Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0002 SOUTH PRECINCT ROAD
.,.:,,: �DU � � nn �C'��� ' � , ,. o � a � d ,. I ,� k ; ...�...r.��.....mn..«e•r'r�'^n•n..�� � - ! F �y�'�'rt+f�rr'--..:.r''--^r'''�'.1"'`....ivy*�l?*-R-.K; „_..��•y:y ..r�^il� -s.,r�--�•.f^-';*.7:r`'D.u' .yr„ 'rh1..'{-«-narwr•.;''-v�...:....,,,t•t.r Y ��k�. "idNhrrar.M1�'c'�`"• .. Assessor's office(1st Floor): J. Assessor's map and�lot number P `r U �/' Q�oi THE TO`` Board of Health (34floor): � . Sewage Permit number DAS19TLDLL J Engineering Department(3rd floor): House number R t �O 163q. Definitive•Plan Approved byPlanning Board 19 APPLICATIONS PROCESSED 8 30-9:30 A.M..and 1:00-2:00 P.M.only t- } TOWN OFF BARNSTA/ 1)iE � .BUlL'D G INSPECTOR APPLICATION FOR PERMIT TO E+Id: a Jfl .� l�! ton TYPE OF CONSTRUCTION 19 � C TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location 2 c� D �/`c� r Proposed Use 2!L ,\ -� Zoning District (7 T7P�— Fire District U Name of Owner `tiP, . Address ` f,-L� Name of Builder A(ge t�tTi lt. In �J� ��.� Stet Address V tU \`l �t� o e �� 9 ✓ Name of Architect Address rt ' Number of Rooms Foundation C e rl S�n -- leC g 1q S h P y ( l Exterior �-J�� � 7-� 1 ,Roofin Floors Interior Heating Plumbing Fireplace Approximate Cost Area 2 Zd Diagram of Lot and Building with Dimensions Fee S � / _ r - " 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 KECTIC,L STANLEY ` A=148-137 No 3 4 5 3 3 Permit For ADD GARAGE Single Family Dwelling Location 2 South Precinct Road Centerville Owner Stanley Kectic Type of,Construction Frame Plot Lot Permit Granted August 23, 19 1 Date of Inspection 19 Date Completed 19 PERMIT COMOLETED:1/1 / 7 ) / d.-^,w—,.,.—�.;...,. x•c.. ...,rtc•...r.;y.c: .:..:w+......sr�.y.�-r wrs•�rs m�;.o7'+mr�,Nw�r^y-."k=:a"c' ,w.-ca*^+'rre.*�..�Cr:'+,�c=?'v+.v-ro*.r...v'y,-.h'jR'•Rte�-ytlsw�1 " • r.. TOWN OF•BInspectorARNSTABLE Permit No. _._: __---- .rya e I :IL 19998 Building ' - Cash OCCUPANCY PERMIT Bond R._..__._._' / f "No building nor structure shall be erected, and no land, building'or structure shall be used for a new, different, changed; or enlarged use without .a Building Permit therefor first having been obtained from the Building Inspector.'No ''building shall be occupied until'a certificate of: occupancy has been, issued by the, Building -Inspector." Issued,to Tidewater Realty' Corp. Address 19 Bay Colony.Drive, Plymouth, MA lot J619 2 Precinct Rosid.' Cantarv9ll� Wiring Inspector � e �-�,. .Inspection,date�/� Plumbing.Inspecto% JLV/j ;Inspection date l Gas Inspector . .Inspection date Engineering Department Inspection date 1 THIS PERMIT WILL NOT BE VALID, AND,tTHE BUILDING_SHALL NOT'-BE OCCUPIED UNTIL SIGNED BY THE BUILDING .INSPECTOR 'UPON. SATISFACTORY COMPLIANCE WITH .TOWN REQUIREMENTS. A • .. .1S` 19� +r.. ... / Building In ector / "` . , � �t��"`' � "t�r'4a(�{.J'g;�� .� k,x ;i, f� :t �� xw+i,• r ;_ y. 1. ' I F ..„x d*7 Q7/ m �7 "!�� ."iN t � i. r -. �+ � •' b i w,�d � y",}F. d'r - ^....:.w..m.a m...�.,,e,.,,m,m,o,e,•,.,.r,.-.:,x • •rya, s 's � i �!•:g. It ra 1-3 - '•'^'+^t Lt 47i*'- ,,: f( it k A" Y , tt' ( .'—�.� • ` kt Vl `..: + f•�WtY .- t1A'•44: 4; Ar t; .4 s}� x CERTIFIED PLOT- PLAN NEW ONLY,CONSTRUCTI 0 N art TOP:�.:OF FOUNDATION IS FEET < ,— i ABOVE LOW POINT:. OF ADJACENT ROAD. ASS+ i.' a , SCALE �= y0 DATE `Fe6 4/ /�'Ie� I t I t (ELOREDGE ENGINEERING C0. lNC�, 1 CERTIFY THAT THE �ca.a�a����,<-fr CLIENT $ `. E013TERE0 REGISTERED SHOWN ' OW THIS PLAN IS .LOCATEfl CIVIL I LAND . JOB NO. �.�`� ON THE GROUND AS INDICATED. AND' `.ENGINEER$ SURVEYOR DR.-BY: CO FBO E ZONING L.AWF�T p OF - ARNST BLE MASS '- 3l NJ MAfiV .. . CH.BY.:. r ' ��➢'"`f� �. _s T ,J12,,MAIN ST XMgl1TN,4MASS` H.4{'ANNI3 MAS5 ISAtET ..� OFF f-/ : DATE RE®. LAND $URVEYQ i' s i+ 7�- •'Assessor's map and lot number ..4.t ..A .�7..•••• T S a+� „ C li1/GT IC .EM=MUST BE r" C INSTALLED INCOMPLIANCE Y C; WITH ARTICEL.,I STATE Sewage Permit number ...................:...................................... f, SANITARY CODE AND`TOWN TOWN- OF :/�BARIV9'YAORLF -j 9��OYa.��� BUILDING- - INSPECTOR vu .0 r! �r APPLICATION I`ORE PERMIT�TO . P&6 °. utLT....... .. ��?� ................^ e~ ........ ................................. ITYPE OF CONSTRUCTION ..........W=b...... * ......... ............... ..� ............................ h� � ... . ....... .19..� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies'for a permit according to the following information: Location ............ `E.M.AAWL�L............................... Proposed Use ......3X.tApIkE. ...� 14:>ni'1k1•y. ...k"k.b.FACS ............. .. ...................................... .......... Zoning District ...K...........................................................Fire District ask':c�"'�. .o. <35—m .'.... RName of Owner .. .. 4.Address .... Name of Builder . .. Ili .... . `! iL.....Address .........� .......At0**J.;Z".................. Name of Architect .....%ZIA-SAImm......tou'a........Address ......... .. Number of Rooms ................... ............ ......................Foundation ... e.Pa • AExterior .S14044pas/&Ar . .. .............Roofing ........... tu. .............................................. .......aARI '.�.-.. .�..i!��14 .Interior ..........��y.it,�AW....... Floors ........................... ........................................ _..Heating ...."'� e■r.......... .:.... ... ...:Plumbing ...:.. bkf- as . Fireplace I:' 6..46EAWC�,..... ..Approximate Cost .......... .,�. ........................... 19 ---.Definitive Plan Approved by Planning Board -------------------__--_ Area ....b�. ....: . ............... Diagram of Lot and Building with Dimensions Fee 1�q SUBJECT TO APPROVAL OF BOARD OF HEALTH �CSC1�V � l —7 t d-. coca ea ti`'� l I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name d - MM AtWA �._-- c Tidewater Realty Corp T 19998 Permit for ...single..... ........................ ................. OwMl4pg............................ Loc`a;i•SM- .-.S.o...'. P.rec.- inct Rd. . ......... Centerville ............................................................................... Owner ....Tidewater Realty Corp .... ...............................I.......... . ............. Type of Construction .....wo.o.d..frame ................... . .. .... . .... ................................................................................ Plot ............................ Lot ................... ......... Permit Granted ........../Max h** ...........19 78 &P.............19 Date of Inspection V,52 Date Completed .......................................19 PERMIT REFUSED ................................................................. 19 Z .................. ............. ...ARO P-A .................. ....................... . ...... r21A/I..................��*... . ....... Approved ................................................. .19 y ............................................................:................... ............................................................................... Assessor's mop and |m^ number ........ .--.�.:=�'�--''Sewage � ( /�' Pe,manumber '���-./�-------------' � ' | ����� ��� � � � �� � � � � � � TOWN ��_� ������ |� �� � �������� ' , BUILDING INSPECTOR' om � �� � NN_� N �0� 0 �����m � @N �� �� �� ����� � ���� � ����� ���� � �� �� � APPLICATION FOR PERMIT TO ....... ..-............-.-..!.`:..-.—..-------,---------.. \ ^ TYPE OF ---.(.�--......,�-.---...�!..-------------.-------------. CONSTRUCTION'- ' � ................................ ..�-...-.]g.��'� � / TO THE INSPECTOR OF BUILDINGS: \ The undersigned 6ena6y applies for o permit according to the following information: -- . ` �� Location " -------.!..�-.\-'--..��-i�..���.��-..��`....�-.-..��-.!./.'.....-!-L...�.--...-~-.�.....--..'\....... Proposed Use .............`....... L.-.-.�.........-z!...1-..r�<........-......-.--.--.---.--------- ......................... Zoning District ._-i...-...---.---.--.------.Rve District ..... .............................................. ~-� ' ` ' | ' Name of Owner '�'��.�.�.'.��.�.l'�-..T� .���-..-'�..Address ..!.±-.)�.�'--..�./.���f.��-.�..�...�-^..:..t--- . . � \ . Nome of 8oi|Jer ------..'-��+---��'�-.��..�---AJ6,eu ---.-_.����.!---..�.. /....L--.---- Nome of Architect .......---.L--..-.-�i�.�..�...---A66res ---.-.�..---\ -.----.---..--.----. Number of Rooms ------_�L�------------.Foundoiion ..�-�-.`---�---..��-.�---..'.-------.. Ex|erior -----------.--....-..-----------'RooGng ---'---------------.-------.- � � .. Floors ---''..-------...../....|..,----------.,.|nterior ---!...L..----.-----.-----------. Heating ---...-`-' Plumbing` ---.-.---.---.-.'.-.--.-.------- ' ��\ Fireplace --.-----.----. ��-i�.--`--------Approxmote Cos -.-------..�-.-�,`.-,,`___,,., . . � Definitive Plan 6v Planning Board lQ----. An�o -�..................................... | . ' � 71 q` . �//S | Diognom of Lotd on6 Bui|ding vvi�h Dimensions Fee ��,r��_ ..�_�..._....._____ ' SUBJECT TO APPROVAL OF BOARD Of HEALTH A oo b ^ ' �{ \ / . � \ �l4/ ^ ^ � | hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. ^ Nome ...............................................................-..-,... | - - | \ > Tidewater Realty Corp. 148-137 No ..... Permit for AiP,94............... ................famil dwellin ............................... S .-rib'tact . Location ... ...o.R...........r.............Rd............................ .....................CeuxervIlIg.............................. Owner .....T.i.dew.a.t.er...Rqal.ty..Co.rp............... .. . ...... . . .... .. .... . Type of Construction .... ..WQQ.d..f XMP............. ............ Plot ....... ................... Lot ......... . ......... 'a Permit Gran,ed .......Mar.c.h..3..................19 78 Date of Inspe'�ion ....................................19 \d Date Complete ......................................19 PER 'IT REFUSED .......................................... ..................... 19 ........................................... .................................. .......................................... .................................. ............................................I................................. Approved ................................................. 19 ............................................................................... . ............................................................................... S� — �Application nu a ....... Fee ....................# Building Inspectors Initials.. . .............................. DateIssued...,3 ...................................................... Map/Parcel.......l..l.. L..�.......................... TOWN OF BARNSTABLE '�` •�`" s �� SCANNED EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION APR 0 31010 PROPERTY INFORMATION Address of Project: Avea4� j�V Q NUMBER STREET VILLAGI~ Owner's Name:��/� t+5 Phone Number 5V9 ?66 �85 r Email Address: Cell Phone Number Project cost$ JW Check one Residential Commercial 1. OWNER'S AUTHORIZATION As owner of the above property I hereby authorize MAR 2 6 to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TOWN OF BARNSTABLE TYPE OF WORK EH/Siding 0Windows(no header change)# z�_ _0 Insulation/Weatherization 10/Doors (no header change)#____/_ Commercial Doors require an inspector's review G2rRoof(not applying more than 1 layer of shingles) Construction Debris will be going to _,,Z�,✓ el qAl,'l� -- CONTRACTOR'S INFORMATION Contractor's name Home Improvement Contractors Registration(if applicable)# C,`I J/g (attach copy) Construction Supervisor's License# (attach copy) Email of Contractor �w� ,-I, C Phone number - �� AS� ALL PROPERTIES THAT HAVE STRUCTU ES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS/N A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORICAPPROVAL BEFORE PERMIT CAN BE ISSUED. r APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached.Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am -9:30 am or 3:30 pm-4.30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number 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 required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date y-i70911 All permit applications are subject to a building official's approval prior to issuance. II '7 V. THOMAS.HOME IMPROVEMENTS LLC.PROPOSES TO PERFORM THE FOLLOWING WORK: L-gca—o0 0f ProPO§gd-uyork: Tasha Ramos 2 South Precinct Road Centerville,MA 02632 Date cxrwhich constroctiorrshouldrbegin- WinMySpriW2020. The homeowner hereby acknowledges and agrees that the scheduling dates are approximate and that such delays that cannot be avoided by the contractor shall not be considered as a violation of this contract. will advise the homeowner as soon as possible. The homeowner hereby acknowledges that in certain remodeling work,the demolition process may reveal defects in the existing structure which must be repaired,creating additional work which may need to be carried out in order to complete the work described in this contract. In such case the homeowner agrees that the duration of the work and the schedule date of completion may differ,and that such variation is not to be considered a violation of this contract. Cost for labor and materials under this contract: $10,340.00 30 yr.GAF Timberline HD Architectural shingle Proposal to install AZEK PVC on all cake&facia rim_would.:be an additional $2,780.00 Proposal to install seamless gutter system om entire home $1,390.00 roposa o n 5.00 Allocation to re-build false chimney&re-flash properly $1,650.00 Allocation to re-sheath roof deck on entire main home only $1,600.00 Proposal to install two Harvey classic double hung windows in basement $1,345.00 ,\ Y Proposal to install Therma-Tru Basement entry door w new locks $1,100.00 In the event that while stripping the roof we find rot that needs to be replaced,the homeowner then has to agree and authorize any replacement or restoration. Then in addition to the above contract price,the homeowner agrees to compensate the contractor for any repairs or restoration at the hourly rate of$65.00 for a carpenter and$35.00 for a carpenter's laborer,plus the cost of materials. -Roof to be stripped and cleaned of all old shingles and debris -Roof to be papered with weather watch leak barrier,Synthetic roof underlayment,and installed with GAF architectural shingles using galvanized nails. (Storm nailed) -8"drip edge&new pipe collars to be installed -Cobra ridge vent-to be installed-on all-ridges -Timbertex premium ridge cap to be installed -All AZEK PVC will be fastened with CORTEX screws&plugs -A 30-yard dump container will be needed on site will be removed at completion -Contractor will be responsible for all building permits needed at the property NOTICE REQUIRED-N UW- With the agreement of the contract$500.00 of estimate is due. Further payments under this contract are as follows: 1/2 of the estimate due at the start;and remainder due at completion of the job. Balance of all materials and labor shall be payable in full upon completion of work described in this contract Payment as agreed upon shall be made when due. Any payments which are delayed shall be subject to a finance charge of 1.5%per month. The contractor warranties the workmanship completed under this contract for a period of ten years from the date of completion. During the stated warranty period;the contractor shall-be responsiWfor-theservice-of- the repair or adjustment,but the contractor shall not be responsible for the normal maintenance,repair due to abuse,misuse,and or normal wear and tear,which shall be the responsibility of the homeowner. All warranties for the materials supplied by the contractor shall be passed directly to the homeowner. The homeowner may be required to register or mail in such warranty card or evidence of ctwwne�ship.ir�.oscl�t�.��ti��e.sush.u�ra.rrant�s�,�prctu���r.#�ii�tr�..st�all,nt�tvcrea#eran�resp�sibility for the contractor under the warranty provisions;the choice of repair of replacement shall be at the discretion of the contractor. The homeowner acknowledges that the form,content,and notices contained in this contract are intended to comply with the applicable portions of the Mass.General Law Chapter MA, and regulations promulgated there under. In the event of any instance of non-compliance,only such portion shall be invalid and the remainder of this contract shall be In full force effect. In addition,any such portion not in compliance shall be read and interpreted so as to have its intended'meaning to the maximum extent allowed under such law and regulation. Signed as a-sealed instrument on this date: ACO& CEknFICATE OF LIABILITY INSURANCE THIS CERTIFICATE a ISSUED AS A . TTEIt 01F.NFORKATION ONLY AND COWM lD RISM UPON THE t 7E HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFC BY THE`POUCHM IN.SU ' BELOW. Tins c ►TE OF tNSL�iNCE DES NOT CONSTITUTE a CONTRACT I THE ISSUING RER(8}, AUTHORRED REPRESENTATIVE OR ,AND THE lCATE HOLOBi, IMPORTANT: M the amMi Mte holder S an ADDITIONAL INSURED.go paagr(iesj �b I ptNNTIEMFAL IRED provbdm or be mod. .. N SUBROGATION 3 WAND,s to to and of the POW a My NW"an aunt. A stotwnwd an Ihla mWI=ft does not confer fldft 10*A c ladder In Ibu f sui* FRoUcm Mark Sylvia hmranoe Asancy.LtC 's t -0 FAI<Hall V 2781 SAVJL 404 Main Street low CenwAlte,MA Q= COVEPAGErags 1 .Faro htsumm . BIaa1R� i e: Thanes Home Irk LLC c PO Bm(177 CentwAe,MA 02532 E- COVERAGES TE 1 THIS IS TO CERTIFY THAT THE POLICIES OF DISUPANCE IMITM GELIMN HAVE fiEE11ISSUED70 THE DISUAW NAfIED ABOVE FOR THE POLICY PERIOD INDICATED. iO'iWl1HSTANDING ANY IBM OR CONDITIMI OF AWF COMMACT OR OTHER,DOCIANXT MH REACT TO Wi9Ga Tests CERTIFICATE MAY BE ISWIM OR MAY PERTAN,THE�AFFORDS SY TM POLES OEM HERHN IS SUBJECT TKO ALL THE TERMS. EXCLUSIONS AND CONDiTIONS OF SUCH PQ JCiFr4•LNISTS SHOWN MAY HAVE BEENBY PAR}ClA6VAS e�R EFF fwoucvw, lJYns rYPEOP OISURANM X CWNN30ALLGBMKLUIMM 61MO s 1.oDo.m axaa MME O OCWR i s 1t]0,o0 i s®Eslt' c„r s 5 000. . A N 2X1416 5101AA19 5ltNrAm rt�smalw a>�rarRec+r WI $i,000,0fs1 GMAGL3REGATE U WAPPLESPBt i At.AG QATr s 2.000 000 x POLICY El m tDC PRODUM OormloPA000rtm s 2,000;0� 1 s AVTos s UABRM Arrrauro OWLYINAMPra s i YDLc#lY(lVetopc(dw�Q s AUTOS Y AUM Lo s am Y AIiiOS OiaY jamoccumom s ipelfNLALiA6Hoom i! ; EILY18 !� AGtnTE ma I s manalow UAVA aYN9lm YJN I ELEAtd#A' q QY 41A N M011fY805si 5101iZ019 5i011YQ't0 E:Lo -� s 1 x de.aa�.inaer I EL m -paucygwr s i e -m OFCPMlVMlLOCAlW"lVw"wmWa.Ade><onliN�arrlsaetrOniRd90sa1�d�iiRamap�esMaw} cwpw" [ Ins"ce cwierW I$ to ft Mine.dm1 a &-a NO>hb+g f�in 1t1e oe> Of ineUraftOe shall tm deemad to tom athmd,s arr #w*wsmppvAftdbyftpoftpV&Wm i I i1( i TE I TI�i l SNOItD�AM�Y O�FyllfO ANME DIE CIniMM .>y; THE GATYff�iRM i � BE M Ri �M MTIEPa.ICY • Taws ofBnll�g ec�- 2W MWn Sheet - AA solfinEmmm MA « tRATIN. M rWm reamed. Fax ErrWd: o� e.mts Act ACORD 25(2016" The ACORD Ram OW bgo=are mgbtmd malt ofACM i -- l(wllh of r?klr�urr�/ir Qltice of.Corisclmer/ktt rS,B�B Resg atwn a tK3®AEIAliPROVEIHlENY-CONTRACTOR R yvildfoindi 'useprilY �.: TYPEi before the eup iotf darts. R#ougd return to: Office of Atfatrs andsibess Eiegtilalion 185422 06/08/202U " One Ashburtonf�tace Suite ifi TROY THOMAS 143111,15#ikt tQ111~MENTS,INC. TROY THO, 499 NOTTINGHAM OR - P10 W141tt' CENTERYIUF.AAA 02632 ��� gRr li C nwea, of Massachusetts t)ivon of Professional Lie Board of Bueidin ensure 9 ufations and Star�cfards ' i ` r Shia€ty C`SSL-099913N' #ice t4J131202t . 