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'ypr :,. .W.d�� ���". .ti �.,.;I '',i r v?I � � rl` (.r J :., � •� :Y,�. n :C i ".!'�,." r -`.6 l . u .. " a a" � {.d` "p'•!b fit) n n G w R' -•f r x, ,. .B. ,.{. I(;�S , n•_ k. x�,v Rxhd t. n f a .^!. 4$,. ii, 'n .t 1 'A J ;p, kl � r :,.."p�'• ,, "..n .- - .. .:•d"(+fa"^xo«s, .t�.3 :{ :,�.t :' rt .,... ,4}X:'P.., .,. ^r el� A. :�:{. / u(f ,•;v d.. ".,y a'^ .�..; r u •1��.. a .r.0 tt� .. ..w r• Xi :a• rr:4'Mn' r,ut 't �t,( t r.. 'a{YP 4:�,,y.";4,, „" r,'�..,u +6 e: .a ,i.. `s,+., ?Fs ri'= - n , V ,Ur m , �r .in n _ >t:k�4•,J a.1 rJr,r s i , --,r t)ir y � a rF'-,:2i '• YIdY,� ,. � v^� ,.#J�4 1r i3 �', �rf; a. , ±lr '�:v, r iUY a' : ' .•, '� 4�.:,A2.• 'LX:.ARI..r,.p 7" ,U,.nI"s,t"x i, P7r pF e'),,,� .14. r:. t,r+2f w K i3r� a nr y •,p:, t.`.rq,�z ,A`tr•, '�` •.,r}p. 'r ��+ 1 '�w .. `". . . rr� '!� ,pA ' v ., •� .A �R �x }�` �':`.4�$J,.,S 'G r; ,�,:. .T;`hY4 ,;,� �� �'iI �t�'� '}� tf a •+r� ;:n _"'i :DrA ,r. a !.. (tjttt� �cy � �'�.r 1V��Y�r� e.�;,,'rt4 V r>�(r SFF+y.::.� y „'y)�• ;2,1,,' ,.Fr+.'.� eer 4 51,. .,t,r, - +F' yA,+T44t1, �" �"'t+ �!!'' al :.0 a. tt+r r 'r„ , �+. + t7 °- x,.'� p ..i N. , 'v. N, u. ,I.Y r •, ...,; `d.. - ! at:d ,., + -n u r. 1 '"'.i )��t. ?� 3' dL:�i� •�` y! r ,`gyp ..,,'fir - ��{/�J TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION � t o Map- Zb�O Parcel Application # Health Division Date Issued Conservation Division ,Application Fee i ` Planning Dept. Permit Fee Date Definitive Plan-Approved by Planning Board Historic - OKH _ Preservation / Hyannis ` Project Street Address ig Village Owner �t —Cc�tfal/! Address_ Telephone o f jay Permit Request Square feet: 1 st floor: existing L&proposed I Z 2nd floor: existing proposed _Total new Zoning District Flood Plain ArL Groundwater Overlay Project Valuation Construction Type ) Lot Size ,,5 c'Y"aV'G�j Grandfathered: Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(# units) Age of Existing Structure 19M Historic House: ❑Yes ;No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout XOther Basement Finished Area (sq.ft,.)_ c--- 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 Ff of Room Nount cam, Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other LL C, Central Air: ❑Yes ANO Fireplaces: Existing New Existin@WWood/coalltovb,❑Yes ❑ No. Detached garage: ❑ existing ❑ new size_.Pool: ❑ existing ❑ new size _ Bari: ❑ exisg &ew size_ Attached garage:Xexisting ❑ new size _Shed: ❑ existing ❑ new size _ Other: _W C, Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # _ Current Use Proposed Use APPLICANT INFORMATION (ABUILDER OR HOMEOWNER) Name _ Telephone Number. Address VVV - ' = License.# o 75� __AJAv Home Improvement Contractor# Worker's Compensation # WdCl 57()o „ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO.. _ ADDRESS VILLAGE OWNER ` DATE OF INSPECTION: " ,FOUNDATION '-fifoD FRAME QFf-m LGIL A 'x - INSULATION �. FIREPLACE ' ELECTRICAL: ROUGH FINAL y e PLUMBING: ROUGH FINAL GAS:- ,-,, z ROUGH- -.• - : FINAL i;FINAL BUILDING'_,�OA•,,?/LY/JZ,& ^ DATE CLOSED OUT ASSOCIATION PLAN NO. r The Commonwealth of MassachusettsDepartment of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 021.1.1 www.mass.gov/dia Workers' Compensation Insurance Affidavit: guilders/Contractors/Electricians/Plumbers AR12ficant Information Please Print Legibly Name (Business/organizatimvhdMduat): Address: ` City/State/Zip: Phone#: Are you an employer Check a appropriate box: 1. I Mn a employer with�- 4. ] I am a general contractor and I 'Type of project(required): ` employees (full and/or paft-fame).* have hired the sub-contractors 6. New construction 2.111 am a sole proprietor or partner- listed on the attached sheet 7. []Remodeling ship and have no employees' These sub-contractors have working for me in any capacity. employees and have workers' 8. Demolition [No workers' comp. insurance comp.insurance.$ 9. Building addition , 3,❑ required] 5• [] We are a corporation and its 10.0 Electrical repairs or additions I am a homeowner doing all'work officers have exercised their Lmyself [No workers' comp. right of exemption per MGL I l.]Plumbing repairs or additions iu&�Urance required.] t �152�§I�4), and we have no 12 0 Roof repairsloee [No workers' 13.[] Other p•insurance required] , l*Any applicant that checks box#1 must also fll oat the section below showing their workers'compensation policy iaformatioa. Homeowners who submit this affidavit indicating theyare doing all work and then hire outside contractors must submit a new affidavit indicating$Contractors that check this box mast attached an additional sheet showing the name of the sub co such. employees. If the sub-contractors have employees,they must ntractors and state whether or not those entities have provide their workers'comp.policy number. I am an employer that is providing workers'conrpensadon insurance or information f my employees. Below is the poFicy and job site Insurance Company Name: Policy#or Self-ins. Lic.#: Expiration Date: Job Site Address:- City/State/Z' iG 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 ) fine up to$1,500.00 and/or one-year irrpnsoament, as well as civil penalties in the foam of a STOP WORK ORIjF�R and a fine Of up to$250.00 a day against the violator..Be advised that a copy of this statement may f forwarded to the Office. a Investigations of the DIA for i„ „�„ce cove rage verification. I do hereby certify under a pains d pen¢ft1eS o fPV7Wy that the information provided above is true and correct Si tire: Date: Phone# Official use only. Do not write in this area, to be completed by city or town_ocial City or Town: PermitUcense# .. , Issuing Authority(circle one): L Board of Health 2.Building Department: 3. City/Town Clerk 4.Electrical Inspector s.Plumbing 4. Other g Inspector Contact Person: Phone#: A F'VC Guide 10 Wood Construction in Hi;h Find Areas:110 tnph Whid Zone Massachusetts Checklist for Compliance (78o CAIrR 5301:2.1.1)r a Check •` 1.1 SCOPE Compliance, - .- WindSpeed(3-sec. gust).......................................... ................................................ 110 mph Wind Exposure Category ..............a.. ....... ......... ..... ...:...B °. Wind Exposure Category.. ....::..Engir)eering Required For Entire Protect .......................................C - 1.2 APPLICA13IL(TY Number of Stories (a roof which exceeds 8 in 12 slope shall be Iconsidered a story)_L stones 5 2 stories Roof Pitch ...........,:. .....................:...........: ..(Fig 2) 512:12 Mean Roof Height ....:............................... .......:(Fig 2)................................... ....... ft ft 5�33' _� Building Width,W ................ .. Fi 3 ...................:..... ' Building Length, L ........................ (Fig 3) <g _•ft 0' Building Aspect Ratio(L/W) ....._..... (Fig 4) :53:1 Nominal Height of Tallest Opening2 ....................................(Fig 4) ............... ..... <grg� 1 3:FRAMING CONNECTIONS General compliance with framing connections.:.:... ..........(Table 2)::..............,..: ... . 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 " Concrete................... ................................. Concrete Masonry sL .... :. . 2:2`ANCHORAGE TO FOUNDAT10Ni 5/8'Anchor.Bolts;imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general ..................... .........:.(fable 4)...................... ....... in. ;. Bolt Spacin"g from endrJoint of plate ....' ...::......:.........(Fig 5).....:........::..:. .. : in.58'-12", ..... Bolt Embedment-concrete.........:.....:.:..................:....(Fig 5).................... in.>7' Bolt Embedment-masonry ..... ............... (Fig5 —in > 15" Plate Washer................... ..............................................