 E n . Town of Barnstable { .Regulatory Services Y T HAMYrABP, A HAM Thomas$�GeHer,Director '�Fn►�wr �Bullding Division T.o)n Perry,Building Commissioner 200 Main Strict,,Hyannis,MA 02601 . wwVy_town,b&Mgt0Ie ma.us Office: 508-862-4038 Fax:`508-790-6230 Pro e OwnerMust P ry Completeenand Sign Thus Section if sing ABuilder T, >.9:Owner of^the subject property hereby authorize 10 act on`m bchalf Y man matters relative to work authorized by this building permit application for. {Address of Job ignatul�o ate Print Name Jf Pr rope�rty er is applying for pernuti,please complete the Homeo"ers.License Exemption Forms on the reverse side. .. Q!FORM.,-OWN Z d 6N 'ON SURD 3NOUN3d XI�1�3� r. .1 WdtiZ 6' .6006 1 `I30 •�.k` THE COMMONWEALTH OF MASSACHUSETTS For OCABR Use Only. OFFICE OF CONSUMER AFFAIRS AND y _ BUSINESS REGULATION Registration No: 911z ` 10 Park Plaza, Suite 5170 `, Boston , MA 0 2 1 1 6 Effective Date: }�i W Application for Rellistration as a Home Improvement Contractor or Sub-Contractor Expiration Date: 4' s (MGL c.142A; 780 CMR 110116) 1. NAME OF APPLICANT: ����� � 1C�l��C/l � L- E 9 (MUSTB E EITH ER AN IND MDUAI,CO RPORAMON,LLC,UP,'IRUST,OROMIM LEGAL ENTITY) SEP 3 0 2009 2. NUMBER OF EMPLOYEES: T TYPE: INDIVIDUAL CORPORATION PARTNERSHIP T i$T�F OF ONS MER�!r��11I S 3. . APPLICAN _ _ _ _ (CHB KONE---MUSTBESAMEAS THEENTITY IDENTIFIED IN#I) 4. IF THEAPPPLICANT IS A CORPORATION OR A PARTNERSHIP,PLEAS EPROVIDE THE NAME,ADDRESS,SOCIAL SECURITY#ANDTITLEOFTHE IND IV IDUAL WHO WILL BE RESPONSIBLE FOR THECORPORATION'S THE TRUST'S ORTHE PARTNERSHIP'S WORK(Please reviewth6Instructions before answering this question): LAST FIltST TITLE 5. �FEDERAL TAX ID NO.: J 6. APPLICANT PHONE#:/S�(� �l APPLICANT EMAIL ADDRESS: 7. MAILING ADDRESS: e4QG?fW1 V411-e L A'L6' STREET CITY STATE ZIP 8. PERMANENT ADDRESS: STREET CITY STATE ZIP (PLEASE NOTE THAT A P.O.BOX IS NOT ACC EPTAB LE FOR PERMANENT ADDRESS) 9. IF APPLICANT IS DOING BUSINESS UNDER A DB/A,PLFAS ESTATE THAT D/B/A,AND ATTACH COPY OF THE FICTICIOUS NAME CERTIFICATE FILED WITH THE CITY OR TOWN CLERK 10. (a)DOES THE APPLICANT OR RESPONSIBLE INDIVIDUAL HOLD ANY OTHER CONSTRUCTION-RELATED STATF, CITY OR TOWN LICENSES OR REGISTRATIONS? �t('YES No , (b) IF YES,PLEASE FILL IN INFORMATION BELOW. ATTACH ADDITIONAL SHEETS IF NECESSARY. LICFNSETYPE ISSUED BY LICENsFJREG.# EXP.DATE LICFNSEENAME } 11. LIST ALL PARTNERS,TRUSTEES,OFFICERS,DIRECTORS,AND MAJOR OWNERS (10% OR GREATER OF OWNERSHIP)OF AN APPLICANT PARTNERSHIP OR CORPORATION,BELOW.US EADDITIONAL PAPER IF NECESSARY AND INCLUDE NEEDED PAPERWORK(SEE INSTRUCTIONS). PLEASEINDICATEBYAN'A" IN THE LAST COLUMN THOSE INDIVIDUALS WHO REQUIRE AN APPLICATION FOR ADDITIONAL REGISTRATION I.D. CARDS.USE ADDITIONAL SHEETS IF NECESSARY. FULLNAME TITLE % OWNER ADDRESS 12. (a)HAVE YOU BEEN REGISTERED PREVIOUSLY.AS A HOME IMPROVEMENT CONTRACTOR? YES ENO (b) IF YES,PLEASE PROVIDE THE NAME AND REGISTRATION NUMBER UNDER WHICH YOU WERE PREVIOUSLY REGISTERED: NAME: HIC REGISTRATION#: 13.