498 N0T7tr ONT YiLLE 3 itVIC C-•-•nfxesioner ""' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street . Boston, MA 02111 ~ www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Address: City/State/Zip: MA 0�633 Phone#: (� 16 Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4. I am a general contractor and I employees(full and/or art-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 g_ Demolition workingfor me in an capacity. employees and have workers' y p �'• 9. Building addition [No workers' comp.insurance comp.insurance t required.] 5. We are a corporation and its 10. Electrical repairs or additions 3. 1 am a homeowner doing all work officers have exercised their 11. Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL �/ 1(4),and we have no Roof repairs t c. 152 insurance required.] , § employees. [No workers' 13. 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. :Contractors 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 the policy and jab site information. /' Insurance Company Name: �,E+Q �,r-r 4 C df 51e411X /r--° Policy#or Self-ins.Lic.#: 62Adi 4VL60 Expiration Date: —fie OV Job Site Address: - -t +� � � +��" 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 certify under the pains and pe 'hies ofperjury that the information provided above is true and correct. Siena Date: A Phone#: Official use only. Do not write in this area,to be completed by city or town officiat City or Town: Permit/Ucense# 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#: TOWN OF 19ARNStW E R I S E 2013 MAY 10 Ali 11- 10_ Division of Thielsch Engineering,Inc. 1341 Elmwood Avenue ENGINEERING Cranston,Rhode Island02910 DIVI T p. May 1, 2013 Thomas Perry, CBO Town of Barnstable Building Division 200 Main Street Hyannis, MA 02601 Re: Insulation permits Dear Mr. Perry, This affidavit is to certify that all insulation work completed for 2 South Precinct Road has been inspected by a Building Performance Institute (BPI) certified Professional. All work performed meets or exceeds Federal and State requirement. Sincerely, Erik Nerstheimer Supervisor,of Installations, BPI certified.Building Analyst Professional and Envelope Professional, RISE Engineering, a division of Thielsch Engineering, Inc. 1341 Elmwood Avenue Cranston, RI 02910 401-784-3700 •800-422-5365 •Fax 401-784-3710 108274 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel 3� Application # Health Division Date Issued C7 Conservation Division Application Fee Planning Dept. Permit Fee o Date Definitive Plan Approved by Planning Board s� l►o Historic - OKH Preservation/Hyannis Project Street Address 2 S Precinct Road Village Cpntprv;i i P Owner Tasha Ramos Address same Telephone 774_ Permit Request air sealing, install insulation in attic, install 1 roof vent and 8 soffit v nts { Square feet: 1 st floor: existing - proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 11518 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other Basement Finished Area(sgft) 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 NeWL. 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# rO Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name RISE Engineering Telephone Number 4Ci-7R4_i7nC Address 1341 Elmwood Avenue, Cranston RI License # 100459 Home Improvement Contractor# 120979 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE Erik Nerstheimer for RISE Eng. FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER, a DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT f ASSOCIATION PLAN NO. ' j ` 03/10%2010 14: 33 . 5083624518 BARNST CTY COOP ,EXT PAGE 01 RISE ENGINEERING Federallf 1:0"400'29 Fill Corrtnpg;;N RBgiBtratlon No 81D6 A division of Thiel Ich Engineering MA Conlin i,for Registration No 120979 CT Comm g r or Registration No 620120 1341 Elmwood Avenue,Cranston,R102911D (401)784-3700 FAX(401)784-3T]Il cop TRACT I S Page i 1 'MIS CONTRI I"19 ENTERED INTO AFTWEEN:1I6Q E NG IN E E lR1 NG ENOINRRROV'I ND THE CUSTOMER FOR WDRR AS 0""18E011 I I Ow CUBTOMER PHONE DATE - CIbIRN- - '--- - Tasha Ramos (774)52: 0!117 U2/L2•:',010 108274' j sERvlce STREET BnuNo eTRnET" 2 s-precinct Road. 2 s-preci-lc.11.0ad SERVICE CnY,BTATE,YID BILLING eITY,HTII I jZIP - Centerville, MA 02632 k Ccritervi 1�:..�'IA 02632 JOB DESCRIPTR: C RISE Engineering will provide labor and materials to sea)areas of your home against waste Ful, : cess air leakage. This%q,1 l will be performcd in concert with the use of special la ils and diinostic tests to assure that your he mc,I Ill be left with a hcalthtltl I:vci of air- exchange and indoor air quality,Materials to N,used to seal your home can include caulks,fcN i r I.weatherstripping and nt,t r products. Primary areas for sealing include air leakage to attics,bavcmcnts and othcl unheated areas(mi.i iws are not generally adds i;led.) This work will be performed at the rate of$66 per mart pe•hour,which includes materials And trsting. & "11n hours. _ $528.00 - RISE Engineering will provide labor an"l miner at$to install a 11"layer of R-38 Cass 1 Ccllul�,gadded to 528 square feel;lbpcn attic space. $633,60 RiSE Engineering will provide labor and materials to install on easily mewed,rigid fin.m ins uls 11 1;cover for the attic aeeee.I biding stair. The cover has integral wcatherstripp ing to r•.striet air leakage 9160.00 RISE Engineering will provide labor and materials to install(1 )R"diami tCT nxsf vents)to ins i,ise ventilation in attic are;:; The vent can he supplied in(circle color)black,brown,grey. $70.0n RiSE-.•Engineering will provide labor and materi tas to install(8 4" X 16"rectangular alu nit 1 t it soffit vents to increase :a ttilation in attic areas, t $136-00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be hill!I gmly thcNet amount Cull I ntly,forc)igible measures,the Capc Light Compact offers 75%Ocentive,not to exceed$2,000 per calander•yea includes all of the air scaling -$1,277,70 MAR V1E y-RIN& F 9H SERVICED-COMPucTE IN ACCORpANG:tw-I I ADe;>vF SPECIFICATIONS.F1:It THE SUM OF ! Hundred!Forty-Nine&90/100 :10I1$rs $249.90 UPON FINAL SAl11NCa IN AP ON AND APPROVAL BY RrttE ENOIN UNPAID EERIN r-emrOMER AORRt a To REMIT AMOUNT DUE IN PULL IN]:I I aT OF t%MLL BE CNAnano Me 1 HLY ON ANY C!ACTER 80 D AYS EE REVERSE MR IMPORT,AT INFORMATION ON GUARANTORS,R101ITa OF RRCIMI W4L 1:1 EDUUNO,AND CONTRACTOR RI!:I)TRATNIN. DO NOT S GN THIS CONTRACT IF 1-HERE ARE ;rIl 1 SPACES , AUTHO NA Ra ENBINEP.RtNO eusm IER I;.;MPT NOJ THIS CO T MAY BE N77NDRAWN BT US rF NOT RIR[UTED NIITHIN DATE OI'AC:t ITANeE �� 'ACCEvI 1Nt i CONTRACT-T„E ABOVE PRN;I 1 y SPEeWMATIGNB A"CONDITIONS ARE DAYS; "TISF/CTI I' r0 US AND ARP NDREBY ACCEP"1�,YOU ARE AUTHORMP Ta tin Me WORK! AS aPtt WM I, 'AYMENr VAU 9C MADE As Gull.k ED ABOVE / 03/10/2010 WED 14:43 [TX/RX NO •I69511 11001 -. _ The Commonwealth of Massachusetts. Department of I>i ustrial Accidents Office of Investigations 600,Washington Street Boston,Mass. 02111— www.rnass.gov/dia Workers' Compensation Insurance affidavit: Build ers/Contractor°s/Electrlcians/Plumbers Applicant Information Please Print Legibly Maine(Business/Organization/Individual): RISE Engineering a divisiori of Thielsch Engine ng Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 "Phone#: (401)784-3700 or 1-800-422-5365 Are you an employer? Check the appropriate box: 4 'Type of project(required): 1. N I am an employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part time).* have hired the sub-contractors` ❑Remodeling " 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. ship and have no employees These sub-contractors have 8. ❑Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp. insurance.$ required] .5.❑ We are a corporation and its 10. ❑Electrical repairs or additions 3. ❑ I am a homeowner doing all work officers have exercised their. myself [No workers' comp. right of exemption perm MGL 11,0 Plumbing repairs'or additions insurance required] t c. 152, § 1(4),and we have no 12. ❑Roof repairs employees. [no workers' 13. N Other Insulate comp:insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. tHomeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contactors that check this box must attach 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 isproviding workers'compensation insurance for my employees.Below is thepolicy and job site information. Insurance Company Name: The Preston Age cy Policy#or Self-ins.Lic.#: 3730961-00 "Expiration Date: 1/1/11 Job Site Address: fi y;CJ Y, 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 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 $250.00 a.day against violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. I do herby cce�rrtiund the ins enalties of perjury that'the information provided above is true and-correct. 'Signature: Date: Print Name: Erik Nerstheimer Phone#:(401.)784-3700 or. 1=800-422- 365 extl,33 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 Heath 2.-Building Department 3.City/Town Clerk 4.Electrical Inspector `5 Plumbing Inspector 6.Other Contact person: Phone#: AAC®RL CERT�IFI.CAT'E ®F LIABILIT'Y INSURANCE aP10 47 DATE(MMIDDr,TY/Y) THIEL-1. 