(Fig 5)..................................................>_3"x 3'x'/<" 3.1 FLOORS Floor-framing member spans checked ..................................(per 780 CMR Chapter 55)................................... Maximum Floor Opening Dimension. ....:..............(Fig 6)... ................... < Full(-(eight Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)..... . Maximum Floor Joist Setbacks =,.Supporting Loadbearing Wails or Shearwall...... ..(Fig 7)... ............................= ft d . Ma Aibm Cantilevered Floor Joists - - $Supporting Loadbearing.Walls*or Shearwall...... .....:..(Fig 8)........ :....... ...:...: ft <d Floor,,-Bracing at Endwalls.......................... .... .......(Fig 9)................ ...: Floor.-Sheathing Type .........................................................(per 780 CMR.Chapter 55) Floor Sheathing Thickness .... .... .....::.. ....... :.....(per 780 CMR Chapter 55).._...:. ......... in. Floor Sheathing Fastening..................................................(Table 2)..._d nails at in edge/ in field 4.1 WALLS Walh'Height Loadbearing walls... ......................,...(Fig 10 and Table 5)....... .....:..: ...... ft <-10, Non-Loadbearing walls ....(Fig 10 and Table 5)........................... ft s 20' WalLStud:Spacing :...(Fig 10 and Table 5)........ rn :524'o.c. WallStory Offsets .................................................... .. Fi s 7 8 ........................................... ft <d ( 9 . ) - 4.2 EXTERIOR•WALLS3 Wood Studs Loadbearing walls. ..................... ......... . .............::(Table 5}... . .:..:.:. .............. x_ ft Non-Loadbearing walls ...---....:.................. in. a.......:(Table 5)... :...:. ..:. :.2x ` - ft in. Gable End Wall Bracing -- Full Height Endwall Studs .............................................(Fig 10)..... ......... ........ ......... WSP•Attic Floor Length................::................................(Fig 11)..........:............ ft zW/3 ° Gypsum Ceiling Length (if WSP not used)....:............:.(Fig 11)........................._.._ ...... ft>09W - - and 2 x 4 Continuous Lateral Brace @ 6 ft.ac. ..(Fig 11)...............::...........:. or 1 x 3 ceiling furring strips @ 16'spacing min.with 2 x 4 blocking @ 4 ft. spacing in end joist or truss bays Double Top Plate Splice Length ........................................................(Fig 13 and Table 6) ......... Splice Connection (no. of 16d common nails)..:...........(Table 6)................: AfVC Guide to Wood Coiim-uctioir hi High !Wind Areas: 110 mph !Wind Zoner r Massachusetts Checklist for Compliance (780 CNIR5301.2.1.1)1 Loadbearing Wall Connections Lateral(no.of 16d common nails).........:.............:........(Tables 7)..................................................... Non-Loadbearing Wall Connections Lateral (no.of 16d common nails)................................(Table 8)....................................................... -r/ Load Bearing Wall Openings (record largest opening but check all openings for compliance to Table 9) Header Spans ...................(Table 9) _ft_in. 5 11' Sill Plate Spans able 9 Full Height Studs (no. of studs)....................................(Table 9)......................................................._V_ Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9).. _ft_in._< 12 " Sill Plate Spans.... ................. ' able 9 ft in.< 12' Full Height Studs (no.of studs)....................................(Table 9)....................................................... s Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W ' 2 Nominal Height of Tallest O enin ...-• <6Y SheathingType..............................................(note 4).................................................. ,._. -- Edge Nail Spacing.........................................(Table 10 or note 4 if less)........................ in. Field Nail Spacing .. able 10 ` Shear Connection (no. of 16d common nails)(Table 10)....................... _ Percent Full-Height Sheathing...................:...(fable .10)......................................_............. . % 5%Additional Sheathing for Wall with Opening>6'8'(Design Concepts).............. .. Maximum Building Dimension, L Nominal Height of Tallest Opening2....... ... .............................................................. 5 6'8' Sheathing Type.................. .' ...(note 4).................... Edge Nail Spacing.........................................(Table 11 or note 4 if less)........................ in. Feld Nail Spacing.......................................;.. able 11 .in. Shear Connection(no. of 16d common nails)(Table 11) Percent Full-Height Sheathing .........(Table 11). .•........... 5%Additional Sheathing for Wall with Opening> 6'8'(Design Concepts).................:.. Wall Cladding y Rated for Wind Speed 5A ROOFS Roof.framing member spans checked?........................(For Rafters use AWC S an Too],see BBRS Website) f� qQ . Roof Overhang ...................................................(Figure 19) ........... ft 5 smaller of 2'or L/3 ' Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors tUplift................................................(Table 12)............................................U— PIf yC4 _ ` Lateral ' able 12 ...............L= plf Shear .... able 12 Ridge Strap Connections, if collar ties not used per page 21... (Table 13)...............................T= plf {r Gable Rake Oudooker..........................................(Figure 20) .......•....._ft 5 smaller of 2'or L/2 ' Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors a Uplift.......................:........................(Table 14)...................... U= lb. Lateral(no.of 16d common nails)...(Table 14).......................................L= . lb. Roof Sheathing Type............................... (per 780 CMR Chapters 58 and 59 ..................... ............ Roof Sheathing Thickness.....................................:.................................................._in.>7/16'WSP Roof Sheathing Fastening...................................:.........(Table 2) Notes: r`..;, 1. . This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of 780 CMR.5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: , a. Steel Straps per Figure 5 k. 20 Gage Straps per Figure 11 c. :Uplift Straps per Figure 14 d All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 18a and Figure 18b 2. ' Exception:Opening heights of up to 8 it shall be permitted when 5% is added to the percent full-height sheathing requirerpents shown in Tables 10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated#2-gr6de. 41ass.reliu"sitts= U'cpart filet]t of Public Safcth- } Board of Building- Re-ulations and Standards Construction Supervisor License License: CS 66290 GEORGE MOUDOURISY.F . � ,12 ATHENS WAY W YARMOUTH, MA 02673 Expiration: 7/12/2013 " mmissioiica' Tr#: 21304 Town d Barnstable . - Regulatory Services t}� v�3 a 4a Thomas F.Geilei,Director` ^Ft 16s¢ _ . ` Building DMS1.0 Tom Perry,Bufl4g Commissioner ' 200 Main Street HYan*,MA`02601 www.town.barnstable.ma.ns. Office: 508-8624038 # Y s Fax 508-790=6230 Property Owner Must. _. ; x Complete iatid Sign This Section If U—sue A Builder" e f ct roPertY_as Owner o the subj p _ - a _ � - �r hereby authorize _ , x:•' ;. �g to 4Cct on,my.behal f in ail matters relative to Work authorized by this binding permit •(Address of .Jobj.. , } *Pool fences and alarms are the responsibility o€the a hcant. P pp ools are not to be filled befoteefence is installed and ""'� �,A - . . pools are not to be utilized until all final inspections are performed and accepted. } S e rIf. tir '3�9�a 3 7•- �f�(�c tote of F�,MA vA/l tint C# d �,'Le..1 P"O�nPt e •, E .+ Feo a s " ,r*w huh'' •.:;. a yL:<' • rDate �. ,ate s t .: ,,,F.