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O Posted UntilFinal•Inspection Has Been Made 1 s �. i„uds Where a Certificate of Occupancy.is Required,- Building shalLNot;be Occupied until a Final Inspection has been'made �, Permit No. B-20-1470 Applicant Name: Russell Cazeault Approvals Date Issued: 06/16/2020 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 12/16/2020 Foundation: Location: 95 SHORT BEACH ROAD,CENTERVILLE Map/Lot: 206-125 Zoning District: CBDLBSB Sheathing: Owner on Record: HURWITZ, LAWRENCE Contractor Nam a PAUL J. CAZEAULT&SONS INC. Framing: 1 Address: 95 SHORT BEACH ROAD 'Contractor License: 103�714 2 CENTERVILLE, MA 02632 Est. Projet Cost: $ 15,000.00 Chimney: Description: Re-shingling the entire roof with GAF Timberline HD shingles. Permit Fee: $ 126.50 Insulation: Project Review Req: Fee Paid $ 126.50 Date: 6/16/2020 Final: �C-/ Plumbing/Gas Rough Plumbing: Building Official - Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced with n`six months after issuance. All work authorized by this permit shall conform to the approved application and the 21 pproved construction documents for which this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be incompliance with the local zo�ing by-laws and codes. This permit shall be displayed in a location clearly visible from access street cr road a�d shall be maintained open for�public inspection for the entire duration of the Final Gas: work until the completion of the same. Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officals are:provided on this permit. Minimum of Five Call Inspections Required for All Construction Work:l Service: 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection S.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: - 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,.and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Building plans are to be available on site All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT 6jv` Final: n.t►-sL s��.r- ,$ Town of Barnstable Building _ x Posthis Card SoThat it is Visible From the Streets Approved Plans Must Reta�ned on Job and this Card Must:be Kept s Posted UntilF�nal Inspection#ias Been Made !` " �i °' Where a Certificate'of Occupancy is Required;such Building shall Not" a Occupied until a Final Inspection has been made ¢p ermlt Permit NO. B-18-3792 Applicant Name: SCOTT E CROSBY BUILDER INC Approvals Date Issued: 12/10/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 06/10/2019 Foundation: Location: 95 SHORT BEACH ROAD,CENTERVILLE Map/Lot: 206-125 -- Zoning District: CBDLBSB Sheathing: ,. Owner on Record: HURWITZ,LAWRENCE Contractor Name:`:.SCOTT E,CROSBY BUILDER INC framing: 1 Address: 95 SHORT BEACH ROAD Contractor License: 151882 2 CENTERVILLE, MA 02632 f Est. Project Cost: $ 110,000.00 Chimney: Description: Remodel the following areas, no area change'or additional square I Permit Fee: $611.00 a Insulation: footage. Kitchen 192 sq ft, Laundry 33 sq ft, Masterbath 65 sq ft �Fee Paid: $; 611.00 . Replace windows and doors on the rear(south facing) and right side Final: (west facing)gable end (12) units windows.29 Doors 30 e_ _ � *'. Date: p 12/10/2018 Project Review Req: NOT SUBSTANTIAL IMPROVEMENT.WINDOW REPLACEMENT. Plumbing/Gas SAFETY GLAZING TO BE.INSTALLED WHERE REQUIRED. Rough Plumbing: z Building Official Final Plumbing:r i Rough Gas: I: Final Gas. x This permit shall be deemed abandoned and invalid unless the work authorized by this,permit is commenced within six months after issuance. Electrical All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by-laws and codes. Service: This permit shall be displayed in a location clearly visible from access streetor road and shall be maintained open for public inspection for the entire duration of the Rough: work uritil the completion of the same. T m r g The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Final: Minimum of Five Call Inspections Required for All Construction Work: Low Voltage Rough: 1.Foundation or Footing 2.Sheathing Inspection Low Voltage Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Health 5—Prior to Covering Structural Members(Frame Inspection) 6.Insulation Final: 7.Final Inspection before Occupancy Fire Department Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final`. Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). i O 1HE Application Number...............•.....<................. . ........ * BARNSTABLE, * I O Other Fee. MAss. ; Permit Fee. D MA Total Fee Paid'...'.... . ... ...`.......•.. .;. ............. NOV 16 2018 .. On. l2li�li TOWN OF BAR�%JA � Permit Approval by.... . ..........:....... .......................... vuV 1i9 RKABL r' /�BUILDING PERMIT ! Map.. .. ...... .. ........................Parcel.;..................... ..:... ........ APPLICATION Section I - Owner's Information and Project Location Project Address or Village Owners Name t Owners Legal Address sin 0(( tj ACL C State ,Zip Owners Cell# 'E-mail L.fi ,yAW)� �, `�/Yl 9/'D �+ Df Section Z— Structural Use - Single/Two Family Dwelling `r ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,000'cubic feet ; I Section'3 —Type of Permit I ❑;New Construction 0 Move/Relocate ❑ Accessory Structure 0 Change of use ❑' :Demo/(entire structure) a ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alarm Rebuild ❑ Deck Apartment 0.; Sprinkler System ❑ Addition ❑ Retaining wall Solar' Renovation Pool. ❑' tnsulation Other-Specify Section 4,- Work Description' I-s L o h ,� r / a .h C� C < l e5 Q J �+ N 'D a Nbow, ; `aq 00D9S 3-0 Last updated: 12/28/2017 Application Number.................................................... . Section 5 —Detail ,] Cost of Proposed Construction )0-D00,D®Square Footage of Project Age of Structure Dig Safe Number #Of Bedrooms'Existing 2 Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design j Section 6—Project Specifics dWiring . ❑ Oil Tank Storage ❑ Smoke Detectors Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply Public ❑ Private ' Sewage Disposal ElMumci al p �On Site. Historic District ❑ Hyannis Historic District ❑ Old Kings Highway S N l-� I am using a crane ❑ Yes In/No Debris Disposal Facility: 7� � C)� N Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes u No ❑ Section 8-Zoning Inforyation Zoning District L7 f Proposed Use rv6 G ) UV Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard ' Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes ❑ No Last updated: 12/28/2017 Application Number........................I.................... Section 9= Construction Supervisor l Name — 0,51 Telephone Number Address (tea o S��i I f e�l�City U) l State Zip 1,� S License Number Del— �, License Type' Expiration Date ' Contractors Email 6� ��,�1JL/ a-3 "NICell# 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 eq ired by 780 andA Town of Barnstable.Attach a copy of your license. 7 Signature 640D Date [ /P5 Section 10—Home Improvement Contractor, x Name S b Telephone Number Address City State Zip_ Registration Number 4 fij 91C Expiration Date 1r� I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re IF by 780 CMR and the Town o Barnstable.Attach a copy of your H.I.C... Signature AA Date Section 11 -Home Owners License Exemption' Home Owners 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 SIGNATURE. Signature Date /�hl A7 Print Name Telephone Number So '3 p , E=mail permit to- ,EL C- �d�s�(,1 / v A 11*2 Last updated: 12/28/2017 Section 12 'Department Sign-Offs r Health Department Zoning Board(if required) El Historic District Site Plan Review(if required) ❑ Fire Department 0 , Conservation For commercial work,please take your plans directly to the fire department for approval. Section 113 — Owner's Authorization as Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) F I Signature of Owner date i Print Name Last updated: 12/28/2017 i i The C6na:ui6nfrealth of Massachusetts Depaitment of Industrial Accidents 0,0ke of Iurestigations 600 Washington 'Street s Boston,. 102111 i IW&I"P.MaxLgov1dia Wgrkers' Compensation Insurance Affidavits BuiIdersJCantractrsl'ETecfcicianslPlumbers Applicant Information - , .; .Please.Prnt jxjAIV Name Musin� zati ; W: A _ .I11 - .��,.W C tylState/Zip: N�611 Phone fk. Are u an employer?check i approprnate,boa: T e of r yp project]ert( eclaire4 ILJ I am amloyer with 4 I am age"cpntractor and I 6- I`ievv construction employees(fall agdror pay#-rule):' ��wed the sub contcaetos ❑ 2.❑ I am a sole proprietor or partner listed on the attached sheet 7. t enmodeling s and have no to ,*i contractors have 8. Demolition w for men capacity. employees and have worms' ❑ [No tvorkeas co w 'insurance Comp.Mein' 9- ❑Building addthon equired-] 5. ❑ We are a corporation and its 10;❑Eleitncal repaus of nddtttons 3 I am a officers have exercised their - ❑ .