04/13/10 The P PRoe P THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Preston Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE 1350 Division Rd Suite 303 HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR PO Box 810 ALTER THE COVERAGE AFFORDED BY 7HE POLICIES BELOW, EastGreenwich RI. 02818-0810 Phone: 401-886-8000 Fax:4C1-885-1700 INSURERSAFFOR DING COVERAGE NAIC INSURED _ INSURER AT .Zurich-American Ins Co. Thielsch Engineerig Inc INSURERS. --- Thielsch Group Inc A.<ric,o wsrsnt.. s .�L,blaxay Hi Tech Rialty Inc. wsuRERc: Nc'rth American Capacity Iranston RI 0291.0 Frances Avenue .Cranston INSURERD: Hartford Insurance Company INSURER E' COVERAGES 11iE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PEF:100 INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMErTWITR R'-SP_CTTO WHICH THIS CERTIFICATE MAY BE ISSUED OR WAY PERTAIN.THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSLONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEN REDUCED BY PAID CLAIMS. IF7ST;'fCDO LTR INSRE TYPE OF INSURANCE POLICY NUM8ER DATE(MM/DOM') DATE O. LIMITS GENERAL LIABILITY EACH OCCURRENCE 1,000,b 0 0 A I X COMMERCIAL GENERAL LIABILITY 3730962-00 04 01'/LO O1 O1 11 °� urenca / / PREMISES(Ea o RE ccy_ T 3 0 0,0 0 0 _- CLAIMS MADE T OCCUR MED EXP(Any one person). - A 10,0 0 0 - PERSONAL&ADV INJURY..: Y 1,0 0 0,0 0 0 GENERAL AGGREGATE S 2,0 0 0,`0 0 0 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG" $2;0 0 D 0 0 0 POLICY X "JET LOC - - -- Emp Ben. 1,000,G00 AUTOMOBILE LIABILITY - A I X ANY AUTO 3730963-00 04/01/.10 01/0JL 11 (Eo accident) COMBINED SINGLE LIMIT ;2,000,b00 ALL OWNED AUTOS -- BODILY IN.NRY" j.. - SCHEDULED ALTOS (Per pe(son) . HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accjdorq) PROPERTY DAIAkGE. j F1 - ?Per accident) GARAGE LIABIl17`/ - AUTO ONLY-ES ACCIDENT .1 ANY AUTO v OTHER TI-tM1§ EA ACC $ �j AUTO-ONLY' - AGG 't EXCESSIUMBRELLALIABILrrY EACH OCCURRENCE S 10,000 000 B X OCCUR �CIAIMSMADE UMB 9263637-00 04/01/10 01/01/11 AGGREGATE 0 510,00 000 - . DEDUCTIBLE X RETENTION S ID 000 S WORKERS COMPENSATION AND - - - XSIAT TORY LIMITS ER A 3730961-00 04/01/10' 01./01/11 E.L.EACHACCIDE14T 11,000,O00 �Vd}'PRDF'RIETGR/PARTNER./EXECUTIVE _ '- OFFICER/MEMBER EXCLUDED? E.L.DISEASE-EA EMPLOYEE $1,000,(10() If yes,describe under - SPECIAL PROVISIONS below E.L.DISEASE-PCU :FCYiIMIT 1,0 0 0;("0 0 OTHER - .. C Pzofessioaal L'iab DVL0000'26800 04/01/10 04/01/11 Prof Liab .. 2;000,000 - D � Leased/Rented Eqp 02UUNTDS6.78 -04/-01/10 04/01/1i Equ.ipme,n.t4 100,00d DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES.lEXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED.BEFORE THE EXRRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10� D.'YS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT.BUT FAILURE TO DO SO SHALL ' IMPOSE NO OBLIGATION OR LIABILITY OF ANY 1QNO UPON THE INSURER,ITS AGENTS'DR - REPRESENTATIVES. - - rl. • - ' AUTHORIMO REPRESE V _ ACORD 25(2001/O8) ACORD CORPORATION 1988 c S s 5. ��' �� -:�. 5x S If.dFa r F-1}'k �.� �..:,iE 6t as..:; i i,:-(�{t�d fy,�� •31�U�c�E�sj���.i', I ' ���pJt' �fTHIEL"_1 ' I } ' a PAGE 2 �������'��pk�'��It��UREDFS,T(11ME 3TkYi'E'1�se�rEh�islee�r�sugJ���tXn��,�Fr lfll��f;' ;OPID 271yi I�,�I�# DATE,`04/12/1.0 i Also for RISE Engineering, a division of Thielsch Engineering, Inc.• G a skell Associates; a division of Thiel sch. Engineer ing,.-,Inc. BAL Laboratory; a division of Thielsch Engineering, Inc. ESS Laboratory, a division of• Thielsch Engineering'.: Inc. ALCO Engineering, a division of Thiel,sch Engineering;.; Inc. Water Management Services, a division of Thielech Engineering, Inc. Y 4 R rd�e t Oz 1 The,Official Website of the Executive Office of Public Safety and Security (EOPS) Mas s.Gov Home Public Safety ' Department of Public Safety Licensee Complaints License Type Construction Supervisor License#I 100459 Restriction WS,IC Name Erik Nerstheimer City, State, Zip North Scituate, RI, 02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To Search _ * f \ ✓t12.�G�Y� �wladdt2(:fZf.LGP.�t�- - I. .. I _ .. ...... .. Board of 73uildine Regulations and Standarrl3 Lkense or registration vaF d'for in dividul use Only before � HOME IMPROVEMENT CONTRACTOR -i. theI expiration date. If found return to: Registration. 120979 Board of wilding Regulations and Standards p r _.3�25/2010 1. One Ashburton Place Rm 1301 ' :; Type r-"1 )-&1@11 � s 021A Su8 ppement Card a ELSCH ENGINEEf--I.NG�:=`_ K NERSTHEIMER 1 ELMWOOD WE'` \NSTON, RI 02910 4 li Admtnisti:Ltor- - ---- Mot valid without signzl,;ire, ' hrtp://db.state.ma.us/dps/licdetaJs.asp?t)(6ear(' I\T=C T 1 nnn c0 91te A W 6fficweo�ons`um�er faiVand �usiin�ness;,,�egguon '10 Park Plaza = Suite 5,170 Boston, ssachusetts 02116 - Home Improve ontractor Registration c_--- Registration: 120979 Type: Supplement Card.. z w Expiration: 3/25/2012 THIELSCH ENGINEERING i - _- ERIK NERSTHEIMER -m > : 1341 ELMWOOD AVE: a Q CRANSTON', RI 02910 ' h Update Address and return card.Mark reason fdr change. 0 Address ❑T Renewal Employment Lost Card DPS-CA1 0 50M-04/04-G101216 • �le {ianvrrwniuealC/ � � Office of Consumer Affairs&Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation Vq Registration�979 Type: 10 Park Plaza-Suite 5170 Expira "'12 Supplement Card Boston,`MA 02116 THIELSCH ENdj ERIK NERSTH6 1341 ELMWOOD CRANSTON; R1 029Ti � _- Undersecretary Not valid without signature L I TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION o Map z Parcel � �J " , Permit# 5 Health Division a Date Issued -- .,,,Gonservation Division �� 7�A el see Pet?_,iT R(fve-ir pp A lication Fee �®Pere- 6ela� Tax Collector Permit Fee Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address -7— J ►�� C� �L 11 Village Ce4Toi -o Owner A Yl:Dn P UJ } v9w)US Address '&9►'11 n Telephone G93" /-120- — 4-? 4o,Z— Permit Request Cc vcp— Wt C - 6 OCR4/JP JV V CL os e R R8f AJog k)� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation C24a 1) GCS Construction Type woob Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family �31 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 woodkoal stove: ❑Yes ❑No a Detached garage:Cl 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 11 BUILDER INFORMATION Name ( 1J P0P-Af 1 t Telephone Number. Address ®) License# �� �i,0 1 c,�ltiSloV�� 19 Home Improvement Contractor# 7 6o Worker's Compensation# �ftZ IN 15-7 hI it 0( ?j ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO !/J 1f ST 6)rO l'h�955 SIGNATURE DATE G FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL•NO. ADDRESS VILLAGE , OWNER ' DATE OF INSPECTION: J J FOUNDATION b�(iY�U�I� 2 r FRAME - INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL J PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING (11-0\2\ !bj2,7,;7tf��- 3- Z. DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwedth of Massachusetts Department of Industrial Accidents t 6A0•Washington Street Boston,Mass. . 02111 - �'� Workers'..CDMD ensationInsurance Affidavit-General Businesses IP // yrx��,/���y .s• :�,,rpy�;::�q�ya..• :.tea e•-n�,to`•r'•�,,,, .. n . . . . �}.. ,,::k . � •.��*b'� : ' / . address: ��.\ ... • ,� � � � hone#•"!� �f� / �L j ci Z\N state; r ', _ -- work site location fall address [] I ain.a sole proprietor and have no one 33usiness Type: 0 Retail[jRestauraniMWlEatiug Establishment []Of ice[]Sares(including Real Estate,Antos etc.) yvorking in any capacity I am an es loyer with . etn•lo ees(full&' art time), ❑Other %%/��%%� an employer providing vtorkers' cbmvensation for my employees working on.this'�ob. r ,{"•:'' r,,'I,t:r'. Ir,' .a'ir s• '.t: :.J ti'�\"v. �t nntn7,aIIV I19IIIC: a , ,, 1 Jw ti i !r 1 +t �T 1 I , • t•,rn. .n�L�. 1. ' ' , 'j, •�5. :S{ r ta:: ''''s 'f''.fi 'r• .. .'� I' ••J. •' 10 ��'rV'.:@•• •'•ji.5,13r�.. ,jy; ..i:•- fir.. '::t.•4, .!C• /j:j� M•(,•�. • s#tli�re'ssdl .�- '• r.:'�"Et::�r F .�' ,�t - .��I,. _ .. •,: �:}�, '" s '•Kr.:?• •, '� t•\ "+ •'}lobe:•#:��.''� •'• ' 't•• y ••�.t :�••ir ..T•:t. :' .��•'v�t:.;,d: •; ,Z': na•,i'I%a:'•k.`,.. O�1C. .#� ••_•"" �7/ •Lc••+' r�• ;lris •rice ";:>: / ura •:;�.' ':.• if 4:; o ivorkers'R! / listed below.who have the foil wing tractors n hire d the inde pendent co 'etor and-have ep 'n 'T am a sole prop . compensation polices: : .'r�•. .r7. °4N*�11;2[, f•;et:�+iS•�•:� i con '� �. .•:. ��,.,• :; .: • •1 .. t:.S rr: , i7:•S• ,4at'i:it .r• ,.i.: ;;:: ;•i; t , ... ;:. i;`:'•,�!?.i•:.. • -+..t.t �ttiC: ''�i',.•rn:;.!:. {.r•. r •� I '•' '.i,•. i��' :'i., ''•-. ,,".: :'' - \••rN' t•':a '• •S i19�.'i•:•���gt•��,'.r•�.i ai.!• ••Lv{ ��"'t' ;t. 'C� .i. — .r/. �� • ,1 • •\ • M ,• ••: Ir •y4• J •,rYY�,�a'•',. ' ,r�.'�.•+''\J'1�;� �,. •",� r.,�p;,r�r;. n l! r r. r, e':t:• •'•; 'S.: l:r ;;t` ,:1:.+: l ig• .._ •.i;i :' ;:+u�}• tM1'. r.P:''�:.:'i�Y lr�tt&i J,::nt ,'� .}. •.:''�rU-l1C e#! .r,:i�:2'r:.:'t`:,�.:�:, e:!:. ''Y;:`'Fi•r�.•:••t' r;: / , .li:i 1 •1: 't.�h':'J I .,:YIr.; � M1+q;( .. :!i•;••:.•j it •. •t_ ir, ;: ,:^•r ,:r�•y!4•t••'ii P*' roe• 'a.�:'::1�'�"''Aa�'�.}•'s+.}rr:'' ••';':at;�0:'..ias�' 1��-i•r'�t••.K. r}.•-•'Sit. t'�.C:=�;r :•.'i�.rf.�•�t .'.0 r•Jt•e,Y�•••r�•' ':t.. ''t ..Ja..f.t } coin•ari. n!i>zfeaa. _ . . .. . .;r: ;' =a'-�':':' ..i.;•: .. , '•.. fail 'e • -. a3dresss .•t+ : ' a:. •:,,Y:, .may`•,.c.. r::;�•.+ �i. i:•,i,•':t;,,l',;� :• :, - Cl,'l. •y,, '!:•:fir. ..�r:r- .'�;'.. ••.C.f. ,;ra.`•.,�i.0 ti,: :tit, �.1: 'a,^ p .i.• �:,:�i: � ::yt.•: ,1 •''-• ^;.�.. '�.' .p.. :.1'••�, ' Tb "..ir l•'' -r\ .!::'::.,. •:p:•' :.5^r'-.tt�.!r.l :°"• ;:'�,i':r}S'•:In".