(a) ARE YOU CURRENTLY OR HAVE YOU EVER BEEN AN OFFICER,PARTNER,OR CO-VENTURER OF AN APPLICANT WHO PREVIOUSLY APPLIED FOR OR HELD A HOME IMPROVEMENT CONTRACTOR REGISTRATION? YES �C No (b) IF YES,PLEASEPROVIDE THE NAME OF THE APPLICANT/REGISTRANT AND THEREGISTRATIO.N NUMBER: NAME: HIC REGIS TRATION#: 14. (a) ARE YOU CURRENTLYOR HAVE YOUPREVIOUSLYBEEN EMPLOYED BYA REGISTRANT OR APPLICANT FOR REGISTRATION AGAINST WHICH DISCIPLINARY ACTION WAS TAKEN? _YES�-_No (b) IF YES,PLEASEPROVIDETHENAMEOFTHEAPPLICANT/REGISTRANTANDTHEREGISTRATION NUMBER: NAME: HIC REGISTRATION#: 15. (a)HAVE THERE EVER BEEN ANY COURT JUDGEMENTS OR ARBITRATION AWARDS ISSUED AGAINST YOU? _ YES lirNO (b)DO YOU OWE MONEY TO THE GUARANTY FUND? — YES KNo IF YES TO EITHER,PLEASE IDENTIFY BY DATE,CASE NUMBER,OR DOCKET NUMBER: 16. REGISTRATION FEE ENCLOSED:$ GUARANTY FUND FEE ENCLOS ED- Q'R PLEASE INCLUDE TWO(2)SEPARATE CHECKS OR MONEY ORDERS,ONE MARKED"REGISTRA ION FEE"AND ONE MARKED,"GUARANTY FUND."MAKE CHECKS PAYABLE TO "COMMONWEALTHOF MASSACHUSETTS." (Please see Instructions for the amount.of the fee to be paid. I hereby swear, under the pains and penalties of perjury, that all information set forth on this application and submitted in support hereof is true and accurate to the best of my knowledge. Further, I certify under G.L. c 62C, §49A,that I am in compliance with all laws of the Commonwealth relating to taxes, reporting of employees and contractors, and withholding nd remitting of child suppoK. S ign ure of App scant If a corporation or partnership,position held. Date i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING City/Town: MA. Date: _ 'ermit#, Building LocationdP �eYr/1 1- Owners Name: P I d i U(K Type of Occupancy: Commercial[:j Educational F Industrial Lj Institutional o Residential. New: a. Alteration: Renovation: Replacement: Plans Submitted: Yes No� FIXTURES. z z N O CO CO NIL Z Y w 3 _ aa � N N 0 m N w Q d w N } 9 N z ai O n. x ❑ -j ❑ a z O W z W N z L) °. LL 1L IL CO)N Q. W ❑ F- ..❑ W N ul -3 a a y a u- x .O z a Yi ww v a ° °° a ° ao L o ry o a M m ❑ ❑ u_ to x Y N N i- 53: O V 0 SUB BSMT. BASEMENT _ 1 FLOORC - 2 FLOOR - ZgE 3 FLOOR 4 FLOOR `. 5 FLOOR I y a i 6 FLOOR 7 FLOOR 8 FLOOR �+ Check One Only Cer il;�fcatetlg Installing Com an Name.: - � _ Corporation Address: =rlCity/Town . � ,, •,s o State: MA Partnership s Business Tel: Fax: — Firm/Company Name of Licensed Plumber X INSURANCE COVERAGE: 1 have a current liability insurance policy'or its substantial equivalent which meets the requirements of MGL.Ch. 142 Yes•' No If you have checked Yes, please indicate the type of coverage by checking the appropriate box below. A liability insurance policy Other type of indemnity Bond OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. Check One Only Signature of Owner or Owner's Agent Owner Agent I hereby certify that all of the details and information I have submitted(or entered)regarding this application are true and accurate to the best of my . Knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By� —�-----.�_... Type of License: . Title r i✓ Plumber, _, Signature of Licensed Plumber ty i Master I 9 APPROVED OFFICE USE ONLY) Journeyman r '" License Number: ri Pr o s el4ed5ae Ts. F' _ Abe r fag Do14a KD _Rca. c�csas{_.- a^�ec�1 le.10 as CDX will 51ea4FYn i I I 3/y" — -- �lnw��han-7trj 1 Tf d'w --- -- ¢ if, -------- i ._._. A» '•. /are.Con GP6.