�:; � •-j '.�.._-.a��-�._ . � '' � _ 4K age i'tt Fr� r/�". � e •f-4.3n w7t a a S �, z,�Se til Q`FORMS•OWNERPERtvIISSI0NP00LS - «,�x ems; CAPE COD & ISLANDS APPRAISAL GROUP LLP Linda Coneen,MRA,SRA I e-mail:info@capecodappraisal:com Heather Ross,Senior Partner MA Cert Gen RE Appr Lic#214 website: www.capecodappraisal.com MA Cert Gen RE Appr Lic#1434 Fax 508-255-9968 M-B•R•E•A' .. 95 Rayber Road,Orleans,MA 02653 Main Production Office ' 3311 Main Street,Barnstable,MA 02630 PO Box 1354,Duxbury,MA 02331 ' Orleans 508-255-9269 Barnstable 508-362-9050, - 'Sandwich 508-833-2224` Plymouth 508-830-3433 February 22, 2012 Gary Ellis . for M Christopher Jr, and Mary Hill Canavan Northside Design Associates t 141 Main Street "» ' Yarmouth Port, MA 02675 56 SHORT BEACH ROAD, CENTERVILLE, MA-02632 ((Improvements Only) ` " Dear Mr Ellis: ` In accordance with Mr Canavan's authorization of February 1,-2012, we have'prepared a an estimate of the depreciated value of the building improvements only, located at 56.Short Beach ` Road, Centerville, MA 02632. Jacob C Ross, Certified Residential Real Estate Appraiser,,MA Lic# 70585, inspected the property on February 7, 2012. The market value of the,real estate as'a whole has not been appraised. The written cost analysis, attached, has been prepared pursuant to the requirements for consulting' assignments set forth in Standards Rules 4 and 5 of the Uniform Standards of: Professional Appraisal Practice (USPAP), as amended by the Appraisal Standards Board of the Appraisal Foundation, 20.12-2013 Edition.,, 4 , - The report includes a cost analysis of the dwelling improvements only and does not include ,. the underlying land value. This format is not`misleading, as it has been clearly disclosed that the valuation includes the improvements only. No opinion of the market value of the real estate has f been provided. In this regard,the scope,of the assignment should be clear to all readers. We understand you intend to renovate, remodel, or construct an addition on the house. The intended use of this report is to assist you with building code compliance by providing an opinion of the depreciated value of the improvements. a The intended users of the,report are'the clients and, property owners, M Christopher ` `Canavan Jr and Mary Hill Canavan, Gary Ellis, and Barnstable Building Inspector. 'We are not responsible to any,other user for any other purpose. : Supporting documentation concerning' this report's factual' information, reasoning, and analysis,.is retained in,my files. Cape Cod&Islands Appraisal Group,LLP ; 1 ' ,The improvements consists of a 1.75 story, 1,290 square foot (SF), wood'frame, single family Cape style dwelling constructed in 1940. The improvements are dated, but have been well maintained and are in good condition. 'The. quality of construction is good. The site, site improvements, bulkhead, and dock are not included in the valuation.- On the basis of the cost analysis, the "as is"`value of the'subjedJmprovements, as of the date of value, February 7, 2012, is: ; TWO HUNDRED TWELVE THOUSAND DOLLARS($212,000)- Thank you for allowing me to be of service in this matter. Should you require additional assistance, do not hesitate to call. } Yours truly, '. Linda Coneen, MRA, SRA µ ° MA Certified General Real Estate Appraiser License#214 Federal Tax ID 04-3447185 L Jacob C Ross MA Certified Residential Real Estate Appraiser License#70585 T Cape Cod&Islands Appraisal Group,LLP 's w,, 2 i COSTAPPROACH The following cost data were obtained from the Marshali Valuation Service Manual, Means Square Foot Costs, and'local builder's costs. 56 Short Beach Road,Centerville, MA Building Type Wood Frame, Building Quality Good Exterior Wall - Clapboard. 4� Roofing ,Wood Shingle Number of Stories 1.75 Stories r 129 , Total Living Area Above Grade 0 SF a 194 ` Year Built&Age A4R *~ 0, 72 years Effective Age F " " 24 years i Condition - '" Average `' 4 FoundationL rCrawl Space Garage ,. 194 . SF BASE SQUARE FOOT COST $143.32 COST MULTIPLIERS • Shape Multiplier ... 1.022 t Subtotal"'." '$146.47 REGIONAL'MULTIPLIERS Current Cost Multiplier , 1.06 Local Cost Multiplier Subtotal :a . 1.26 R ` ' FINAL SF COST . $184.76 Dwelling,Cost $238,342 ' Garage Cost +' g $15,685 • Subtotal 4 ` $254,027 Plus: Lump-Sum Adjustments ' Appliances $5,681 Fireplace " , . i., $5,300 ` Subtotal $10,981 TOTAL COST NEW OF IMPROVEMENTS $265,008 #" Percentage Depreciation 20% Less: Depreciated Amount $53,002 ' DEPRECIATED COST OF'IMPROVEMENTS $212,007 ' ROUNDED TO $212,000 Comments: Depreciation.is based .on, the age/life.. method depreciation table from the Marshall Valuation`Service Manual with full economic life estimated,Iat 65 years and an effective age... of 24 years. -The depreciated cost value of the subject building (only), not including land or site improvements is, $212,000, rounded. " Cape Cod&Islands Appraisal Group, LLP ' P PP P. 3 's e ' � y ' SUBJECT PHOTOGRAPH'S �y Ilk • r 7 �� - - Front View Front View 3 r Rear/Side View Side View • ` a� z jQ b� a Uvin9 Room m - Kitchen - p r Cape.Cod&Islands Appraisal'Group,LLP 4 a SUBJECT PHOTOGRAPHS t � k ' r k Bedroom Den _ ! • x _ 3 1s'Floor Bathroom "d Floor Bedroom 07, Y fIiTh 1 ", * r • m 2"d Floor Bedroom 2W Floor Bathroom ` Cape Cod&Islands Appraisal Group, ALP 5 _ i • ' ,' - `. • a .. ` � '1 -� � �Y ^ -- .� . ; 4 � ICI Cape Cod&Islands Appraisal Group,LLP 6 CAPE COD & ISLANDS APPRAISAL GROUP LLP Linda Coneen,MRA,SRA a-mail:info@capecodappraisal.com Heather Ross,Senior Partner MA Cert Gen RE Appr Lic#214 website: www.capecodappraisal.com a MA Cert Gen RE Appr Lic#1434 Fax 508-255-9968 " M-B-R•E•A 95 Rayber Road,Orleans,MA 02653 Main Production Office 3311 Main Street,Barnstable;MA 02630 PO Box 1354,Duxbury,MA 02331 Orleans 508-255-9269 — Barnstable 508-362-9050 Sandwich 508-833-2224 Plymouth 508-830-3433 February 22, 2012 Gary Ellis - w for M Christopher Jr and Mary Hill Canavan y ' Northside Design Associates ,. 141 Main Street " Yarmouth Port, MA 02675 FOR PROFESSIONAL SERVICES Federal Tax ID: 04-344-7185 CCIAG Appraisal Code: AG020213R Appraisal Report: Summary Appraisal Property Appraised: 56 Short Beach Road, Centerville, MA 02632 Prepared by: Linda Coneen, MRA, SRA&Jacob C. Ross ` Fee: $350.00 } PAID IN FULL Amount Due -$0.00 Terms: Terms are net 30 days.1.5%interest per month, or 18% annually charged on unpaid balances after 30 days. Thank you. y - 4 NORTHSIDE BUILDING CONSULTANTS, INC. 141 Main Street Yarmouthport, MA 02675 508-362-9802 508-362-5269 (fax) March 1, 2012 Construction Estimate for: Chris &Mary Canavan 56 Short Beach Road Centerville,MA 02632 To construct addition of screen porch, entry portico and extend bedroom as per attached plans: 1. Plans, engineering,permit fee by others. 2. Excavation, backfill, regrade sub base, sand for slab. $ 2,750.00 3. Concrete piers on cont roofing as per plans. (Concrete/labor) $ 3,200.00 4. Framing labor per plans attached. $13,475.00 5. Framing materials, doors, winds, trim per Shepley Wood Products. (Attached) $20,800.00 6. Painting(by owner) 7. Plumbing 8. Heating . 9. Insulation 10. Electrical $ 1,350.00 11. Utilities $ 1,200.00 12. Trim Labor(bedroom, columns, install screens) $ 2,600.00 13. Screens/screen doors $ 3,100.00 14. Concrete slab (8 yards) $ 1,700.00 15. Brick cap $ 5,500.00 Construction Cost $55,675.00 Contingency Fee 10% $ 5,567.50 Contractor Fee 18% $10,021.50 Total Project $71,264.00 4 TE ACORD CERTIFICATE OF LIABILITY INSURANCE j °A3/09/D2012) �, . 03/09/2012 ..PRODUCER 508.997.6061 FAX 508..990..2731 .. -THIS CERTIFICATE IS ISSUED ASAMATTER OF INFORMATION Southeastern Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE ..HOLDER;THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 439 State Rd. ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P;O. ,Boz 79398 p North Dartmouth, MA 02747 r INSURERS AFFORDING COVERAGE _ NAIC# . INSURED :Northside Building Consultants, Inc. INSURER A:uEssex Insurance'i ` DBA: Kitchen`Tune Up INSURER B -AEIC .' 141 Main Street ;, INSURER C: -.. .. Yarmouthport, MA 02615 INSURERD: s n. INSURERS COVERAGES 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.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR ADD'L TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION - - LIMITS LTR NSR DATE MM/DD/YYYY DATE MM/DD/YYYY GENERAL LIABILITY 3DG8608 ,08/08/2011 08/08/2012 EACH OCCURRENCE $ 100009,000 DAMAGE T RENTED X COMMERCIAL GENERAL LIABILITY PREMISES Eaoccurrence ' 50000 CLAIMS MADE FKI OCCUR MED EXP,(Any:one person). $ EXC A: _ PERSONAL&ADV INJURY $ 1,000,000 _ GENERAL AGGREGATE $ ;2,000.,000 GEN'L AGGREGATE LIMIT APPLIES PER: I PRODUCTS,-COMP/OP AGG $_ , 2,000,000 s POLICY PRO- LOC JECT AUTOMOBILE LIABILITY = COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident). e ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person)" $ HIRED AUTOS r BODILY INJURY $ NON-OWNED AUTOS (Per accident) n PROPERTY DAMAGE (Per accident) $ GARAGE LIABILITY, AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC `$ _z AUTO ONLY:..: AGG OCCURRENCE $EACH' EXCESS I UMBRELLA LIABILITY.` , OCCUR' CLAIMS AGGREGATE $; r,,. DEDUCTIBLE $ I RETENTION $ $ WORKERS COMPENSATION WCC500337401 08/07/2011 08/07/2012 X A AND EMPLOYERS'LIABILITY TORY LIMITS ER ANY PROPRIETORRARTNER/EXECUTWEYa NO OFFICER.EXCLUSIONS E.L.EACH ACCIDENT $ 100,000 B OFFICER/MEMBER EXCLUDED? (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $' 100,000 If yes;describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $. 5OO,OOO OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION, '- SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE:CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Town Of Barnstable NOTICE TO THE CERTIFICATE HOLDERµ NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Building Department ' IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR 200 Main Street REPRESENTATIVES. Hyannis, MA 02601° AUTHORIZED REPRESENTATIVE Lora 'Lowe' „ ACORD 25(2009101) ©1988-2009 ACORD CORPORATION.All rights reserved. The ACORD name and logo are registered marks of ACORD ` 91te &mwwwa4eaa olq-lffaj Office of Consumer Affairs and Brusiness Regulation 10 Park Plaza - Suite 5170 Boston, Massac setts 02116 Home Improvement Ca tractor Registration Registration: 136832 tTll Type: Private Corporation Expiration: 9/4/2012 Tr# 202913 _ _ NORTHSIDE BUILDING CONSUL tP GARY ELLIS 141 MAIN STREET YARMOUTHPORT, MA 02675 r fG w �,� /�Update Address and return card.Mark reason for change. - Address ❑ Renewal Employment Lost Card DPS-CAI as 50M-"04-G101216 Ofr.re'6f�0h mm".ffAG(- "NiwA License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration'date. If found return to: Registration: ,136832 Type: Office of Consumer Affairs and Business Regulation / Expiration: '9 /2012 Private Corporation 10 Park Plaza-Suite 5U0 Boston,MA 02116 SIDE BUIL©INO=C�OtySUt'TANTS INC. GARY ELLIS i^; == = _ 141 MAIN STREET` "' "'" J YARMOUTHPORT, Undersecretary ft11',,0 6 5h s ry o valid w t ut signature �--•- —, E e 0*IKET', Town of Barnstable *Permit# Expires 6 urontli.c from issue dole Regulatory Services Fee � MARS, A. Thomas F. Geiler, Director ArE1 194 Building Division Tom Perry, CBO, Building Commissioner 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION RESIDENTIAL ONLY Not Valid without Red X Press Imprint Map/parcel Number ��� tyAddress Pro er p (Residential Value of Work AtSOQ. o d Minimum fee of S2S.00 for work under S6000.00 Owner's Name & Address &_ Contractor's Name Ki m h6ii-nt Telephone Number Home Improvement Contractor License#(if applicable) /5 76 -PR So PERMIT Construction Supervisor's License 4(if applicable) q7 S'PP ZOOS ❑Workm TOWN Compensation Insurance OWN CIF E9ARNSTt4BLE Check one: 10/'I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Nho 6 fq f A CT (6tPAIA Workman's Comp. Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box)❑ Re-roof(stripping old shingles) All construction debris will be taken to Au1SAL Lo`V ` I# ❑ Re-roof(not-stripping. Going over existing layers of r6of) Re-side COT 5ttj e-- ❑ Replacement Windows. U-Value (maximum .44) *Where required:,issuance of this permit does not exempt compliance with other town department regulations,i.e. Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. ' ljzme Improvement Contractors License& Construct Supervisors License is required. SIGNATURE: Q:\WPF{LESIrORMS\Express\EXPRESSPERMIT.DOC aPv;�Pnrn,tno 1" ,yam The Cornrnonwealth of Massachusetts Department of Industrial Accidents Office of Investigations + d 600 Washington Street Boston, MA 02111 a4 :�•'y www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Ele'etricians/Plumbers Applicant Information L Please Print Legibly Name (Business/Organization/Individual): BCt,J e Address: 377$ M4 S�- a City/State/Zip: Q. .,,9,..AL6w; _ Phone.#: Are you an employer? Check the appropriate box: Type of project(required): 4. I am a general contractor and I 1.❑ I am a employer with � 6: ❑New construction ployees (full and/or part-tiin.e).* have hired the sub-contractors 2. 1 aernm a sole proprietor or parfrter listed on the attached sheet. T. []Remodeling. ship and have no employees These sub-contractors have g• Demolition workingfor me in an capacity. employees and Have workers' Y P h'• 9. ❑Building addition [No workers'comp. insurance comp. insurance.$ required.] 5. We are a corporation and its 10.0 Electrical repairs or additions 3.❑ 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 110 Roof repairs insurance required.] t c. 152,§1(4), and we have no employees. [No workers' 13.❑Other comp.insurance required.] *Any applicant_thatchecks 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 the policy andjob site information. Insurance Company Narne: -- 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 impositio'n of crirnirial penalties of a fine tip 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 MA for insurance coverage verification. — I do hereby certify under the pains and penalties of perjury that the information provided above.is true and correct �� Date: / l� Signature• — Phone #: �� `E 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 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 tiustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance, construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7) states"Neither the commonwealth nor any of its political subdivisions shall . enter into any contract for,the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s), addresses)and.phone number(s) along with their certificate(s)of insurance. Limited Liability Companies"(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested,not the Department of Industrial Accidents. Should you have any questions regarding the law or if you are required to obtain a workers' compensation policy,please call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials .Please be sure that the affidavit is complete'and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has.to contact you regarding the applicant. Please be sure to fill in the p=iAllicense number which will be used as a reference number. fr 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" (.he 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 proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to bum leaves etc.)said person is NOT required to complete this affidavit. rm ue Of:ce 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 Depart aeent of ladustri.al Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax# 617-72777749 Revised 11-22-06 www.mass.gov/dia � T Tows of Barnstable Regulatory Services d 6 pB"RNSrAB`E' Thomas F. Geiler,Director Eo A, Building Division m Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 509-790-62 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby autli to act on my behalf, in all matters relative to work authorized by this building permit application for: Il .