�>, 'yr;i OC; . = 111S17A1 "T •r•, .i;il•'fi++tyro•• - ':T' 'it Failure to secure coverage as required penalties In the fo'cm oif as STOP FYORK OF,DEU lead to the and a fine of$1oo.00 day againstt me ne up t and/or. Iunderstand that w oa'e years'impri+onmeat as weII as cfvilp • copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage verification. • I do hereby certi nder the pains an penalties of perjury that the inform orm ation provided above is tr ee a\ ddcrrct Date C/ • Signature �.,I YZ_ .� •�— �•1 !�'Ll�• ' Print name L Phone# a r ofricial we only do not write is this area to be completed by city or town official permit/license# ❑Building Department city or town: ❑Licensing Board ❑selectmen's Office C4 checkif immediate response is required ❑Health Department , contact person phone#; []Other (revised Sept 2C�3) Inforna'ation and Instructions. Massachusetts General L"aws'chf pter�152 section 25.requires all employers to provide ovorkers' corr�pensatidn 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 inri�lied; oral or written. employer is defned as an individual,p�arhaership, association, corporation or other legal entity, or any{wo or mgre 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,parhnership, association or other legal entity, employing employees. 'Howevei.the owner of a dwelling house having,not'inore than three apartments and who resides therein, or the,occupa&b f the Awelling house bf another who err�plbyspersoris to do.mam enance, construction or repair work on such dwelling house ar on the grounds or building.appurtenant thereto shall not because of such:employment.be'deemed to be ari employer, MGL chapter 152 section 25 also-states that'eve'ry state'or local licensing-agency shall^withhold the issuance dr 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;neithd1he- ' cononwealth 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 f4 in. the workers"eompensafm 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 maybe submitted Industrial Accidents-f to the Department of or 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 f°industrial Accidents. Should you have any questions regardin thd`law"or if you are requested, not the Department o required to obtain a workers'-comp ens ationpglicy,please call the Departriient at the number listed.below. City or Towns . Please be sure that the affidavit is cbmplete andprinted 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 regardiug the applicant. Please be sure to fillip the perm�t/hcense nurnlier which wdl be used as a reference number. The.affidavits maybe returned to. the Department bY•mail or FAX.uuless other arrangements have been made. The Office of Investigations would like to thank y'ou 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 emce of Westigatlens 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 • 1 .. M. //7 PT% FEAR.AAAA _-L 'AAL i LL4 Town of Barnstable of me royy . -� 0� Regulatory Services ' Thomas F.Geiler,Director 9�,,1i639�k,� Building Division FD hIP Tom Perry,Building Commissioner. • 200 Main Street, Hyannis,MA 02fi01 Fax 508-790-6230 office: 508-862-4038 A permit no. . pate ��� .. . AFFIDAVIT NT CONTRACTOR LAW, 0 VEME R ME TNIF HO ICATION RNIIT AY7?L gUpPLEMENT TO PE c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, MGLadditionany o er-Otto ied -improve rent,removal,demolition,or constr than four dwelling units or olstructures which era adjacent to such ing containing at least one but not more such residence or building be done by registered contractors,with certain exceptions,along with other requirements. I/ ,<O b �� ( Estimated Cost Type of Work:, ��•• Address of Work: Owner's Nam: •. ' Date of Application: I Y hereby certify that: Re gistration is not required for the following zeal on(s): []Work excluded by law' r1job Under S 1,000 []Building not owner-occupied []Owner Pulling own permit Notice is hereby given that: OR DEALING WITH UNREGISTERED OWNERS pULLING THEIR OWN PER1 COIZTPU CTORS FOR APPLICABIJE HOME IMPR OVEMENT.WO DTNO NOT BA DER M L c 142A.. ACCESS TO THE AItBITRA.TION PROGRAM OR GUARANTY FUND SIGNED UNDERPENALTIES OF PERJURY - Ihereby apply for apermit as the agent of the owner: YqYt,YL�° l� , C5C7101 (00 Contractor Name RegistrationhIo. Date K-f � Owner's Name �fTM�r°�ti Town of Barnstable °;k% Regulatory Services 3 s srOM ' Thomas F.Geiler,Director puss. Building Division _ pTED 1d,A{� Tom Perry, Maing Commissioner 200 Main Street, Hyannis,MA 02601 office: 508-862-403$ Fax: 508 790-6230 Property Owner Must Complete and Sign This Section If Using A Builder .;as.Ov-uner..of the.subjectpropettp- ...._..._. .: hereby authorizeC w to°act on my..b.ehalf,. in all matters relative to-work authoiized•by.this building•permit-applicxt Mfor. (Address of Job) r o signature of Owner Date Print Nme J' CicEn$e [� N4�b A R��T RFG 1 �► er 07,0960 SUPER pRS dr E��Dfre, 9���66 s �gN�EC y F R �'►c��aYp5 ' 0j P . Tr.na. TAW OACgR SCC 6425.0 trator d e x r � r n e it hoard of building Regina ions and Standards m One Ashburton Place - Room 1301 Boston. Massachusetts 02108 Horne Improvement.Contractor Registration _ Registration: 141160 Type: Public Corporation Expiration: 1/16/2006 USA DECK, INC. EVERETT PIERSON 1041 CANNON WOODBRIDGE, VA 22191 Update Address and return card.Mark reason for chang Address F Renewal Employment ❑ Lost Card ------- ---- - Board of Building Regulations lie and Standards License or g - registration valid for indivedul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration: 141160 Board of Building Regulations and Standards Expiration: 1/16/2006 One Ashburton Place Rm 1301 Ma.02108 Type: Public Corporation Boston, ' USA DECK, INC. EVERETT PIERSON ` 1041 CANNON WOODBRIDGE,VA 22191 Administrator Not valid without signature r 'a . LOT 14 'AA LOT 18 N- LOT 9 -------------- LOT 20 rn CO 560 P , S 0 RES. ZONE.- "RC" Th=B MORTGAGE INSPECTION Bank a p6r ►y fiZOOD.MNE "C" v 0 , --- -- REGISTRY OWNER: J�1T_P1�S T8 ----- DEED, REF`. Z�3 l!Z-�_ BUYER: .AND.BXJf_&_TAB AA"'w: 1, (Q _ - ----- PLAN REF: SCAL-EX = FT. I HEREBY CERTIFY TO -- ,-- YANKEE SURVEY __ THAT THE BUILDINGAM SHOWN ON THIS PLAN IS LOCATED ON 'fHE GROUND AS CONSULTANTS SHOWN AND THAT IT5 POSITION-DOES _—_ CONFORM{ MER"t l 400.1(SUITE I) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE Na 3XW INDUSTRY ROAD TOWN OF ___2,91�'MT.d. M-- ---------- — THAT 11' DOES_. _0_T__ LIE WITHIN THE SPECIAL FIOOn HAZARD MARSTONS HMS, IAA. 02648 AREA AS SHOWN ON THE.'H.U.D. MAP DATED� �,� _ TEL- 4 -0055 u . - �,55 . 0015 c . FAX 4�1I- THIS PLAN. NOT MADE FROM AN INSTRUMENT SURVvY �aUI�,�. FIB ��"-___�__ SOT TO 8E USLI1 F'OR�CES BUILDING ETC.. p�d21 t TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map I Parcel /3 7 M� Permit# �� 9 2 O 7 4 O B1 RNISTABLE Health Division (L( 03 Date Issued ;3;:-. (� Conservation Division =11,L #3 At'r 9: 1-4plication Fee Tax Collector • ® Permit Fee Of i Treasurer 3Q DIVISION Planning Dept. SEPTIC SYSTEM MUST SE —$I� INSTALLED IN COMPLIAN Date Definitive Plan Approved by Planning Board V=TEE S EWRONMENTAL CODE AND Historic-OKH Preservation/Hyannis TOWN REGULATIONS Project Street Address So U+,1-1 ere-GI Y)cl- fJ Village C��4-e r N/I L� Owner N n d Yt4IJ NKd- ill ►c-Ll,MD S Address � � QY�Li n e_+ Telephone q t -I 2R': �- Permit Request - r X Square feet: 1 st floor: existing 1 10-,Q proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation f 30-29 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 a,5'-w_4- _ Historic House: ❑Yes No On Old King's Highway: ❑Yes ❑No Basement Type: )A Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing new Half: existing I new Number of Bedrooms: existing new Total Room Count(not including baths): existing S new First Floor Room Count Heat Type and Fuel: .Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes V No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool:❑existing A new size 4 C3.3 Barn:❑existing ❑new size Attached garage:existing ❑new size 2 Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization 0 Appeal# Recorded❑ Commercial ❑Yes ❑No If yes,site plan review# _.Proposed Use _ - - - - - BUILDER INFORMATION Name s /Za,a o 5 Telephone Number Address_Z 1! r e,r_ i n cJ' i G( License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE a _ FOR OFFICIAL USE ONLY PERMIT NO. DATF,ISSUED '+ MAP/PARCEL NO. ADDRESS VILLAGE OWNER ' DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE i i i `+ ELECTRICAL: ROUGH FINAL PLUMBING: ROUGHU - FINAL )"w ) y GAS: ROUGH2 ;3 e . FINAL FINAL BUILDING dQ.i (�� �flzd r ;J Ls DATE'CLOSED OUT ti ASSOCIATION PLAN NO. t• The Commonwealth of Massachusetts Department of Industrial Accidents Office 6//110esl/9ations s - 600 Washington Street _ A y Boston,Mass. 02111 Workers' Compensation.Insurance Affidavit bls name Av1eY�/ location 2 �, �r 6-c-t`Y)Cf- "' + `� r city W r V vl Phone# ,2 �Z_- q1 g &2— I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this fob 1 T' x a. ,,,- �T i �Y C i -'�` t ': r...�,r'(E T "T ..: Y y#'C`r`gc 4.55' Sx�1 1 ,,-' '"`'A•`"$0"' ,&`''t r r�+� ° fs '.,�'d,�, ' fit i ,' M .�. * k 1.,7 s.;'�`�r 9 ra,t�ba a y r , d rz MR. r z y am b a 1 x f 5� WIN., y a ;u�.�t F Odom anume � �° �� �u-ry s t w I. PF-r r�.i"r;„Yni'1.rns., eya a "!', :" e x r w c;.} E dxYX. i.' "Sy;.emu Y_ {fa J;s':<rv' gV upy Sw t. t e''.._ ar 't.,.e V +:t. �iio� a t '�' �r�'.,� !'4 ,.,._'�' T �e $� r`'"tas�.r'` 'fir-c-�c'•`.•`��.iu's �+�?y .ut� 'ri r � � + ,"`..yi' x 4r�! ,�. t" P..f&'+�u r: �.^ ,�s sa n u '3•� 'i.r1t';�3�..+,. ..! .tis•" iaddress e?.hY ,. v s 1t i C .x Zr cj - �;+fir Viz'+_._.", + sue,.,sss: ..M.rr,J'airs .c ,� a< _ :r .