�'a. �« T rwo 16. t 1 • ._tip----+- - I � i play K S i i� �1 .ft: 3ao s.r I yc SIP, x r VA-3 ....q. c b3� i IT CP \ 3?3 1) i ' v E 6I . � , Irs� =lva�fl.00r._�1_Ap1__-.___ 77 +! f 1 ! �» I i _ _ ... e i crawl � •/r'�I/� �/^ �{�-�;//� /?1� f 73_ . 1 .... . 0��e, c�l�� rTM� Nil The Town of Barnstable Department of Health, Safety and Environmental Services • _ _ Building Division 367 Main Street,Hyannis MA 02601 Office: 508 790.6227 Ralph NiCrossen Fax: 508-790-6230 Building Cotnntissione: Home Occupation Registration ! �25 ,q Date: /q ?. Name: Phone #: Address: 7,3 Mhio T vdlage: &Tflij� � ._S ` 111�t1Y�/�l Nit /Lot: t o�- del-T id 3 'Type of Business• P ' ° INTENT: h is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwelliars,.subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor,no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residend2l volumes;and no increase in air or groundwater pollution. After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following canditio s: ,/• The acdviey is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. ✓• Such use occupies no more than 400 square feet of space. ✓• There are no external alterations to the dsvellitrg which are not customary in residential buildings,and there is no outside evidence of such use. ,/• No traffic will be generated in excess of normal residenual volumes. • The use does not involve the production of olfcnsive noise.vibration,smoke,dust or other particular matter,odors,electrical disturbance,heat,;,tare,humidity or other objectionable effects. -_• There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. v Any need for parking generated by such use shall lie met on the same lot containing the Customary Home Occupation,and not within the required front yard. ;r• There is no exterior storage or display of materials or equipment ✓o There is no commercial vehicles related to the Customary Home Occupation.other thaw one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. No sign shall be displayed indicating the Customary Home Occupation. �,• Nthe Customary Home Occupation is listed or advertiscd as a business,the street address shall not be included. ,>19 No person shall be employed in the Customary Home Occupation who is not a permanent resident of the l;the undersigned,have read and agree Nvith the above restrictions for my home occupation I am registering: Applicant Date• 6 ' Homeoc.doc TO ALL NEW EUSINESS OWNERS Please Fill in: APPLICANT'S NAME: Y ��1eyv,O S HOME DDRESS: TELEPHONE NUMBER: 7 7 8' (Please give us a number where you can be reached) Lp. TYPE OF BUSINESS — " F 5 us�c hbrl NAME OF NEW BIl1SINESS ft'N5 �c3 i�ti IS A HOME OCCUPATION? AD RESS OF BUSINESS THIS '` 7 A:%i� U'! Va MAP/PARCEj. NUMBER` When startin a new busine ss there are several things you must do in order to be in compliance g with the rules and regtalatio u red i sig Town natures. f Barnstable._ This form is intended to assist you in obtaining the information you may need. Once you have obtained the required 9natures, listed below, you may apply for a business certificate at the Town Clerk's Office (Ist floor-Town