(Ad ss ofrob tore o er a V Print N If Property Owners is applying for permit please complete the Homeowners License Exemption Form on the reverse side. �4. Tow. of Barnstable ��pF Yt-ae t�ti o Regulatory Services Thomas F. Geiler,Director � 'L. Building Division �rEO Mai Tom Perry,Building Commissioner v - -200 Main=Street—Hyannis;MA 02601 vt"Aown.barnstable-ma.us Office: 508-862-403 8 Fax: 509-790-6230 HOKF_O FVNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number s trcet village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFiNMON 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) Th.e 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,Buil ftg Department minirnum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homcowncr 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 homeowocr performing work for which a building perrnit is required shall be exempt from the provisions of this section(Section I om.1 -bccnsing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to dosuch work,that such Homcowna shall act as supervisor." Many homeowners who use this rxmmption arc unaware that they are assuming the responsi'bjIities of a supervisor(six 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 rrsponnbilitics,many communities require,as part of the permit application, that the homcovmcr certify that hdshe understands the msponsibilitics 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. sti,tchusetts- t)cp u-tm(nt ttt,Publie S tteti` Board ot;Buildin,, Retrulattons llnd Stand u•ds Construi on SupervisonSpeeiaaiy License Ltcerise CS SL: 99406 r z Restricted to RFf,WS DM ' aR KIM BASSETT � Z 3775 MAIN STREET CUMMAQUID, MA02637 a• Expiration: 12/12/2011 ,, ('umiuisiu�ecr Tr#: 99406 r�?q�2o�y�u , ilding RegWatiah a�✓�aaeae�euae%�a I 'k -o.., guJous and Manuards,; HOME IM yEMENT CgNTRACTOti wenseor registration valid foP mdiv dul Tts as before the Pxptratton date If found return to Y � Registrat4or 159706 War d of Butldm Rc uNtions Ail Standards ' t Exp�rahon I g. g f ,� 519/2010 Tr# 268660 One Ashburton Place Rm 1301 f r'i �'` TYPe Idtvidual N. ,Boston,Ma.02108 {fg� KIM.M BASSETT KIM BASSETT 3775 MAIN ST < s} f ;•� CUMMAQUID,MA 02637�"l Administrator I NO It Iav d With g ature . i Town of Barnstable *Permit# m Expires 6 mo 1hsfrom issue date Regulatory Services Fee g y APR w l Thomas F.Geiler,Director 4 `�$ Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 9,0( cm Property Address ✓ ��� z"`�" r�[ r/� `— �"�t t' ` 6%�" esidential Value of Work Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address 6t/ Contractor's Name i` (_ t/`UcS�C-yir Telephone Number 7 2 Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if'applicable) 00i Workmen's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I xa the Homeowner have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# 7c1-1 3 K l Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over. existing layers of roof) Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) . *Where required:,Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Pr rty Owner mus Property Owner Letter of Permission. c of the Ho rover ontractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 ' The Commonwealth of Massachusetts Department of Industriat Accidents Office of Investigations 600 Washington Street Boston,M4 02111' wrdw.mass.gov/dia Workers"Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers A_pulicant Information Plea s e Print Lefib1Y Name(Business/Organization/lndividual): Address: !J 6 y /�A City/StateJZip: 06t y►,,t1 t i.�.�. O U rr- Phone t 6'P f' �yl �� Are yo employer?Check the appropriate bog: .Type of project(required)-. 1. I am a e to er with&_ 4. [] I am a general contractor and I mp Y 6. []Now construction . employees(full and/or part tune).*• have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the attached sheet. 7. [ modeling Partner- ship and have no employees . These sub-contractors have 8. ❑Demolition *orkin for me in an capacity, employee$and have workers' g Y P tY $. 9. ❑Building addition [No workers' comp.insurance comp.insurance. 5 10.❑Electrical repairs or additions required . [] We are a corporation and its]'3.❑ I am a homeowner doing ill-work officers have exercised their 11.: right bf exemption per MGL ❑Plunibin re g airs or additions p myself,[No workers comp. 12.❑Roof repairs ed t c. 152, §1(4),and we have no insurance.re T ] employees.[No workers' 13.❑Other comp,insurance required.] *Any applicant that checks box#1 must also fit out the section below showing their workers'compensation policy infMmation. t Homeovwem?ko submit this affidavit indicating they are doing all work and 4ien him outside contractors must submit a new affidavit indicating'such. xContractors that check this box must attached an additifoaal sheet showing the name of the Sub-contractors and state whether ornot those entities have employees. If the sub-contraeto s have employees,they must pravide their workers'comp.polio number. I ani an employer that is providing workers'compensation insurance for my employees. Below isthe policy and job site' information. Q Insurance Company Name: /4 P C�`�G``✓� #-h r r/t" - Policy#or Self-ins.Lic.#.___2 tj I JO 6,f1 Expiration Date: Job Site Address: �� w '`� 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 penaltirs in the form of a STOP WORK•ORDER and a fine of up to$250.00 a day against thg violator. Be advised that a copy of this statement maybe forwarded to the-Office of _ Investigations of the CIA for insurance coverage verification. ' I do hereby cer5&1Qn der the p ' and penalties of perjury that the information provided above ttr!ue and correct Si afore Date: �Y Phone Official use only. Do not wrtte.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 5.Plumbing Inspector. 6. Other Phone#: Confect Person: °FtHE, Town of Barnstable Regulatory Services * saaM [E Thomas F.Geiler,Director 16,59.'OTen,,9.ta Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8624038 Fax: 508-790-6230 rP. Property Owner Must Complete and Sign This Section w If Using A Builder I, C,4 r r 6t0 ,k••-i, 4-Pl,10-W-W , as Owner~of the subject property hereby authorize h � � to act on my behalf, , in all matters relative to work authorized by this building permit application for: Zvi/ IA- (Address of Job) At, x, a . Signature of Mfner Date CAIWyAtV Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. Q:FORM&OWNERPERMISSION u. t Town of Barnstable P�OFtHE r, Regulatory Services BARNSIABM Thomas F.Geiler,Director 9 MAS&` $' 1639• p e Building Division tED MA'1 . Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village "HOMEOWNER": name home phone# work phone# 4 f CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside, on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or fart 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 requirements. ; Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1 -Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of i supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a forni/certification for use in your community. Q:fonns:homeexempt I G�; TAI 1S; t;E DATE yi�4,'30ji:� ��';_;t°,Ptn IZODUCER. I HIS C:E.C'IFIC l r .S 1 tiSE i;[ AS A tvl ;TTER OF INFORMATION ONLY AND 1 r'Iiilef MtCartin i_ON A,i No kICNTS 11110": IE CF�R7IFILA',C HOLDER.THIS"ER"'iFICA.TE. � � DOES tv'Ii A�/al i4L't.k.J J: t Aj_!