$'c-iht 3 .�+�'..rKar 'r^+r v�. .h ,aSf �Pm" am`' at � 5 � r 'r`kKry,�J_..'wr't�e."{Y. ` 'tgc.F,rJ r'r x 'w- .s+•rgd '`r^ J'f ,r Fr s t 2 t 1'.+' .t .x t+�t�r• � ,�'x `� � :u�°c+'g+` yam,. ar��� ���?"_ tyly"'x 3"Yd•`�f�..w�«'T'�fi � e ',M"� `v�.i i Sa sa �'.s.'YS^" '+it � '� 5.- d' ^r.. "�h< '�'H '^'k'{�S�R�, l S ; r?�r4 x"�r. r` as.fd r� s �."G5"��CE"et<.;�"yfb�L�.St ��y !` Rt C �+Y' ,: Rrk 'c r..�...St 'Vv^`,,r '',�,�, .y.rv�y L6 '!}a -F' r :.r �s� w:`Fvar L,k YCX rEr`�•!+- 44r�„'t .. ,'�„�<a .Insu�80CC CO'�yp'�5.�'4"k,�`rta.Yrs�T�i"'yi rk* k+�cr,, '.rtr T� fX rs r 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: p x x Mf f' �i ��r�.4M $`y'��-�� d@�$ 4:.. Via[ � �':4'L �.•i ..y,i M Ki' t-n U �3��„3�$'ty�`,' '1, daLlx�f ! : '4¢ !t{ p�'�r�, l'ryy�'.' Y I a'•Y�1 �com an aaure t " �', { ✓t"�Yli° {� .F'•n'RI� it'' �df"`' Y�, w . nw `t •i x" 'S a st. rrx -v Fr..� f e7:: z 7y e'i''�y�' 8; 10 `�dK' d5+ k'"�� "7'r�' r'. s'1 r+. r'f i r t ±iR'a¢.rt� r'rA`in r -t 4< i .x. r.rSrs a C re A a�dre�S FBr�cwl"i 1��Y°� 9 cif y,�4F J r to ..5 .`fit~"•"5't " - we 7 an E S x R'v 4` '�'r "krrt"t' �yjty'}}n�iwR tr t°f. 4 s-r+nrxa e c ;�j,sir i y rtic 4r r}t ?...AS tr^'rf tiN ^ r'A'r+ 4_. ' '`F*'ia"'/i'r. r� d*ec ^ti:'i11w'A '3 eX�"' r ten, +(-:.-+` x.a r+.a,ar.�..�.SIPA, 9;.?'k ;"w 91Y�"Jr y�s-rj, t r r* 'F "'il hone CI a a`.`r"''""^"".�x`T,,r.wxv' v'i Kr"y,._t� ! T..: 7 .s , fF r �+5' _t,";✓� y aua:."'� I 'Y'K"s*rCrxsJ`:'>r.+-y.°'c. y,`.'�:'. i S".i:,• ex",t`rt` ; Y e,� �7rr'�r �' ;,:;c rfi� Y.sar„ t< ist:.. do tat _: tom�rtgt:. `.. ..yta �r4'�w'!' 9CL+rtr ..} arzxS, ykxs ,a„a'2"ct 35+. -�xay s.�y�♦ br?f us 'ta. th "r�s+.` 4 .,+ -.t s :r - `4xjY z n f' �'� cw• .rirt-'r4' ,:. i Y .Y:..d,,s•5' � ''r�s-". z �'6�"��'� �N a wkr F 4° x .��' � L r j �':�" `� 5. -;,�._< '' d.s*,"".. r)nsura'neeCo��'�r�.�'�_.��� 3�-t t � r�'dro d" 'F�r .r .rr.c r �IOIIC e9ey�' ,ta!•=.'X a.•zYr`ve�e�,r57 . .cM'.. ri r"flij}.,'r 'ti' .shy+MX ,.=�y,� r.�•lyyi rya S-1'..ssR4d ?3� � .t✓ L xi{ r �"r,Sr �^'_una��.zy v.� u.:irs� ,:�.�a� �,y.y-k'��,���1�z5yrk�vr �� �.g�t�"�-.',yr '��t t�e rtYa�._-ems� �`�s°c3''-v�rvr��hh i.p W��� �•s x., a 1 .y:..*, t�' tt f vtr f x ,v bryx'"t{''`.sa p � 7���r y aJ' r rtr-x { t ,r �" .�rkr{v tdrvr•+c COIii an name c hk �Z�sc �i rz 4 1 r is•e - Yjs.?' "c7 Ypr av' .9r x��. 4t^k, �4i4J,i§ rt S y h x�.',ra, h a gn r �r :y S a. `�. �: 4 , 4*' 'hs7k ti{ �'Jr -:X`S i '' ress^��SY+': � �.i' _~•:.�h+r r,. 3r "�', k� -'w�;�' ;t v' ii--y �'etlaulC'I 7 .03..r ti 3 e"4- 4',a.3u-. ..et, .<EdY "f��, }F.„, l a;y'lX �..r� try shone# gy 'i I`'�•r�a:-r',t.��'��"`k�yrvs'�xt��•r�J 4 ''� �fti..-'' •s, srt. t :.i s .-< d t�� �y�i 1T. "� ac ,5. t,,.'�}..S,.,x s t_:�} d ar"v.Sr:. i6r*r.'s.'...tY r�, +r f 'k.�7 : •„r �^.' a rwy�,f r: �a' z 5 y r*y, h < : ,_.rh i:w.��J:rr.�� ��...�,.'..`;�.,`��:t'. ' 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$1,500.00 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. I do hereby e iffy under thepains andpenalties ofperjury that the information provided above is true and correct Signs Date Print name Y ! le" D Phone# official use only do not write in this area to be completed by city or town official city or town: permit/license# 1-lBuilding Department r []Licensing Board []check if immediate response is required ❑Selectmen's Office []Health Department contact person: phone#; 1710ther f (revised 9/95 PIN 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 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 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 and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you.have any questions regarding the"law"or if you are required to obtain a workers' compensation policy, please call the Department at the number listed below. 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 Boston,Ma. 02111 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406 P�OpIKE Tp Town of Barnstable Regulatory Services Brans ABLA ' Thomas F.Geiler,Director MASS 9`bAr16;p. %, Building Division Tom Perry,Building Commissioner 200 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 constriction 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. j n Type.of Work: 000 Estimated Cos11 /� D Address of Work: Owner's Name: {ki'Vl(�11'�'bJ /LGl/Yt/t� S GW► / wS�Cc Date of Application: q^ /T — 03 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 El Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME]MPROVEMENT 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. OR Date Owner's Name Town of Barnstable Regulatory Services + BARMAFt& Thomas F.Geiler,Director - y MASS $' � 039..�ate` Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-403 8 Fax: 508-790-6230 Property Owner Must.Complete and Sign This Section If Using A Builder 4'r"v - , as Owner of the subject property hereby authorize Wa r c,S 5 a P' - k-V r i Sep' to act on my behalf, in all matters relative to work authorized bythis building permit application for(address of job) 02 So 0� Pr-6Gi h cf- �0'q Signature of Owner Date Print Name Town of Barnstable CF THE Tp� Regulatory Services BARNSTABLE, * Thomas F.Geiler,Director 9� '�. .•� Building Division s Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: l � , JOB LOCATION:. cC U Pr e C 1 V_VC/1 r t1'1 (C111.-le r V Jnuumber {� street l ^�r _ village "HOMEOWNER": I`�V l(�YE�it�tJ ILL( ywo S 5��" Z�—'C /l4 Z name 5 home phone# work phone# n CURRENT MAILING ADDRESS: 1- rt?CJ t rz J CQ;o,.Y_VJLL . (OR 0 3 2 city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one or two-family dwelling, attached or detached structures accessory to such use and/or farm.structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"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 understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and rgq�uements. Signature of Homeowner .. 7 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 The.Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions 5 r of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such. work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,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:homeexempt f i iS++• , ,, 3 , vi; ....I...,-��...:.I-...-..�z�:-�...�:..:m�..4:%:.:..,.:..---..::I�,,—::...,.:...��:".�:,:,,1.A,..I,-..�...,,..:.:�I.,.-...":,.-..:�I.;,�:�,.�-�..,,I.1-l�,.i.�:,.-.:-..,.:�..��:-.,.7:�I.:.*..1.-..,;.�I..--,..�-.�,�:*.�:�,..:.,.i:.,*,.�L':.-":...'.,I--�,�:.,,-�.:.�.:*�'*-.:.4��-,:�.;�, �� -s6".�...-:W1 I:-,.�-I-:I,"1,1,-.�I-��*1�M,I,.o o r F $ f 6 a e,�Y Vi: - `` /p a,00 I. 40 1y p. o®`r ° ..-.I.:---",-',I,_...,.--,.-,,:1.,�.-.��-...,�1-�,..-:.:.7��-'Ir:�I�:�-,1ef!I�.'-.,I-.-,1-.-..�,,--:I��.'....�,-,,-:,I���,,.-,,,.�'-.�,:.�-I�_,.:I:�L,,..,.:.--�,..�-I,��,��,,.-1-.-:��I I-...--.--�:-.,�-?.:.,.--.�I.-..;,.l-�,i:,_;.�'--4-,�:.-.:,.;:.�,_:,-�;.�I�,I..1.�.,.:.'.i,--�.-..,.:,,.%..-,.�,.Il��...�-...,,',�:�I:,;,;�.1,-:r.,�-,..�---.�..Z-_.,I.�..�-."..�-.:..,...-.-.1%�,,�,:::�:.-,."..,.,',II,..���I.,'.i..��'��;,I���,�.�`�,-�:-;.�.%..::I,.I.,%�.1-....*`.'-:.-�''�.,�..,.,..:�.-'''-.:,:"..i,,.�..�-,,:.:..,.�.�;::F,:-...:';.,1,.�:..���.;..-�..�,.-..Il.,:...:-����...-I.,:..:..�.:,,..�..:.l-..-.l�._......�.."....I.,.:.:...:k,,i:;:,..-�...-`..---,�t.—..�....,-,�....4.1"-1l-..,-,...-..-,4.-�..�,�..:.:.,�I::,,��..1,I:.I.-.:-':....,.,..:.::.-,.."�......,-.-.,..,,:,,,--.,-�".:�.;-..,.,I,�:-I.:..,�..,��I,,.::�,�'.%:.-,.-,��..�..�.:�,��I.�,.,:.�.":�,:...�....:'..:..,.�.��,�.,P:F I�...��...i..,.I�,:..��I.-.,�,-".I.,�..,,.�-:..,.�f,:..I,"--I.,.,..-,-",.I...�;I-...,-1l...:I.,.:.,.,�..-.4;I-,'1�,;:..�:�-�,%.�I-..:..�..::-,..7�..�..:-...:,!I,�..�..%.�..�:!,�.,.:�,�.--...-�,':,;--,,i�;,,.":-..�..,,-.-...-�F�.�..:,-..-.�-..�,�..I:��.�.-..1-�,,�I I::.4.:f 1-,--.".�,�,-,..�.�7:e1�-,.,�I..;.-,.II.,:�."�.J,�-,,�.�...�:.-1.....%�i.I:..-:.:..,-,.:..I.I��1;,-.-.�-7.��;.�-':...%..�%�-."..,-.,.�:..:..��.-.:...-I.w�.�;.�.?����I 1-.,--,,._��.,.....�.:.-I,:1�-I.--:��'--...�-'1.--..I�.,"-.1..:�,-I.I-,7.:--,--:..-,�.1.-,-l--',...�.`....I..��I.�.:�i;'n::.':�..-�,�.��-:-,I�.iI-:�,,,,,z��---I.-..",��1�.-.,.1�.-.:1.,,�..I...I,I.�:.-..:.'.,.�.:�,.:.--',�.L..-,I.�-;�...,:I I�....,�-.-I.i.:I:,:I:I�-,,..�..:��I-II.:�'",.--....I'.'�..2..;I,�:.��.-.-.-�,�..;...-�..-..-:.,:,:...-:.:1��.'-.,,...:�.,��..I.i��,�I-'�..�I�.1'",-.1%iI.,.,I I--.--.I.:,-�.:I...,..�.�:.�.-...%-�;...,..II.,!.:.,.��I1...1..4.,-.-',,��1�,...I.',I�:--�I-1�:1,-.,i 1:1:::%,,�,,.,.,1�.,,%�....I--i1I.I��,.,:%;,4W.I...t%I.:.,..-�-.�.:I� a : . . t. ...."...�.,.....�-.:-,�.I I:1-,...�..1.�:���,,'%,......-.�%-.,,:�.:.;.'.�I:,-.,-.....,.F�.,�:,�..��,.I..I�1..---.,.".,�-"..':,-.�.,.i:...-'.��.1 j���-:!.,.".,1Z,.:,.t,.�1......:%I.p.��x�.�4;-;-�N�4*.-1N.a,��'-.-.'�..-,�--�.,�..I.,"�-,—,:p1�,'...�,.,:.�.I'-.N...,���,,.�..�:�t..-. �I.,���/-:,'--:-.�..-.�,-Y:,],I..-,-.".,�.,".,��,'-"...�,.".�.,-�-��. t P ` . q d f 1`� a ,_:.�;�.:..�'.,:�-..1.._%1;:.A;;I....:,F.�1:I:��-.-�..�-.-1 ii:.:4.v : tv 1 J "�. c ` '� �` i. q . ut-- c� r z �r' - fly a it'u a+ �: . '; 4 _: ,. ..' ,,:: _ . , . i 4 . �q 1 ' �> z e . s G > I. :l�. I; tt y6 . 1 7? -S' apt; I i9' , a 1. 5416 .: . f /,�I:k-..,.�.,.I:-�,��-.:1:,:%.,'...�-�:.�,.�-�.:.:.-.I,�.,1�-�:�1 iI.-.-..I..'..'..-.--�,�...I-.1�.,,.,,-..I,I.,I".:-.,.,-.N-.,:��l...���.,.'..:2..:.,.e.l�:�...."-�I.,.-I:-%.:�.:I�.l.�'..,�.':.---I�.., S:. t e :,.,..-:-:;:�:,..,:..I.....I�F7."..I:-��-,-,-�.-,..:.,�,p,.�I..1:,�"."1,1":L�..