Hall). G INSPECTOR'S OFFICE (4TH FLOOR TOWN HALL) 1. GO TO BUILDING s. This individualVAthorized be n informed of any permit requirements that pertain to this type of business. Si V G / COMMENTS: 2. GO TO BOARD OF HEALTH (3RD FLOOR TOWN HALL) This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature COMMENTS: 3. GO TO CONSUMER AFFAIRS (LICENSING AUTHORITY) - (3RD FLOOR SCHOOL ADMINISTRATION BUILDING) licensing requirements that pertain to this type of business. This individual has been informed of the Authorized Signature COMMENTS: After obtaining the required signatures you must return to the Town Clerk's Office to.odoes not your business permission to operate.00-youfor Aft 9 years). A business certificate ONLY registers your name in the town of Barnstable it g Y must get that through completion of the processes from the various departments involved. 1 Assessor's office n st Floor): PTiC SYSTEM MUST �� Assessor's map and lot num ®�^ �'� �3 c�'tMt to Conservation(4th Floor INSTALLED IN COMPLIANC Board of Health(3rd floo ; WTI TITLE 5 t ssa»rut.c Sewage Permit numbs 3d y rua Engineering Department(3rd floor): ENa14GtONAAENTALCODE AN °•�o639`.�� House number TOWN REGULATIONS Definitive Plan Approved by Planning Board r 19 APPLICATIONS PROCESSED 8:30=9:30 A.M.and 1 bo-2:00 P.M.only TOWN OF BARNSTABLE f ^ BUILDING INSPECTOR APPLICATION FOR PERMIT TO TYPE OF-CONSTRUCTION Gd✓ ae5,-rJAr e %6�.,/��� fJ �j�'L A noel 2yea I �-G - / ? 19 TO THE INSPECTOR OF BUILDINGS: T The undersigned hereby applies for a permit according to the following information: Location !%I 7, h'�.91ti S% G G�h�"e�ytl/e ,�7f3 Proposed Use 0 GCA- Zoning District Fire District / - /LG' Name of Owner Cih P oA- Address G�i�f7-�iesT r Name of of Builder Address Name of Architect eL419- Address Number of Rooms Foundation /� � �+'JT�s 7y/3--J- y , r Exterior �—/6a Roofing ` Floors 11- 9• Interior i Heating �` Plumbing Fireplace /?!�ls� Approximate Cost '�� Area �� Diagram of Lot and Building with Dimensions Fee , Z S,&4 3 7 u ZJ 5, OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name �` Construction Supervisor's License ©61e*Z, y Y -GLADCHUCK, CHET No 36838 Permit For BUILD A DECK. Location 473 Main St, Centerville r � - OwnerChet Gladchuck Type of Construction 's i Plot Lot Y } Permit-Granted June 28, 199 4 Date of Inspection: Frame 19 Insulation ' 19y Fireplace 19 - Date C�ompl eg !A9 19 - +' W. E 1 dd M�e f , t Assessor's map`and lot number .... G1,... .. ' . SEPTIC SYSTEM T %T E p d�� Sewage Permit number .......•..�.Z...::....�.5:. MUSS INSTALLED IN COMPLI``,�,�` , Z BABBSTABLE, i House number ........... _3 ........ WITH,TITLE 5 aea ................ y° M 639- ENVIRONMENTAL- ODE °'�o C TOWN OF BARNSTA'LE ti I. SUBJECT' TO Ai'-, BARNSTABLE C®NSERVA U U I L D I G' . I S PE C T O COMMISSION APPLICATION FOR PERMIT TO ..4.- �Y�17� �!T +.//.5< � � ........................... TYPE OF CONSTRUCTION ..... TOHE.. INSPECTOR OF-BUILDINGS; k,.. The'�undersigned hereby applies four,.a`.permit according to the fo,ilowmg, rnformafion '. location ..... ..�... .. /v0/�.......... f1�%/ �Uvc� Cof C �P( Proposed Use .. ��.