�FR HT(.C)�r'EKNGFA1=FURDE,tPriY THE ba Guwiink&O'Neil lns��kCy ; ."�POUCH lE i I',6e O �22 Wcst Main Street ( �----_ jHyanriis;MA 021:01 I (Gv illiam A'Croston ti bd WIIIiam Vv Cr0$TOn i3UllCil;?'_'COT)I dCti?r 1 '_0N1PA JY:t A,I.M. iVt1ltua:I T1S;t':3t1GC Co �' LI'IIC E()13ox 1,38 >sterville,NIA 02655 y Xz••^—yYry v'w'— 7 lisc,, A'�aT`� 2' d{' I" r`^` {s c T H1',1S TO C'ERT,FY T i-IA(TtIE.1l)i.li.'IIi9 Or 11'',t, e tii E LI I I .1;hf L' 'V.'HAV L LEN[SSL!I:I)T,:,TP {x.SUui 1 NAMED A.'34 VE:'OR Ii-M PC)i I ) ?i T*00;")INDICATED,N`C.TWITHS\,ANU!NG ANY R.L U I+._a, TE?JA ''kR ONDl,iC)N O A`W CCU).rk k '. t F V j iEk,)ocu,m. Tv r ei1nh f?FsPLC^ ";C;1'.'i1iCH TEii::<C".E.RTI!'ii'A T'6 '�7��•Y EiE ISSUF.i?iiR.v:-,! ..R I:�.ii°V,Ti'I;: IN�,UIZ_..�,ti(' ;p�FFOR%%O L�:`'I i1><"l:`1ClL.S 1)lv�t�:'.:T?F[^r 4iEs�F•.i':v 1S;svciJl:G''I' i 10 U.'1'E34,TERMS,EXCLLSION"1 AN1I CONDITIONS CF fi' 1 VOLI(:'i S.LIr.;^, f i SIiCI'1ri\``�SA�'1'. eVH.13rf^;h [)I:CEl)B Y�iD i.!_: Ik9S. I �._. _— _ _—. ___---_-.- ___._.._. .r_ ---_-----.----_—._ ._ED ---- r t'U TYPE OF INSURA'YCC ° I Pl1LICY till;'6k'q_ 1bLlC5'k 'i 1;t'(t�'k.' f`t)Li C'Y£.3iPIliATIU?' Li MITS LTA I CENFRAI.LIABILITY ' i.;atarw.AGGIUMA'Iti ' .. • f.711 t:f.TSCtOMpiUP sw CON(.MERC'IALGENERAL1.iABILff}' ! - -�--� - ,iMKAL K ADV.2AIURY CLAIMS MAD �i)�Cllit -------._.------`_� E' J OWNER'S 3c CO CRAI;'rows moy. l All DA,WACE(Anwotirt) s �_. -- __._.__. —._ ;._ -.\ ---__-___--.. _ I __•, i '_D.EXPENSE,Any(wlePMIM)__ AIIT06I0$11A LIABILITY , J _ I _- Vi A8MD b1NGLE UMIrl ANY AUTO � 1 l I�ii:)DtLy 3�h�iL'Y INJURY41A.OWNEDALTOSI SC'4EDUL6D AUTO3 ii4D AU ATOS J INJURY i NON-OWNED A!Yi 02 GAI.AGEi1ABiLITt rPk, lkil'UPdSAGb I II �FA�_i CF. EXC'ESSLiaiLlry UC'CI;RRBN t, t!Nd6R:!.i,A FOKM ' ] r+fl:4lkGl,'�LRNBR}:•i.L:FORM I I .. .1!) WORKERS COMFENSAT'ION ANll TATU101RY 1,04171*S f 1176]PLOVERS LIABILITY f ' € !� __.._._ i —�r-•.•------�---- EACH ACCIDE !!'HF.P!tOYnIFI'UR e F NT i,G�U,0UC1 l 1 A&NEk3;£X CLTIVE I� j h!'iCIr.ILS aYF.'' '1()1'1u t t) 7201 i `L DiSE,A..SE_POLiCY UM1 'X00101)0 1 I i �L.1_LilSE,;SE--EACii EMPLOYE COMMENTS/DE.SC'3 IrrION OF OPERATION'S OR i WILLIAM W C::IROSTON IS NOT COV FRE',ID E3`l"I ti'F 9kf7RK R'+C:: MPE: 1S,ATION IIOLICY. a; 1VOIP.KERS'COMPENSATION COVERAGF.ALP PUES TO NIAS"iA( HU Sa 1 I � II i 1 �' " y"' a a' e.�� '' P..'F " +.. •`ry f25T J f d4 tri T'.. ^ T tM # i ri y TM y T _ .. lk4ujI , NY OF ,H,".AB i,.IA SCRILIU)POLICIES K rkN EILED BEFCAETPE E"IRAT►:)N Da L li it -c,F,THE I:iSli1N(i Cow.A.'\Y WILI,ENDEAVOR TO MAIL,r'ARITTF.N PvCT'ICE"s0 i tip CERT iFJI A i i,-ji Drh"itMED TO THE 11F1.BLI T FA:LUU,*'r0 MAIL SUCH NOTICE S1Ual MPOSP NO 0OUCA I I-)y, i I US( :IAEV ffYOF ANY R.3N0,:eC7P'T'-,ECO,'v,PAAIY.I':fS AGENTS UARF:PR!SEr'I'ATIVF_S. I [ 1 it 1 ± �a.�r��E✓'�•ter> �a. �..�-�•� I 11.kil.:iF� I:;�kEFetr:SE?•r'Y'hTl'v'I. � ✓ U/O�IY7/172019.111EgA OL /(�/,p� tr.''wF,'r�f>,�'34'y�ri,�fil`tfi ftt*3 'tt1�jJls'�C�.I�.,iel I'tr' m �� "t•�.` ,�+a, ... L . t�ltg,(igit v►Ir3"fo��tttilrU'u�l.. '•M1�"l� ""'kF r colvrr�a rep:� y use DV "'A vgyyi LtOt e l rS l }I) CflU11{I$t «m F o{�`aya�. furtt 0 d E? SC�L°O �a r u a tC�013 } Ito t�cl of $U�luui Iel;t7l uions tti "Ifi Exp,ratron 6%8(2Q08 " , (1, a.Leltbui,ton P1 ki P Iim (30 +` _y o T'lFa DSA �` C. 1 C1iV QllfLrJING CQNTF2ACT0R; ' E Y STON r '' ., F .:: b ; lip Pd A3bts..Il r a d may ;���4 ' A/ 7.tW r ''"{ iVh tt�, �:ka ��^�' 7'`•w--_r,�.ie+�• +�"��xM x-�� :.-`ap --- .,, .. �£ r ,,;F�a; Uci�Ad�nS �t z+ ''c uali���ithott signti�a,e ,, ', a A.M.Wilson Associates Inc. November 1, 2007 Tom Perry, Commissioner Town of Barnstable Building Department n 200 Main Street Hyannis, MA 02601 Re. 56 Short Beach Road, Centerville (Our File No. 2.1298.01) Dear Tom: Thanks so much for meeting with me this morning to review the issues related to the proposed addition to the existing building at the above captioned site. I wanted to confirm our conversation to make sure I had not misinterpreted anything. The first issue relates to lot merger.. My_clients own both Lot 39 and 40 of Assessors Map 206, 56 Short Beach road R 'Although there'are separate deeds for each lot theyarerboth held �^ � t a " 9vs• :� m'the same name YoSu confirmed`that,for purposes of zoning,,the;lots,;which^are undersized:; Have merged You suggested filing an' "81 X Plan" as a way to,formally.remove.the•interior I ot li' '.""However,'since the properties are�Larid Courted,'.this would still•require a filing.with the Land Court. Alternatively, you indicated you would accept a site plan showing the perimeter of both lots with the interior line dashed in and a note indicating the lots had merged and the interior lot line is no longer relevant for zoning setback purposes, or words to that effect. The second issue is the permittability of the proposed addition under the Building Code. The entire lot has an average grade of 5' NGVD. The top of foundation for the dwelling, which was constructed around 1940, is±5.57' NGVD. The FEMA map shows the site in'an A Zone with a base flood of I F NGVD, The addition includes: a screened porch, a front farmer's porch, and 4' x 16' addition to the first floor interior living space. The work is anticipated to cost less than 50% of-the value of the existing structure. (Plan section attached) l Your interpretation is that the proposed work does not met.the Code definition,of!"substantial } improvement» ,. .... and that it could be,buiIt without meeting the requirement;for new work orr: substantial improvements to"be elevated"to Base Flood height :Y.o.ur Departmerl,t�herefo e all �JJ other things being equal, would issue a permit for the addition to,be.'-constructed at the same '- el`eva !on as the rest of the dwelling, t5..57' NGVuDs N) r 20 Rascally Rabbit Road Unit 3 508 420-9792 Marstons Mills, MA 02648 FAX 508 420-9795 f If I have misinterpreted our discussions or drawn any incorrect inferences,please let me know right away. Thanks for your help. Yours, A.M. WILSON ASSOCIATES,INC. c i Arlene M. Wilson,PWS Principal Environmental Planner I Attachment cc: Brian Wall 071101 amwkm Perry All, Limit Of Solt Morsh AL AL -- AL _1 `\��\�`�•� JWL JIW_ Jam. L LLLL \ 6 At / I LLLLLLLLLLLL —— I w _— LLLLLLLL, L���ALL B L LLLLLI,00f/oLL LLLLL . ' ''LLLLLLL�`LLLLL`LLL \ El _ LLLLLL + I I ''�'�t✓+ill � � 1 5. a'4 To kigti� N E'riSli � � n OK 9 TF E�'SS� Shoe I v E (s li 1� 11.4 b 5.2 c. Ap, on i 5.4 X i I ` D�ive,sp / 1 C UPDATE PERMIT RECORDS: ADD CHANGE DELETE PRINT FEES HELP END CHANGE RECORDS IN PERMIT TABLE PENTAMATION----------------------------------------------------------- 06/22/04 . PERMIT NO. 75089 PARCEL ID 206 039 56 SHORT BEACH ROAD PERMIT TYPE BREMOD RESIDENTIAL ALT/CONV DESCRIPTION RENOV KIT, BATH, BDRM STATUS C COMPLETED APPLICATION DATE 03/04/2004 DATE ISSUED 03/04/2004 EXPIRATION DATE DATE COMPLETED MASTER PERMIT VARIANCE VALUATION 12928 . 00 BOND 0 . 00 CONSTRUCTION TYPE 434 GROUP TYPE 1 CONTRACTORS O45408 BINNALL, MICHAEL A. ARCHITECTS/ ENGINEERS/OTHERS ENTER Y IF ALL ARE CORRECT OR N TO REENTER DATE OF APPLICATION { QTv\ OK� - TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map f'o Parcel ermit# XYD 9 Health Division L � v �""Date Issued s - 4 - b ' Conservation Division �`� a U` f-� Application Fee _ 05, 670 Tax Collector Permit Fee U =- Treasurer, SEPTIC SYSTEM MUST BE r INSTALLED IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AN() TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address Village Owner Address Telephone Lk s } Permit Request J t;U< RE Square feet: 1 st floor: existing proposed 2nd floor: existing. proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Co,000°L Construction Type �c�x�► � ¢, Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family 0/� Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ®'I�o On Old King's Highway: ❑Yes Flo Basement Type: ❑Full 2Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing •Z new Half: existing O 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 4N10,_ Fireplaces: Existing �_ New Existing wood/coal stove: ❑Yes Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:O existing -❑new size Attached garage:2/existing .