- in F ,.. \pV - a �� 4y0' r CERTIFIED PLOT PN c Jc i, c� NEW :CONSTRUCTIO.N ONLY . ,. h �� c� .'r�` . C _ y TOP; OF FOUNDATION i'S FEET IN .' A80VE LOW POINT OF =ADJACENT � �0, -� ` �•` R0A0 - dNt. - .'SCALE / tG f D::� DATE `/C�"' /,1�. ¢ Et DaAR GE-ENGINEERING CO.IN CERTIFY THAT THE 1Cc4ao/ ta,k CIIf NT1 Et313TERE0 REGISTERED SHO, ON TH[S PLAN (5 LOCATES JOB NO tI.C!�/iL LAND . ' �"? ON THE GROUND A$ :INDICATED AND a EN(31Nf ER$: SURVEYbR DR �Y /'' CONFORMS .::.TO THE ZOMINO LAW , . OF B�4RNST BCE , ASS ¢ x Y CH 9Y i 3 3 Nth M A ftV S T I c --�_____;; 't`; - 7 2 M A I N. S / ,r� { 9:'!ten/�' i !R�dd, * YAt?MOUTH, MA5S HYANNIS, MASS' SHEET OF I DiRT...E RE. LAND :SURV.E FRAME CONSTRUCTION 1 TWO PIECE TOP CONNECTOR O u 9"TOP RAIL - - = .- f ''�✓ PLASTIC LINER-LOC COPING SELF-SUPPORTING STABILIZER BAR ,A'TLANT I C TAKES,THE NEXTSTEPEat rp_ PO IN PREMIUM OL IDESIGISIPWITH GALVANIZED TOP PLATEstw � a � WALL CLOSURE --_. -THE��OOO. ,. .,• _i - f _ " ".. �: SKIMMER SEAL rt g ) " EXTRA DEEP CORRO-RIBBED WALL �A .. EATURING RE 7.5"VERTICAL SUPPORTS OUR VOLUTIONARY EPDXY COATED GALVANIZEDa a'p, N EW D E`S I G N,. (THE NEW." 2 0 0 0 :� -. UNDERFRAME ; `DRAWS ON�ATLANTIC'.-S DECADES`OF' GALVANIZED BOTTOM PLATE 24, ' INDUSTRYADING ENGINEERING �w^ - KNOW-'HOW FOR SEDI Aft WALL&FRAME COATINGS STRENGTH ANDIDURABILITY I HERE'S MORE: THE INSIDE OUTSIDE ;J2000 F mb AU ALKALINE CLEANED --Z_� ALKALINE CLEANED "C O M B I N E S U N B E'ATA B L Eq S THY LE ZINC COATING e. � 3 ZINC COATING AN^D VALUE WIITH THE. BEST, AL ALKALINE CLEANED - ,rx " �♦ - ALKALINE CLEANED �-� WEATHERFINISH IN;THE BUSINESS: BONDERIZING COATING - -/ ((a. r BONDERIZING COATING ' CHROMIC RINSE-• CHROMIC RINSE (CORROSION '�HE-UZ000: THE BEST=BUILT AND- (CORROSION PROTECTION) , PROTECTION) ' BEST�LOOKINGPOOLFORjYOUR� FULL COAT BAKED ON '" a- _ BAKED ON ENAMEL FINISH � .y - - I r ENAM EL FI NISH BACK.YARDL - (FRAME) " BAKED ON"TEXTURE KOTE"FINISH(FRAME) BAKED ON , Y EPDXY FINISH (WALL) a ' pSHAPE SIZE METRES VOLUME U.S. GAL LITRES ROUND POOL 48" 15 x 4811 4.57 x 1.22 4,715 17,850 18 x 4811 5.49 x 1.22 6,752 25,560 21 x 48" 6.40 x 1.22 9,341 35,360 24 x 48" 7.32 x 1.22 12,133 45,930 27 x 48" 8.23 x 1.22 15,200 57,540 30 x 48" 9.14 x 1.22 18,928 71,650 I ROUND POOL 52" 15 x 52" 4.57 x 1.32 5,019 18,997 18 x 52" 5.49 x 1.32 7,186 27,202 21 x 52" 6.40 x 1.32 9,941 37,631 24 x 52" 7.32 x 1.32 12,913 48,881 27 x 52" 8.23 x 1.32 16,177 61,237 30 x 52" 9.14 x 1.32 20,708 78,388 OVAL POOL 48" 12 x 24 x 4811 3.66 x 7.32 x 1.22 6,843 25,903 15 x 24 x 4811 4.57 x 7.32 x 1.22 8,330 31,532 15 x 30 x 4811 4.57 x 9.14 x 1.22 10,692 40,472' 18 x 33 x 4811 5.49 x 10.1 x 1.22 13,982 52,929 OVAL POOL 52" 12 x 24 x 5211 3.66 x 7.32 x 1.32 7,300 27,633 ' 15 x 24 x 5211 4.57 x 7.32 x 1.32 9,110 34,484 1 2" 4.57 x 9.14 x 1.32 11,430 43,270 =x 33 x 52" 5.49 x 10.1 x 1.32 14,880 56,330 T Q - v - Q DANGER: No JUMPING OR DIVING.mABOVE GROUND ARE DES IGNED�iFORnSWIMMING ONLY."NEVER 11 ' , ATLANTIC O LEAVE CHILDREN UNATTENDED. BP00 6 � Q d a, r t v We y s �� ma A 41 . ", 115 y ,�y .`;� r �^� - AWA PF, _ z Tl- .F _ r �e (D kit 17 W. IRT « a' 4 - y - e k.. a .m- nl# m° v u � a"��Y. n ��� q rµa "� u n" �i��• u u "'�C A I ` < v ��� ' t �'�"` °�• � ,� - ��' '6.t � ,� Par ✓�.f�'" �.,if' ,,,'; - � Y ^I. wiEl ny,p.q yTU � it- P } r """�a�„''"�,�,'%�r����f(s'ar¢y L..•.•�"", �•�•�^ .,. � y+,..- cam+. � P��,.'`a"���z��� ""' .r'-_ -Ef'YY�i 5 f�,��'^�{/��3`.�',y� '•,r y �.�a "`tia�: -� Ai"�• � - ;s, _s.f'rifiL� ��sr iG �� tf yvvtM'`3e`>.7^..`a•�,�,�.- Asa{ wr P .,`.w 4 � ttr 1� �r. :f r j r ?�.�r .t �:%K...t,:�r •'--�x '�'"� j ,✓��y,.. <s.�"" +.s° ma's ., s v etc �$�.„.s:4. .-w.'.`� ' +w �.G"s W' ���rC''i .�-� ��•.�=��4`Nr y�.�k --s' -•�..,� -1,n.� .,S � f�-�'^ '�.%i� 's-�".r��r��.s iF : +.rf'd�3.(..rlaf ir�.s- t i* -�" � R,� y a y -sue' �-'.d �' y-�`f� ,.r"s' s`. ,.e a_ �` w;�„✓f-���� �.. �` nr^�i' w m./`>7.-" `"7r•o-'��c.r .fif" rr vaC r, ^:r"` : yy" ..�C" r�"'",u r.�.:';t;-: .x.,�.ar*��.,,,�r .l„' '" # r�.. .fit" •SM°r �'J"ir.`r i -�.,,'t- j6.y".�i. Assessor's office(1st;Floor);Assessor's map and lot number ' SEPTIC��� �MUST�E Qypf T�E Tp`` STALLED IN COMPLIANCE Board of Health(3rdfloor): ; r - VfIITH TITLE 5 fO� Sewage;Permit number i`�( f Engineering Department(3rd floorj: _ ENVIRONMENTAL CODE AN Z DiSd9TODLL House number _ �� TOWN REGULATIONSP R "b o•6���' Definitive Plan+Approved by Planning Board _ 19 ' Y APPLICATIONS PROCESSED 8:30-9:30 A.M.-and 1:00-2:00 P.M.only rnstab Conservation Commission TOWN OF ! BARNSTA JM E : BUILDING INSPECTOR Signed Hate � APPLICATION FOR PERMIT TO i z f E TYPE OF CONSTRUCTION %kkpDc� ` Z s 19 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies foorrLa�permit according to the followinginformation: Location 2 ��u kv` P!`� r I!n c T_ 'C� �P y[. Proposed Use C, '-P- Zoning District \ Fire District �U Name of Owner �—�G—. Address I;>-5t5 Cy r (7_k_JA� . Name of Builder Aee�,e i In e i Aj 5( Address Name of Architect Address Number of Rooms Foundation. Exteriors C e cl.o c- S� Nc��SRoofing 1� S 1 P,�zs y - Floors Interior J Heating Plumbing Fireplace Approximate Cost .`1 �s->✓-r�l Area 2� Diagram of Lot and Building with Dimensions Fee / 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 j L (__ Constru ion Supervisor's License/ 0 9 2-"-O I -7 .`�K.ECTIC, STANLEY ' No 34533, Permit For ADD GARAGE *< Single Family Dwelling Location 2 South Precinct Road :F Centerville Owner Stanley >Kectic Frame r- `�; '�t Type of-Construction F '�j - Plot �1 1 � �Lot ,,'�, ``' ! ,. °Pe�mitt Granted Au+gu s t. 2 3,f 19 91 ( 'Date of Ins ection{ Date Completed cr 19 S,: c� as a grig� �.. 7' � f"'l ..'+ � •`} .C'; `• Y! fry tio t t _ 1 i i �XAt)t;,In 00.4 ISTw6 _N -72 OF V 1 LE22I 'RCHARD . y RAXTER EQist CER T l Fr E D PLOT PLAN•L O C A T'I 0 N CERTIFYTHAT- THE FOUNDATION C��17 �lI11 r SHOWN HEREON COMPLYS WITH SCALE I i1 �p DATE ,�f THE SIDELINE AND SETBACK _ -REQUIREMENTS OF THE TOWN OF PLAN REFERENCE AND IS NOT _OCATED IN THE FLOODPLAIN. �:T I E N�.. ,U� L?( I�G DAT F-'15-9i THIS PLAN IS NOT BASED ON AN A, B A X T E R .N Y E, INC. NSTRUMENT SURVEY AND THE REGISTERED LAND SURVEYORS OFFSETS SHOWN SHOULD NOT BE OS T E R V I L L E MASS. JSED TO DETERMINE LOT LINE S. APPLICANT ��-�,N ��L�•j:•..IC— , 1 '> , r �b' r t-fl�lr����•�' 1� ..tip= QQ ^^ let t 1JV1 T ►fir �_ .+ . - , ti � ' g }'lilt. 4p / )1 't><, y, �x 'm.- ,.� �i r - � i � ._' t t !- � � .-_.'� �{`,Y�•!rl �t�a• h7^ s- r. N '41+5'�.► ' 0�f!}+r.• r ". �T •� .; �} 3. Lz' D2.vUN � . 'tal •k ,y�,s. F�.. f� , / � i ,r '•1 I� ,t• I � � ' �!' jlt,t�Y�l� .'.l yr i ri11aS, �It F. `r sl '4_C�---> Z� _� ' d -.{- .i .� !i r, .,.,• rr Yrk • rt 5,.1 r+ I ss .{v `b •� ldDU VA L. � .. s .y- ,(P r ' Y t�.s, i. ' ref-" Ta6�`,y T •{ � " L' �'�• .SE"Yp'j'�C � `' 1 ' :iF. t`.� �:!h, �x • '�• }iV ti 7:Q�' ,T'f� �.3"( t r � ^� �\^ :.TP�_k �-'� N !� +»�. s 'r `i `I.4j•�i rI 1,� N.���A�. .�{•!��'; ``Ot• 11-J Q x r •7. f� _ �� �(.b �tY �} tJ.i'+*1Rif y�, •��• tr a .tt;x+t•�"'4 ' s •/V�� �1ta ! , /�. 600d 6AL A+ .,.?" ,, , �XY S.�: � �1 .{ <�/C .':� ,` ,�, s,,•j z ) ( � � �k r y t r t+.,t ,J" •,41yr1,e�� � r y'a �•t�•,!�(a a (•�� .3..- � �#� �'�..�•� �/' T., i1�_ - ` _ �• r ..r ! � ±a � r I y I•v�r�'�(f. �lr�a 1 r ,Y.t!T�• �Sh- ' ."72•9 9'• `'O.. 1 .r: a s f} s } 1 i i� :W+ - �tls f'`q �`I ��sr� �T: V`G, •000L",. f� 3'•T. ,y. t ROSE" L xf �L -♦ ,t 1, +, t ' K,' �,1:i s }V 1. 0 t •: P• "�..� jx .•A/ •,F.°i."+,.•�y+•r Y 1 t is 11UNtCIS�:3yyyyx: f .3.. , Y Vy } •81 I 1' - .! , '�l 4 ' ' •• t It �`%r ONA1. ^iszLEGVy� �.,.1.:: :. CERTIFIED.. :: ► LOT y,��j' POT::= ELEVATION Ox0 �.,'.� t}Ci l�NTOUR ' 0 POT: ELEVATION 4 C271/T:. a BOARD Y OF HEALTH "Y'` • �(4 i5, •':�" s•r �` AD AGENT :. SCALE :' /:.. -''a-D DATES HORIZONTAL STARTING POINT VERTICAL STARTING POINT TIGHT UNDER DOOR 27'-6"FROM LEFT GRASPABLE HANDRAIL TO CONSIST OF A 2-x2"PICKET MOUNTED BETWEEN 30--38"FROM THE STRINGER WITH STAIR PAD IS TO BE SET LEVEL ON THE CORNER OF HOUSE HANDRAIL BRACKETS EVERY 6'. TOP AND BOTTOM OF GROUND AND NAILED INTO EACH STRINGER > HANDRAIL IS TO TURN BACK INTO RAIL PLATE. WITH 6 NAILS ' 3/8"x6"LAG BOLT TO ATTACH EACH STRINGER 70 DECK 5/4"z4"DECKING 2"x4"RAILING CAP IS 70 BE NAILED INTO EACH POST W17H . • 3"NAILS AND NAILED INTO 2"x4"BANG ��. THE TOP RAILING PLATE WITH 2"x4"TOP 4'RAILING ONE NAIL EVERY 10-o[ RAIL PLATE (SEE DETAIL P1) 2"x4"KICKPLATE WITH MAX.OPEN 2"x4-BOTTOM \ SPACE OF 3-1/2" RAIL PLATE � 1"z 10"TREAD 5/4-x4'NAILER STAIRS HAVE 9"TREADS WITH 8" o BOARD - RISERS EACH TREAD IS FASTENED 2"x4"RAILING POST P. TO THE STRINGERS WITH 3"NAILS _ IN EACH END. iME STAIR RAILING POSTS ARE NOTE:STEP PAD TO BE WRAPPED " 2'XY FOOTER NECESSARY OPER FIELD CONDITIONS WITH(SEE DETAIL ®1 NAILED. TO HE STRINGERI WITH 'RAILING RAILING ;' PLAATfSWTH'3 NAILS STEACH.RAIL (SEE DETAIL P1) (SEE DETAIL P11 12'RAILING 2"x4 TREAD STAIR WAIL IL (SEE DETAIL P1) TREADS ARE SUPPORTED BY /FNUT TU 2"x4-CLEATS WHICH ARE TO 2"x10"STRINGER BE ATTACHED TO THE STRINGERS 3'RAILING WITH 3"NAILS AND 121 3/8- THE STAIRCASE IS TO HAVE 12)2"x10" ACH (SEE DETAIL P1) �D x 2-1/2"LAGS PER CLEAT. STRINGERS.ONE ON EACH SIDE.STRINGER IS TO BE TOE-NA4EO INTO — THE DECK WITH 3-NAILS AND INTO THE STAIRPAD WITH 3"NAILS. NOTE:ISTAIRWAY ILLLUMINATION 2"x10"TREAD c PER CURRENT CODE)- 2-x10"STRINGER ` 2"z2"RAILING PICKETS- 22 xL" 3/8"x4 DOUBLE HOT,,, KICKPLATE SPACED LESS THAN 4"APART AND ,. DIPPED GALVANIZED, NAILED WITH 121 2-1/2"NAILS PER ` PLATED LAG BOLT 2-x4"CLEAT - EXISTING (SEEDE STAIR PAD 2"x4"RAIL PLATE i` Ta0.