�JAT/���- # 1.........12 ` h Zoning Distract ._....... �. ...:. .... ... ...... ...... ............Fire Distract --�W �I�//�� ,Name of Owner ./7-.CcG���, sorb (�t� l�T3T'Address . ..... .. ...`3 ::.f.°T�� ..../.✓.7. vu.?i/5 ............... Name of Builder' ... ...P.!�VIL R �� Address t- . lhpclTy� Name of Architect ........... ...x/le'�' ......... ....:....Address .....:...................................................... Number of Rooms .......................... ..:.... ..... . Q ......:..Foundation ...!/`.'v'��� Exierior ...:.c7li �/!✓ .. '..`-.F��.... .. ..... ..... ..Roofing, > �! ... Floors A.. ......l.�r�...4 . ..... '.. Interior Heatir .9. .... Lr� . F�umbing .Fireplace ........Q'e�G�... ......... ......... ......... ......:.Approximate-Cost ..........©OC3 Definitive Plan Approved by Planning Board __ ____1 _____-----_19 Area Diagram of Lot and Building with Dimensions Fee .... .I � . .... /e..... SUBJECT TO APPROVAL OF BOARD OF HEALTH L51 f _ OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS hereby agree to conform to all the Rules and Regulations 'of the Town�B ' le regarding the above construction. Name .. ......... ..... A: CECERE & THOMAS W. NEST ' TV 23839 One & 1/2 Stc: y tib ................. Permit for .................................... w 'Single Family Dwelling . -. i .. .... ...................................................................... I Location Lot #5 473 Main Street ................................................................ Centerville ............................................................................... Owner . A•....Cecere. . . .... .... & Thomas. ... . W......W.e .. . .... .. .... .. . ............ .. .. . .. Type of Construction Frame ............................................................................... Plot ............................ Lot ................................ March 2, 82 ' Permit Gron,ed 19 1 Date of Inspection ....................................19 i Date Co pleted ............ 1/ ...............19 wr h ti n TOWN OF B.t RNSTABLE Permit No. ----------—__----------- Building Inspector cash A i0)9• OCCU PANCY PERMIT Bond ----- ---------_ Z__.__ Issued to Address Wiring Inspector Inspection date Plumbing Inspector Inspection date Gas Inspector Inspection date Engineering Department Inspection date Board of Health Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALT. NOT BE OCCUPIED ;1NTIL SIGNED BY THE. BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. ................................................... 19.......... __....:__. Building Inspector FROM _ TOWN OF BARNSTABL.E BUILDING DEPARTMENT Mr. Francis �,: »r.,a's � • � ., � 0 Town Clerk 1367 MAIN STREET HYANNIS, MA-° 02W1 . Rip.ww#M a.adev.n• aa...c gei"y.w.a!re 44-.e.�` _ � . Phone: 775-1120 SUBJECT: FOLD HERE DATE August 2, 984 t� M E,$S A G E Work bias be..qa ner - enn t #2 839, (A.�Cecere & !hams wY 'West) . Please*rem-mod:,. > . SIGNED DATE ` REPLY ' .. - SIGNED, N87•RM1 ., z RECIPIENT: RETAIN WHITE COPY,RETURN•PINK COPY - PRINTED IN U.S.A. SENDER: SNAP OUT YELLOW COPY ONLY.SEND WHITE AND PINK COPIES WITH CARBON INTACT. 0 / \ \ r s�f t4 f +v Q a` a ct 'fie it ' E .`aEi, 7.1 17. 41 le. - _ OF Mqf' RICHARDMES G , MIS t s \.b\ }� yJf =; Y . .