❑new size 6% Q Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes U4 If yes,site plan review# ' Current Use Proposed Use rZ BUILDER INFORMATION Name lL — t�A Telephone Number �B�'�Z(Qo —Lk-)3 Address -< T tj- 22& j2a � License# �' ("� 6 - A-A, n s-�� � t/� - Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 'S 4 7S P_Kc 6 , SIGNATURE ` DATE - -2--Z(o - 0 FOR OFFICIAL USE ONLY. s t PERMIT NO. - DATE ISSUED ' MAP/PARCEL-NO. 1 •• ;1 . ' - , ADDRESS 1 VILLAGE—"r ) OWNER t ; DATE OF INSPECTION: FOUNDATION r FRAME INSULATION, FIREPLACE } ELECTRICAL: ROUGH FINAL,, PLUMBING: ROURM > FINAL r y GAS: ROUA r"'.• FINAL yC' �= cx - FINAL BUILDING 6 �2zCgTew DATE CLOSED OUT f!1 ASSOCIATION PLAN NO. ' L 1 v ♦'V I The'Cotnmanwealth of Massachusetts ' _ - Department of Industrial Accidents• 600 Washington Street _ Boston, Mass. 02111 v� Workers'.Com ens ation.Insurance AffiL,daavit-General Businesses -- c,r- ,�`s%'�,�,, `�t +Sa 'ti.3'•:iw —vss.• `"•r.,cG.,,'T'nn r ., h S.. •^`+ 1 IIame L lC. address: state zi � fe hone# work location full address : I am'a sole proprietor and have no one Bpsiness'I`ype: [I Retail.[]RestaurantBai/Eating Establishment working in any capacity. []Office❑ Sales('including Re Estate,Autos etc.)' I am an em to e r with . retn to ees full& art time ❑Other %/�%///%%% %%7:Gii //%/%/ %//%/////%/%%/////%%//%/////////%%////%%//// am an .� eni to ovi&g viprkers' comvensation for my employees working on this job`: . I ...P coriu" eme: ci .r. Ax x. In'sii 'work ers' •o•.•1"efol win 'fih 1•a.e.o h v•h T am a sole proprietor and-have hired the independent contractors listed below w g compensation polices: V. Coln Ea 33 M ad 'e ;, ion.1 i S+• M1:;ZJ it'• r` t::,::f1.`'• 0'l1C :.#.�: :..+..�i•:,C�h`•.i.'::, ..<t`.•+:t` itsursnce'co. ••:�'- F, <:;. •:r<� :.z.: .,• — •:i `'S'J :t•i�.,r\.., -'?`;.+•f: :neA f..:t:<•r' •�.L'i ••�'• t. coin-an. naIIie:.��:r ...:s..•:: '. .. . .. _ addresse. •. :, :,r: ,r'.. •.Gv .:oa.`. +:ti!. �i mom W,9MQ;M 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 foim of a STOP WORK ORDER and a fine of$100.00 a day against in& I understand that F copy of this statement maybe forwarded to the Office of Investigations of the DIA for coverage vertf cation I do hereby certify u2rgrth ' s an enalties ofperjury that the information provided above is true and correct Sign ` Date _ Z —? a l Lam' phone# �`-2 G "�7. print name ��e'- • official use only do not write in this area to be completed by city or town official city or town: permft/license# ❑Building Department []Licensing Board i]•check if immediate response is required ❑Selectmen's Office ❑Health Department contact person: • phone#; ❑Other (revised Sept 2003) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all erTloyers to provide 1.workers' compensation for*their. employees: As quoted from the t`law", an employee is.defined as every person m the service U another under any contract of hire, express or implied; oral or.written. An employer is defuied as an individual,partnership; association, corporation or other legal entity, or any two or more of the foregoing engaged in ajoint enterprise, and including the legal representatives of a deceased,mvloyer, 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 1nore than three apartments and who resides thereui, or the occupant of the.dwelling house of another who,emploYs.persons to do.maintenance, construction or repair work on such dwelling fiouse or on the grounds or building app urtenant thereto shall not because of such employment be deemed to be•an employer. MGL chapter 152 section 25 also•siates 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 coirnnonwealth nor.any.of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with t�e insurance requirements of this chapter have been presented to the contracting . authority. Applicants Please fill is the workers' eompcnsation affidavit completely,by checking the box that applies to your situation.. Please supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be subrrutted 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 e D artment of Industrial Accidents. Should you have any questions regarding the""law"or if'you are requested, not the ep required to obtain a,workers.'compensation policy,please call the Department at the number listeA;below. . City or Towns . Please be sure that the affidavit is complete anctprinted 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 fillin 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 Deparhnent.of Industrial Accidents Wits of Wesfigafts 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 nhnnP#- 1617) 77.7-4900 P.YC 406 �++Ei Town of Barnstable o� Regulatory Services Thomas F.Geller,Director � 9 1639• Building Division �''lFD MP•l�` • Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no. Date Z —-7 AFFIDAVIT ]IOME 1MPROvEMENT CONTRACTOR LAW SWpLEMENT TO PERMIT APPLICATION MGL c.142A requires that the"reconstruction,alterations,renovation,repair,modernization,ccu convers ied ion, -improvement,removal,demolition,or construction of an addition to any pre-existing wm p 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, z Type of WorkL Estimated Cost �� kadress Of Work. V ✓' '�`�' — Owner's Name'Date of App - lication• I hereby certify that: Registration is not required for the following reason(s): []Work excluded by law []lob Under$1,000 []Building not owner-occupied (]Owner pulling own permit Notice is hereby given that: OjVNERs PULLING TEMP OWNLEINIE IIYIPROYEMENT WT OR DEALING WITH O UNREGISTERED NOT HAVE CONTRACTORS FOR APPLICAB ACCESS TO THE-- ATION PRO GRAM OR GUARANTY FUND UNDER MGL c.1�2A• SIGNED UNDERPENALTMS OF PER.TURY I hereby apply for a permit as the agent of the ovrer: 2 �L Contractor Name Registration No. Date ec P.vi. Ch ,R Avg AIJ Owner's Name T—fie Tlis.i a + ..r?. P t,"f±Fll<�.. A. Is1Ci,IHkt_ : rj 40 r.eti�E � c F 14 x � v Town of Barnstable e • .l.atoiy Services s # nomai to gaiter;D3ireetor Toni k'arry, $ultding�omrutssiotser • `-.a .. •' �•-� fax. SJ8•`t9�r Property Owner Must Co apletiD and. Sign,'.Ms SectiOl . _ . If Usitag A Builder e•! - A M f the.sub`ect.PtopeL'cq IJ r 0, !���� �� ..cs:r.wa�.a:.:_:;,L-t..j.P F, ESt•� ya •re.+tees xe1a.*.�vc��„york auEhori��d-�yth'ss b��1di�.g•pc.�t-ap��cstio�.�£or: �AdtL*r.eg o job) Date S;$�atutP of 0"Ot THE ASSOCIATION OF JUNIOR LEAGU`E;S INTERNATIONAL fNC Women buliding better communlHes Association Elected Position Application 2004 Election Year Following is, a listing` of the positions the Nominating Committee will slate. All positions are elected in 2004 and begin their terms of service immediately following Annual Conference 2004. Actives and Sustainers in good standing are eligible for all Association elected positions. Please indicate-next to each of the positions for which you are applying a numerical ranking of your preference in positions: BOARD OF DIRECTORS: Seib retary„(3-year term) w'?, 8'Directors Area"f'(3=year term) Area 11(3-year term) ,. . ;,: Area 111;;(1'year-term) � r AregHV(1=year term) a Area V(2-year term) 1 Area VI(2-year term) At Large Director(3-Year term) At Large Director(3-year term) Nominating Vice Chair (I-yearterm succeeding immediately to a 1- ear term as Nominating Chair; serves on the AJLI Board of Directors y g e tors for both terms) NOMINATING COMMITTEE: 5 Representatives Area I (2-year term) Area Ill.