®I -- 2"x4"BACKER PLATE L x6-POST 13 LAMINATED ? NO.1 GRADE 2"x4-) i POOL THE BACKER PLATE T NAILED IN THE RAILING POST WITH 3" NAILAILS. (FACT-CONCRETE T @30G 01T0 7ME RAIL PLATES WITH 3"NAILS. (FACTORY PRECAST(0)3000 r AND INTO THE STRINGER WITH 3"NAILS P.SIUNDER CONTROLLED - CONDITIONS) - LAx6"TRIPLE • , LAMINATED P ST O )SEE DETAIL�1 4'RAILING a x12"CDNCRETE (SEE DETAIL P1 I FOOTERISEEDETA0.®I A MINIMUM OF (21- 1"x4"WIND Q STAIR DETAILS UP TO 6'-8-ELEVATION&48"WIDE WITH EXTENDED PAD A MINIMUM OF (21- 1"x4"WIND EM EXCEEDS 12'RAILING 40"WIDE STAIRWAY BRACES ARE TO RUN DIAGONALLY S NOT TO SCALE oaoln UVEIoAo (SEE DETAIL P1 1 TO GRADE(SEE DETAIL©) FROFROM THE CAND. THEEVER TO THE W ND BRACES ARE TO BE NAILED INTO THE BOTTOM EDGE OF EACH OVERLAPPING MEMBER WITH THREE 3"GALVANIZED SCREW SHANK NAILS. 12' 1- APPROXIMATE ELEVATION 5'-9" 'Y }:POST/ FOOTER FRAMING/ UNDERSTRUCTURlE° RAILING AND STAIR LOCATION : < v ': 5 r �rl_ 1 NOT TO SCALE DECK DESIGN EXCEEDS 601b.LIVE LOAD THE RAIL POST ASSEMBLIES ARE 70 BE SPACED AT 70-oc MAXIMUM �2-x4'RAIL CAP ON DECK PERIMETER BAND. 'NAILED WITH 2 NAILS IN EACH POST AND 1 NAIL EVERY 12"oc INTO 2"x4"RAIL CAP 2'x2"PICKETS 2-x4'RAIL POST- - ..'TOP RAILING PLATE. 2"x4"RAIL PLATE NAILED WITH 3 NAILS IN A TRIANGULAR FORM INTO _ INTO EACH RAILING POST- 2-x4"RAIL PLATE 2"x4"POST JACK NAILED WITH 2 NAILS EVERY - . P I^ �10"oc ITOTAL OF 6 NAILS PER POST " 2-x4"RAIL POST - ` `•(H OF I�]gss THIS I A E`"JACK)INTO EACH RAILING POST. NAILED WITH 2 NAILS EVERY 2-oc J (TOTAL OF 8 NAILS PER POSTI 6"x6"(TRIPLE 2"x6"1 - - INTO THE PERIMETER 2"00"DECK 2-x10"DECK BAND LAMINATED POST UNDfRSTRUCTURf. T II 2"z4"POST O A I` I. APPRO%48- L APPROX L8" I. U 'n 1 HAS SUPPORT 24"x24"SAK—RETE 2-x4"POST SUPPORT 42737 FOOTING(TO BE LEFT BLANK NAILED WITH 2 NAILS EVERY 3/8":4"AND 3/8"x6" 2-xT PICKETS SPACED LESS THAN 6bc(TOTAL OF 6 NAILS PER DOUBLE HOT DIPPED 4-APART,AND NAILED WITH I21 2-1/2 48"MIN. POURED ON SITE BY POST SUPPORT)INTO RAIL POST- GALVANIZED PLATED LAGS GALVANIZED RING SHANKED NAILS B€LOW WASHER CONNECTING 2"x4" PER 2-x4-RAIL PLATE. evrG GRADE CREW.) RAIL POST TO FRONT BAND FSS/ Er1G 8"MIN. .i 2"x10"DECK BAND P TRADITIONAL RAILING DETAILS - ONAL I N T E N T I❑N A L L Y , NOT TO SCALE DESIG31�"Ill W.LIVE LOAD ' � s Z FOOTER 4 NOT TO SCALE EXCEEDS 601b.LIVE LOAD rI JOB N NUN RN NUN R RAM❑S 98N35 HAVE U S N ECK DIVISION FOR HOME DEP❑ PLEASE CALL US AT: 1041 ANNONS COURT PAGE 2 OF 2 TOLL FREE: 1-(866)-884-5227 W R VA 9 — 000PYRIGHT 2000 USA DECK INC. Y" ALL HOUSEPLATES ARE TO BE SUPPORTED BY 4"x6"OR 6"x6" 4444- TRIPLE LAMINATED POSTS AT THE HOUSE OR BY A DOUBLE 2"x10"CANTELEVER SYSTEM OFFSET FROM HOUSE,DEPENDING 7- UPON FIELD CONDITIONS. (SEE DETAIL 01 - RAILING TO BE CONNECTED T 2"x10"HOUSE PLATE 3/Bx4•'DOUBLE HOT DIPPED GALVANIZED HOUSE USING A 3/8",4"LAG EXISTING TOP PLATE LAG 8 WASHER @ 16"oc ' SEE DETAIL 1/2"EXISTING SHEETING ISTING 2"x4'•LEDGER GIRDEWBEAM RAILING AROUND MODULE Px8" 10" OR12" COMPLETE DECK G DETAILS 3/8"EXISTING SIDING HOUSE RAND ON BEARIN WALL o ° ° O 3/8"x4"DOUBLE HOT DIPPED EEXISTING 2"x4" A VANIZED LAG p T GL LAE 3/8"DOUBLE HOT DIPPED t ' GALVANIZED WASHERS EXISTING SILL PLATE / "xA OD LA HOT DIPPED { 38 D x " DIPPED H/B 6 DOUBLE 0 ED T GALVANIZED DOUBLE LAG SIDE BAND 3 0 3/8"x4"DOUBLE HOT GIPPED HOUSE BANG IS NOT TO SUPPORT GALVANIZED LAG 2.WASHER(la 16"oc SEE DETAIL GALVANIZED LAG ANY OTHER LOAD OTHER THAN ITS' RAILING OWN WEIGHT. THE LAG PENETRATION D 2"x4'"LEDGER INTO EXISTING HOUSE BAND WILL BE ONE LAG SPACING IS ONE 4"LAG AND I DETAILS A MINIMUM OF 1-3/4"AND A MAXIMUM ONE 6"LAG ON EACH ENO OF THE - - - 2"x10"HOUSE PLATE OF 3". ALL LAG BOLTS TO BE HOUSE PLATE AND THEN ONE 4"LAG INSTALLED USING AN ELECTRICAL AND ONE 6"LAG EVERY 16"oc - EXISTING CONCRETE IMPACT WRENCH WITH A MIN.TOROUE FOUNDATION OF 110FT.-LBS A JAJy --- � � CAULK OR VINYL FLASHING , tl ON 10P OF HOUSE PLATE 5 NOT TO SCA E DESIGN EXCEEDS 601D.UVE LOAD SEE DETaas n & Q HOUSEPLATE H U ATTACHMENT 4'x4'DECKING MODULE RECESSED INTO UNDERSTRUCTURE AND - - TRUSS PLATES SPACED SUPPORTED BY WOOD ON WOOD APPROX.EVERY 8'oc CONNECTION WITH GIRDER BEAM _ LEDGERS AND FASTENED WITH TYPICAL FRAMING MEMBER 121 3"NAILS EVERY 10-oc. - + 2"xB"GALVANIZED 20 GAUGE TRUSS PLATES ON BOTH SIDES OF NOTCH - •- 20 GAUGE GALVANIZED - TRUSS PLATE INSTALLEO SEE DETAIL$ \ 2"x10"NOTCHED WITH IOTONPRESS HOUSE PLATE I & I CANTELEVER AND , 2"x4"LEDGER ON BOTH ENDS �' � J POST DETAILS TWO 3"GALVANIZED 2"x4"LEDGER SCREW SHANK NAILS SEE DETAILS c-c. 2"x4" DETAILS LEDGER O C & [ UNDERSTRUCTURE L OTCHED BEAMS FORM A WOOD ON WOOD CONNECTION WITH THE 2"x4"LEDGERS OF NOTE-- SEE DETAIL(Y) FOR: CONNECTING BEAMS. 181 3"GALVANIZED SCREW (1)POST AND FOOTER LAYOUT SHANK NAILS TO BE TOE-NAILED INTO EACH HOUSEPLATE OR CONNECTING BEAM. (2)FRAMING AND UNDERSTRUCTURE LAYOUT FRONT BAND 2"1 10"CROSS JOIST (3)RAILING LAYOUT WI7H 2"x4"LEDGER SEE DETAIL (4)STAIR LAYOUT 2"z4"LEDGER 2"x1g"GIRDER BEAM 2"00"SIDE BAND J p Iy�/ POST WITH 2"x4"LEDGER WITH 2"x4"LEDGER - I a.l \ DETAILS - "'(MAX JOIST SPAN 16-01 CONTAINS TRUSS PLATES - C FRAMING/UNDERSTRUCTURE CONNECTION DETAIL ON ONE SIDE ONLY NOT TO SCALE DESIGN EXCEEDS 601b.LIVE LOAD 2-'TO-FRONT BAND _ WITH 2".4"LEDGER 4S-3/4" CONTAINS TRUSS PLATES - / SEE OETAa ON ONE SIDE ONLY 1 ' 8,-0- TERALLY BETWEEN POST(. '- " " " " " " " ISOMETRIC DRAWING STAIRWAY 20 GAUGE GALVANIZED TRUSS 2 x10"GIRDER BEAM,SIDE L 4 /6" t' O O S DESIGN EXCEEDS 60Ib.LIVE LOAD DETAILS ' z g it PLATE FOR REINFORCING -BAND.OR CROSS JOIST 1/8"WATER - LEDGER�OARO '�. 1 - 4 GIRDER BEAM NOTCH. INSTALLED "' DRAINAGE GAP NAILER. WITH A 10 TON PRESS. - ' NAILER BOARD 5/4"x4"DECKING 5/4-x4- _ /- cars DESIGNER DECK . •""`"" {" 1 Ts' DECKING + - L BE SOUTHERN -• _ 2"x4-3n6 " " " " ' #` PINE NOTENO FRAMING EXCEPT FOR 2"xo0"GIRDER BEAMS m Y d ^e At LEDGER BOARD I411-3/4"NA0.5 IN '' '' ' 16'MAXIMUM LENGTH EACH DIRECTION(TYP.1 ? 4 THAT FREE SPAN OVER 12' TO 16'. THESE t r 2"x4"LEDGER TWO 3"GALVANIZED SCREW USA DECK DECKS,ENCLOSURES.AND GAZEBOS ARE N07 INTENDED i0 SUPPORT HOT TUBS AND LOr!a •a MEMBERS ARE TO BE SOUTHERN PINE SELECT + SHANK NAILS 8"c-c SWIMMING/BABY WADING POOLS. A SPECIAL SUPPORT PACKAGE I$REQUIRED FOR ADDITIONAL STRUCTURAL. DECK BOARDS TO BE 5/4"x4" SUPPORT BEFORE ADDING THESE TYPES OF PRODUCTS OR ANY OTHER HEAVY UNITS LOT IB NO.2 STANDARD GRADE SOUTHERN PINE. � r E UNDERSTRUCTURE ASSEMBLY LUMBER IS TREATED WITH ACO NON-ARSENIC �9 NOT TO SCALE DESIGN EXCEEDS 601b.LIVE LOAD G MODULE INSTALLATION WITH FRAMING OVERVIEW ) LOT 18 BASED PRESERVATIVE TO CONFORM TO THE " NOT TO SCALE DESIGN EXCEEDS 601b.UWE LOAD �: REQUIREMENTS OF AWPA C2-92. a: NOTE:20001b.SOIL BEARING COMPACITY X-BRACING TO BE USED IN DECKS OVER 14'4" �. C pt�H DF dIAS SEE DETAIL n AND®FOR POST 2"00"SIOEBAND 2-.Ia-HOUSE PLATE CONNECTIONYO UNDERSTRUCTURE. x FRONT BAND pELI oEtaa®I LOT 20 IS �x t� «» cn 2"X10"FRONT BAND U.)3"NAILS,TOE- AI IN T � NA INTO -NAHAS CANTELEVER BEAN. 3/8"x4"DOUBLE H07 DIPPED GALVANIZED N p0 «� `x' r T • O.42737 LAG WITH WASHER Yx6"BACK LACK AND 121 3"NAILS 2%4"LEDGER P� ,# I ,T wb. 9 /O THE NAIL PATTERN CONNECTING 6"x6" THE POST FORMS 1 `4 g9 VT F '�'/ IS TO BE 3 NAILS B'oc DECK POST TO DECK ;/8":4"DOUBLE HOT A WOOD ON WOOD TZ' ; " " 9 FG/a71�w INTO THE INNER JACK 3/8"x8"DOUBLE UNDERSTRUCTURE DIPPED GALVANIZED CONNECTION WITH ag A tl0 " '" "�-` "^..." HOT DIPPED FOUR 3"GALVANIZED LAG WITH WASHER THE UNDERSTRUCTURE. '� T sS/GNAT.Ea GALVANIZED g0 G PHOTO OF HOUSE e 2"x6-FACE JACK PLATED LAGS SCREW SHANK NAILS AND(2)3"NAILS AND WASHERS SPACED EVERY tO'oc. CONNECTING 6 x6' pgE AT—HOME mB NAME JOB NUMBER DOUBLE Yx6- \CANTELEVER SUPPORT TWO 2"xt0'S UNDERSTRUCTURE tt pp ZZ 1i UT1T C� E,1 J 8 0 0 35 NAILED WITH 2 NAILS CANTELEVER BEAN 'F-- la.NVPEIDVOS 16 1 O✓� R A I-10 S EVERY 6'oc(TOTAL OF 10 I B'o.c MAXIMUM LATERAL yq- y yyy���ygy PERMIT NUMBER DATE NAILS PER SUPPORTI INTO 12'o c MAXIMUM COMING OUT IaNs-Rr mr 110RTGAGE INSPECTION�,�.ow yWOD SPN ;ter. !E 0 3-3 0-0 4 48-MIN. POST SPACING �;�./3 1#�F 2"x6"INNER JACK POST. _ NEC6TRY ONNEA: n —qj48"MIN. g¢lUW EEO REP_ GY STREET CITY J THE NAIL PATTERN ¢ GRADE 8-xiS"CONCRETE ATe: oe - B r rAs §-- -- 1'M ENV 8"x IS"CONCRETE FOOTING(FACTORY YaNKEE 5 2 SOUTH PRECINCT ROAD CENTERVILLE IS TO BE 3 NAILS 6"x6" TRIP 6"1 -- •rBAr Txx Ovo.omc ,xy 8"oc IN70 FACE JACK t V z FOOTING]FACTORY I PRECAST CONTROLLED P.S.I. .w un rxs rux wcAreo:ow The cwovxo Aa a CONSULT DUNR 8'of MAXIMUM PRECAST 3000 P,S.I. #— UNDER CON,ROILED �w.w u+o rRer rrs eosmox vod_--cuwrom; Mmmap HAVE QUEST 10 N S 7 8'S SPACING Txe zowmc u.xxrMoscx RepuorewcwTs w .w.xoe 'OB]BORE BARN$TABLE MA 02632 POST SPACING UNDER CONTROLLED CONDITIONS] ®r- � �Txx� LL ox N.r swop DESIGN ORAVN BY [CC LEGACY REPORT 4 CONDITIONS] PLEASE CALL US AT: AB B1fOxN Ow TNx itY Yi.P oArxU " TBL xY8- E I OF CpN T EV 6"x6 - `�' TOLL FREE: 1-(866)-884-5227 ROBERT WILKINS 93-52.01 D ;� ECT � DET I OF N N r NT EyEREp 6"x6" PLOT PLAN - NOT TO SCALE I TRIPLE "x6" 0 !_� 1P0 ONN 10 A 'FO ER �K1P0{��nNNF�7in�I�A F60TERr r. DECK DIVISION FOR HOME DEPOT 1 NOT TO SCALE Exnms6o11LUVELOAD 1 NOT TO SCALE EXC®SGIN&LIVE LOAD NOT TO SCALE DXCEEDS6OULUVELOAD (PLEASE SEE ATTACHED] 1oaL CANNONS couar WppDBRIDGE, VA 22191 PAGE 1 OF 2 (DCOPYRIGHT 2000 USA DECK INC. ,1 k t .a 1 t ze ._¢.._ 4R 9 A z .. E vo a '""r'" „� {( y\ -4„, � �`a•�gC"r°.':".?K.'.3 ;sc @^c^nr��P++r^.� +dLtlanra�s«�+s;:^sa;.+�.wrt§�ow:rw..:sa�v„„e,,,_ a d E 3 �y f e Ir In i 4 -., x..ra•re._s ... �..+,..,r-c •.a.,v-,marwu.�.+r. � -,-�.®.x....,.s� -.e S qqq z y f t Y 7 f i " g e 5.' M1. s,R • y t { J VR -».» .�.,..-nan�acaaru.aw -.��..R...�,�.�..,�,.,..� •ter-.�x.,,r�.�t=,.�...«, I y 1C a 1 It i VIA e .a 1l