�/ � M ��-h•, / � Wig �� ,�� 1,`i �} sit R: ; �Gr�.��,�%�,•`-� i - -,;y i 1 a < of _ Y .� g .G -x E y�{„� -3. F•' y[�,.� • , �Mik M�-� i J 3 ~ - l a 6i{ zt i az to O 3f , • CERTIFIED PLOT PLAN ;h - �;r,��rf-, 1� - M ASS14 1 'CERTIFY THAT THET- JaL7%97;�0 R. ✓.: OWE'AfN, INC., KLS, RS SHOWN , ON.�,THIS 13 4 8 ROUTE 13 4 PLAN .-HAS • BEEN � ' , °;, � _ LOCATED - ON THE ;GROUND AS INDICATED. :EAST DENNIS; MASS_ . DATE ��L SCALE - Q JGB NC CLIEIvT,� �17y DA E £GISTER: C ... D SURVEYOR DR. BY : - SHEET OF _c t+l DEC 212015 TOWN OF BARNSTABLE i i IrFm ............ I j i w 1 .. gill fa a.. / I have reviewed the proposed SMOKE OSTECTORS REVIEWED structural framing &find it meets or exceeds the requirements of the International Re ' ' .&H for 1 &2 N BL B 1 G DEPT. DATE Family Dwelli :.. ROBERT W. `tiG FIRE DEPARTMENT DATE DENNIS JR: m Prepared For • --'i BOTH SIGNATURES ARE REQUIRED FOR PERMITTING o STRUCTURAL � ► Chet Gladchuk No. 13834 ron e Vag /O� O �FGI P�� ��� 473 Main Street s Centerville, MA SS�ONAL"E I� October 7, 2075 ' V e s � - I All 1 14111 fill s I LI I have reviewed the proposed structural framing &find it meets or exceeds the requirements of the International Residential Code for 1 &2 Family Dwellings+ d en ROBERT W. gcyG ate , Rgh t Se <" JR: R, g Prepared For o STRUCTURAL -'-i Chet G/adchuk No. 13834 P' i i � • -o � o Q d� 473 Main Street evationO GlSTEQ' �, DENNISSS'ONAL ®o � October 1, 2075 Af LLLU I have reviewed the proposed structural framing &find it meets or exceeds the requirements of the International Residential Code for 1 &2 Family Dwellings+Amendments �k OF MAS s o� ROBERT W. y� . DENNIS JR, o STRUCTURAL D Prepared For No. 13834 Pao Chet G/adchuk /STE � �.� 473 Main Street VI Ret3 SS�ONALEN®�� Cenfervi/le, MA a ®®� 1►7 October 1, 2015 - �2 Porch Deck S.............................................. ......................................... ....j Living I have reviewed the proposed C % structural framing &find it meets or exceeds the requirements of the " ( International Residential Code for 1 &2 Family Dwellings+Amendments i " H OF Moss ROBERT W. 9oyG o - DENNIS JR. m C., STRUCTURAL No. 13834 ®ocF FGIsT�P� ® s81ONAL Prepared For Chet Gladchuk 473 Main Street Centerville, MA ®or an October 1, 2015 At ends of all L VL'S provide full suPP ort al/the way down to footing. .. At ends ofall M Sprovide full 24 0 support all the way down to footing 6'-3 Three 7-3/4"x9-7/4"LVL'S b - 2"x 72" Rafter 0 76"O C 2'-0" o 2"x 10" ti FP o Three 1-3/4" v� o x 16"LVL'S a, 4:3„ Two 1-3/4 X 11-7/4LVL'5 Three 7-3/4"x 18"LVL'S Two 7-3/4x 17-7/41V1"s 2"x 72" 0 76"O.C. 2"x 12" Rid e Three 1-3/4"X9-7/4"LVL'S 24'0„. �XA AAA 24'0" OF M40S I have reviewed the proposed 9� structural framing &find it meets or o� ROBERT W. ael � Flooring Plan exceeds the requirements of the DENNIS JR Roof Dl- ,n Prepared For o STRUCTURAL -� International Residential Code for 1 &2 Family Dwellings+Amendments -o No. 13834 Chet Gladchtlk 90 ���73TEQ'�O �<cQ 473.Main Street ass/ANAL Centerville, MA October 11 2075 r � Three 1-3/4"x 76"LVL'S Roof Vent ^� Continuous Two 2"x 12 Ridge Asphalt Roof 12' 712"CDX #75 Felt(Typ) ��3' (Typ) 