(.;-year term) Area V(2-year At Large Representative (2-year term) , At Large Representative (2-yeafr term) F f xlf there are any positions for which you are eligible and you do not wish to be considered, ,please list: 132 WEST 315'STREET, 11`h FLOOR NEW YORK, NY 10001-3406 T 212.951.8300 F 212.481.7196 www.ajli.org I'M�,M,�,` BOARD OF BUILDING REGULATIONS sr License: Cf3NSTEiU,CTlOsi SUPERVISOR; ki Number CS O45408 # t : j ! v `'I Expires 04'/22%2Q05 Tr.no: 9406 ' Restricted 1 G MICHAEL A B.INNALL 78 GENTER SS#, 17 ©ENN•I$PORT, MA t12639' Administrator r *' m s S z u 414" 4F' Board of Build,`n 7 R` > 69"I- ation.s and Standiirds HOME IMPROVEMENT CONTRACTOR Registration: 105530 i. Expiration: 7/17/2004 Type: DBA AIiCHAEL.A, BINNALL ADD'lTLOPdS Ochaei Annall 73'ci=NTE.R ST APT. 117 -NNISPORT, MA 02639 - ... Adntin 4C+rgip l- ;'�"`- RESIDENTIAL BUILDING PEPJMT FEES APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 J S" Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE JJ'' square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONS/RENOVATIONS OF EXISTING SPACE 2 square feet x$64/sq.foot= 2 x.0031= plus from below(if applicable) GARAGES(attached&"detached) square feet x$32/sq.ft.= x.0031= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee 4b , o e • I I I I ! i I I i I 1 ►-�Cf'.----I-.-.. _ � i I I I � I l j I I I I I I - , ) i ; II I - i I f I ; I i I I j S pTZ , I i i t I I tY I t N x1l, 26 li i i I j 1 j i I i i cl I � I I-2 A-G i - I _ 1 I ? I • IL a , I 2 I ; D Z'� f I i i f �, �4 I Q 1 I wort,• ��� �:���: O�. C� ' j > j cl 21 ALL �91 S Pr 1 .I �uj !a�c.Qo ILI i I 5F � I I ! I i ! I � I G�iT�` �r�i�l�l�•'-�'L. 1 I U�'� j!�'� i i ' � i I I I i I I j • I I � l i I � I I ! 1 i I I l I I I a I , I ! ! SITE ADJUST TO MATCH EXIST.S." ®MAIN HOU5E p y O A Sy= D� AQ _ g n >� 9 ° a ~�N 2 y% e N 4 �N O z 9 A Og I N z o = n O - ° m CD A m n I o� I m r 1 m 10 I I N O l z o N ® x ® Z 0 0 ® m - . O ° 1 a 0 0 N a 0 o m o ° 5 o 0 O a a O °° 51TE ADJUST TO MATCH E%15T.50111T Q MAIN HOU5E g. = 0 Z m O moo 0. C/) v o ASZ o A O 'I O O a D' O H ®® n� C ti O n \ ° x "^ NF mZ :: s e �z ® O 0 n \ \ N Om o a m a D m �N = D a o r cn co N m b ID 0 a S. cm ELE > O m z m /'z n // v _ A m '/ a o v r / o D D m !� N < O ° c Q x Z n z ? 0 > 3 D y O C IT cnn (n G O x � Z � z O 1 z ®® 0 _ m ® � Aiopfoi n i _ E. a fi°iOn 7-1- O G z ' SITE ADJUST G m m TO MATCH EXIST.50ffIT n Q MAIN HOUSE 0 O. C N 0 N1 i0 �' IT 0D PROJECT: S FOR: REVISIONS: -> m proposed additions&renovations at n, I GARY A. ELLIS a G) y N CANAVAN RESIDENC N.S.B,C. inc. o ° #56 SHORT BEACH ROAD*CENTERVI m g 141 Main Street TITLE:' Yarmouthport,Ma55aCbU5ett5 - W ELEVATIONS 508-362-9802 c 2 1/2' 4'-11 1/2" L, 4'-11 1/2" t,2 1/2' EQ. EQ2 1/2" 4'11" 2 1/2" k _ 11 r--- -� �-_� ---� � • I � m I a I N � O II lilt �PEl�ll °z =A -S I S 9 I „D III C N I I 0$ E m \m Z L- - — ° — - - F•nv Fgozy• - - .,n on 4-ON a a � - lnomm oo Fm� arzoo w •o rn�y e opp Amon :�oo `" o-• F-a _ - ;O �n rON O'• aTmo NO �O Am SO�. Ommn?pm DO Fz-n ru STc'c Oxo - Oyu' < - • 0lz - .. - + o PRORIXEDADDITION 25'-6"+/- - 5'-4" r lc > 0 >a - - NL� � I 3V'SLRD:N DR Grt O� 0E V Dm , A I' 4 �K0 s'O Q O 4 .itz 1 21 y 4=.G TIE IIIi BEAM cn e(a bove) g REU5OO 15T.8LT.AWNI-G YomA��L0a WNDHERE IN NEW ALL m0mm N z a O 120 m -- _ £ mi a ,. N0zxcUDwz°1 •-F 0 z 4x6 TIEBEAM o9 X 7 L Om 0 z r, 0 3 111FIII IIlI11III1 O 2 r<z m< I�-'{IIIIIIIIIf IIIIIIlIIII " II m ZQm AN�N CID 01 . ' UP a1 2RS II O � U Z ®®m A o O n Z Omm Ox v O Zm 0 PROJECT: FOR: -- REVISIONS:i proposed additions&renovations at GARY A. ELLIS N ' CANAVAN RESIDENC# yN N.S.B:C. inc. ZN #56 SHORT BEACH ROAD CENTERVI AS. O - , - - ' > i o 8 141 Main Street TITLE: Yarmouthport,Massachusetts - W FLOOR PLAN,FOUNDATION PLAN 508-362-9802 r I gg� v C) a m ��-� � SITE ADJUST a) D \ TO MATCH EXI5T.50FRT Z @ MAIN HOU5E T $-5 O m lo N DA 70 UI G _ \/ ------------- a _,1 6zH1 Aa io 30aR=s3 ae s sRR °rs�s��- Z ,;ooF � 3 �D ` ap $Z A z RR Ozr n G m6T s U i 11 n B- gic9' 0-- I I --0—--85o P ° e-- ---- Zm WIN I I L oo�_rNl"i, goo ipgn mF 0 = iTom m Z I L--O-- oz a", 5 o > < o" ZD-iy+� I I N 7°+I-D FN I I o ° m n II o m Li I > m I r-- -- R>: 8 g 88 88 o�Ba ogg 8vS SgR O I �. 6 I �N om m ° O I � 0 II 2 n mo5o 88 € Ogo mi4 , f J, t " O � 9 ry 0 °S K D \ -Oz oy o Ni=°o>'a'm "aFF o�MAFp op6:z��" 10-1 Q�_?gni o o _ ° C Om KNO p 2F2 IO0 O 22 o �^ 22 °h= ZU t . qg Z ° § o Ox p O m y 517E ADJU5T N ;. TO MATCH EXIST.50FFI7 @ MAIN HOU5E � m o :uom ;oQ ox'®N'a;N 5a1 7EIADjJUx5�vT PROPOSED ADDITION z` yo-S TO MATCH EXI5T.S O"°. F FITo.grcmo� MAN HOU5E 0 $ -0 £° oAo Tm°9 NEW 2x8 ROOF RAFTERS @ 16"O.C. °nFO:10 O " Sof H O ""izlKOOz a" Ow O " O DOrn O z� x O p0 NCOT� 7/9r8 I I FSo i zN JsLp 0 �� 0Oy m �' I 6'.A �°1 I roela n 8HER I z O �rn o gm n O0-0 z 4.G TIC BEAM gau Uo m�ry > A o 3 ?L� � 0 IT 0 I O + o� O D Nx �N s0 x --- I I m 8 \ 2 z IXIO RIDGE BOARD I 0 rvp 0' \ mI p 4.6 TIE BEAM au I a a _"I m N \\\ --- I \1p1 O 25. \ s I I III O O Zl / $ $ I LN O Z m / -- Lo1I m \ m O N Non m i oNb v m m a v m _ ' G7 I'I O y T- C 6 O iO tn0o P N O ig@ 7`�7 6 . 0 F o G o g 9 5 o m pp Z m SITE ADJUST g T TO MATCH EAST.SOFFIT � O @MAIN HOUSE OD O Q 0 Z 1 2 O 5 � m .I°D7r PROJECT: additions&renovations at " E FOR: REVISIONS: - m proposed `. GARY.A. ELLIS W � y N CANAVAN RESIDENC ;. N.S.B.C. inc. o #56 SHORT BEACH ROAD*CENTERVILL ' °_ ( m 141 Main Street ° TITLE: Yarmouthport,Ma55aCbU5ett5 W SECTIONS,ROOF FRAMING PLAN,DETAILS,NAIL CHEDULE 508-362-9802 t ' 7 V. • � i r______ _________ I I I I I I I I I I I I I I I I I I I I I, I I } ' p I I I • I I r———— ————— -- I --� o F-- II I j 07 --JI O -- o I I I I I OI DN I I Cn x I � I I a I m I = I I n I s I I I S 0 I I I m m o Z 0 I a I n I I 1 O I m I I I O I I I I I I m II z II I I III I p II -z I Z 0 I �-- a D m 0 D Orn � i = m v 0 co M O 0 x 0 00 b ® _ I m i UP 12RS ° �! 2 K p T 55 A y O r I II O I ;0 II II r II I y II I Z II z I II O I ° II II II II II II II II u g PRotecr:m GARY A. ELLIS � proposed additions&renovations at FOR: REVISIONS:ljJ �--► y CANAVAN RESIDENCE N.S.B.C, inc. o• #56 SHORT BEACH ROAD*CENTERVILLE*MA 141 Main Street m a ° TITLE: Yarmouthport,Massachusetts F—+ EXISTING FLOOR PLANS 508-362-9802 _ Revisions °ad NOTES. ZONING SUMMARY 1. THE EXISTING CONDITIONS SHOWN HEREON ARE THE ZONING DISTRICT RD-1 RESIDENTIAL DISTRICT Locus RESULT OF AN ON—THE—GROUND SURVEY PERFORMED BY DOWNCAPE ENGINEERING INC., ON JULY 1, 2003. MIN, LOT SIZE 43,560 S.F. 2. ELEVATIONS ARE BASED ON N.G.V.D. MIN. LOT FRONTAGE 20 MIN. FRONT SETBACK 30' Cent"'"° MIN. SIDE SETBACK 10' River 3. ALL UTILITIES SHALL BE VERIFIED AND MARKED PRIOR MIN. REAR SETBACK 10' TO ANY EXCAVATION. MIN. WETLAND SETBACK 35' Rd• �'�ci9hy�a Bao ad Ro RESOURCE PROTECTION OVERLAY DISTRICT CENTER VILLE HARBOR LOCUS MAP NOT TO SCALE ASSESSORS MAP 206 PARCEL 39 e 1 er Alf, Project Title . �OOd"etOin 2.4 W 1,9 a,r, '� � Iiih ''�'' L/mit Of Sa/f Marsh Cana van A , ,t ,Ir. 'mil AL & L Residence E7al AL ,r Ar, s� g° 56 LL L� IL��� Short Bea ch C Q� <+;� �L-L�c L ������ E"rosio�! Road ,t _. tub 9 „ j Cen tervil�e 'a � 4"tip Me? � I • •``'"�• Prepared For + 4 a* TBE CANAVANS X 73 BROOK ST 1 WELLESLEY, MA. 02181 N I Fib� y t • 20 Rascally Rabbit Road Marstons Mflts, MA i A0100 xr�`S, O'4'cH FD I \ 02648 54 -rrs N'Cy 52 f•. Air A. M. Willson Associates Inc. I ' 508 420 9792 1 FAX 508 420 9795 I PROPOSED 5,4 PROPERTY LINE Drawing Title a x • �So OF Mqs� OriueJyoy 1 4, q ROBERTA. r1�G z DRAKE u+' )�. o CIVIL No.41642 4'¢6,62 �' Af'p 4'�•I S T � � Permit Water .......... Shol-tMeter Pif Edge Of Pavement Wafer Plan Meter Pit t'�oriob/e iydlh �o y , act Scale:1"= 10' 0 5 10 is 20- 25 FEET Date July 11 2007 Drawing No. Design Check Drawn J.V.B. Job. No. 2.1298.10 Last Rev. of 1 CANAVAN BASE