712"CDX "x 6"Collar Ties Three 2"x70' Three 2"x10" Three 2"x 70" Three-2"x 70" 12' 2"x 6"x 7'-4" 2"x 12" 76"OC _Studs(c� 16" Spray Foam L wr.,dow O.C-(Typ) Insulation Spray Foam D Insulation Two 2"x 6" (Typical) Al/construction, wind bracing and huricane 2"x 72" 76"OC Three 1-3/4"x 78"LVL'S ties per"International Residential code Spray Foam for One and Two Family Dwellings and the Massachusetts Amendements to the/RC" 2"x 6"x 7'-4"' Insulation 2"x 72"Floor Joists(a� 76'OC Studs Ca 76" Remo ve Existing 2"x 8"s I have reviewed the proposed structural framing &find it meets or exceeds the requirements of the International Residential Code for 1 &2 Family Dwellings+Anigg N_OFMA ROBERT W. cyG� DENNIS JR. m STRUCTURAL No. 13834 SIONAL E��'®®� Prepared For Chet Gladchuk 473 Main Street Cro55-5ectl'on Centerville, MA Not To Scale October 1, 2075 f Al ex � f l Ak VON Af 14 � /I' G ,.,. �rr '+�f.'.`/v �,. /�� r/-. l=/�t..J/ t f't�--L� .�",► �., ^-. ._--L�`"' � ,� 'V-----Y' �-- 7/� i7L-L •�c.4� .ram '�^t.- .`: _ \. _- _.-. ._______• it+` `'.'r ,</il..s chi �`�'1(...� r _.. _. _ .L..r .1. S ✓ � - .. ...•,� ; 1 i �/.ri ^�;:' �".S�".Y�/'c� -,1` _..�'e.-� Y' t� ;,r ,_,.;C r.? + 4 /IL'f/e,e .=,n `mil I.'�r� ....1..,� �.` +. Y- �•�_."..._. ,.. .� i""M" - �"._r � x.,.. �T - � ° . „ 1 P ? oFl LE o F SANt7' AreY -0 SP0 C._ 5 `/5TE1v1 NOT TO .sc4LE' 'J DA. 74 GOM5-rfZuETtcaN vim / f36C� ITOOAA 5 S A N ! T A 7Z Yo! S t'°o S,r4 L / S`/ST67k4 S i4L �. GOIV� O f? M TO M f4S S, OeS► c;,tJ FL Ow —� riAL. /UAif L er A G 04 rr A ?`� -� Z- M 1 A_X s/ N t? ot-)fj 6 Al 'f f+ T-r T t F_ 3t" A) r� "i'N& 7©VV �'�° f7.J S7A. Sze- PITt�o5� t3 LEA [ O E A L-T M ?E U LA T/ U S c y ft r7" •r>� ,a .�' <.. . A L /r}A y IT' 6 © W I nJ Cl R © P o S E 0 c v N S.T- 7"/ S C r4 L 0 A T � , �.mac:- ���c,� � D ,�Q 1� � D F f L-r -/ _ ., 7EA a AJ ,%- k ��` ~�~ �� �� �:'7"�"'2-�t� �,'? d F E S S/ ta.•.� A � Cnj a1'J `'yL, ���*� � �` • )74CPAOi u.C-Xi 7400' awr ! ; BUILDING DEPI _—. j i! �i ..� SCANNED A U G 10. 2020 IT TOWN ofBARNSTA 6LE o0 N p,, I i ii f - i > I . w�'��r-�.►_� i j I ! � � '' - '�' ,- _.__ jil iCM 10 _____ — — — l I ` � � � � ; -.lei } Fj � � � ► i 2i.7 j ' IiI � s i�kFl I T_ CD 7r- v i ' .11 aE0 AR f - N0. 32507 c° COTUIT j; James M. Gilhooly MAS 159 Cotuit Bay Drive •y�®�c�1 ���' COtuit, MA02635-2911 fMP -- Pvvvv�� �C; . i fro gr� Tr Q Ujocb ij 1 .1 - -A- - ��rrf�i�'.*' - � -- , . �-�•�d✓7®�--1. � ' I� ! I � E;: 1� �I.�Ik-Yr � -_.. _.....y 'I _ — - CD I ; ii � - T. 'TIE 95 G i Ln► - N0. 32507 CoTUIT v", : James M.Gilhooly MASS. zJo 159 Cotuit Bay Drive ►�F SSQ� Cotuit, MA 02635-2911 g ►s q4 OF I sI i jl 1 - - i r-<_o ; . I fv r: I • III �� __ - - _- - - _ _- _ ._____._-__._f___._ --______._�___.__� ___.w.___ . U c 2 It d r ; IStG 7jr �` i Iv- k�l,YJbp /=ter Pore �a//SCr�^� ! ` w. ~�..__ __ . ... . ._-_._. -- _._ . . ...._.._ _ . -� � }��`\�•• \` �� `. � \ �'� _ .--- J _—.._._.._�_ -------__=�___.__ ,- SEE �U'BC N �QrG �.?Y�""�- , -- _.._..... -->_-•�� •� _ �w0 f• /. (ram fit,: i/•• :��f.� FLC�'`R PLAN 04 U7 I I i I 7 IL c t I 1f � F'AILIA�� Q�T_�l. _ �z I � I 1 I I (_A A 7 3 "ViAll"I ,Ti" GEP-i7lr rVWi, iviu SCALE REVISIONS DATE OR cKD AP VD — TITLE