� homeowner doing all work 1 L❑Plun�bmg repan�s or additions 1£ o workees might of egeuF_V' n per MGL - _ - P: 12❑Roofrepairs insurance regained j 6 c 152,§1(4} and we hm e:>ro. _ __. . 13. !Other,.,---,,.. employees.[No workers' _ - coo p..1a5�reqilifetl.l 'Any appticaut that chetBca ioi k r`iW i fill ow,The section below shcpring(horn wo&eis'cautpensatia I policy Infaq=fticn., i Haateoivaers ache�ttbniit tfiis aivdat�t i>idicating they are doing aIl work anol tfien line oat�de cantiactors <t snkm�t a. af@dav t indicating such !671 actors that cbeck this bDx must att$&_Bd an sdditaonal sheei showbg the name of the sub-contra a Ts and state whether tit not tHnse imfifin lies eatpLoyeEi. If the sub canetois l>a�;etplos,they apist prov�dg t3teir workers'camp.policy cumber.. I am an employer that'is p, M' Iding n orlreri'compensation hunranice for iq ennployeAL BetoIv is the policy mid job site infarmatton. Insurance Company lame L)Ir 10 it Policy or Self-ins.Lit.# to_ D `7 pa th D Expi ation Date: ... Job Site Addrm City/state/zip: Attach a copy of the woikcrs'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-yew iu�prisomuent,as well as ch it penalties in me form of a STOP WORK ORDER and a fine Of up to S150.00 a day against the violator- Be ad-wised that a copy of this statement may be forwarded to the Office of Instil itiew of tADM for' ace coverage verification. I do hereby re n trine is and penalties of pedury that the informafiorn:proWded above is into and correct Signature: Phone-#: . Offl,ciat use an1y. Do not write in this area,to be completed by city or town of ciat City or Town: PermitlLicense# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk t EleMrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: i AC�® �. DATE(MM/DD/YYYY) �� CERTIFICATE OF LIABILITY INSURANCE 1 0/1 012 0 1 8 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements . PRODUCER CONTACT NAME: Germani Insurance Agency IPAHONE 508 428-9194 FAX No: (508)428-3068 908 Main Street E-MAIL ADDRESS: certs@germaniinsurance.com INSURERS AFFORDING COVERAGE NAIC# Osterville MA 02655 INSURER A: SAFETY INS CO INSURED INSURER B: Hartford Scott E.Crosby Builder,Inc. INSURERC: 1112 Main St.Unit 7 INSURER D: INSURER E Osterville MA 02655 INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. IL7SRR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER MM DDY/YYYY MM/DD/YYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE PR OCCUR DAMAGE TO RENTED EMISES Ea occurrence $ MED EXP(Any oneperson) $ ' A BMA0022636 10/12/2018 10/12/2019 PERSONAL&ADV INJURY $ 1,000,000 f GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 RO- POLICY JECT ❑LOC PRODUCTS-COMP/OPAGG $ 2,000,000 OTHER: 1 41 $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ 1,000,000 Ea accident ANY AUTO BODILY INJURY(Per person) $ OWNED SCHEDULED A AUTOS ONLY X AUTOS 3953278 09/07/2018 09/07/2019 BODILY INJURY(Per accident) $ ' HIRED NON-OWNED r PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY I Per accident $ X UMBRELLA LIAB OCCUR EACH OCCURRENCE $ I A EXCESS LIAB HCLAIMS-MADE CM00001805 10/12/2018 10/12/2019 AGGREGATE $ 2,000,000 DED I I RETENTION$ $ WORKERS COMPENSATION X STATUTE ERH I AND EMPLOYERS'LIABILITY - Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 1,000,000 B OFFICER/MEMBER EXCLUDED? NI N/A 6S60UB4727P23818 06/23/2018 06/23/2019 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000;000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,0001000 i DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Workers Compensation benefits will be paid to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued 4unless the expiration date on the above policy precedes the issue date of this certificate of insurance).The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.govAwd/workers-compensation/investigations/. CERTIFICATE HOLDER CANCELLATION i SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE -THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. Scott E.Crosby Builder,Inc. i 1112 Main St.Unit 7 AUTHORIZED REPRESENTATIVE Osterville,MA 02655 Fax: Email: ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD 5 Massachusetts Department of Public Safety Board of Building Regulations and Standards I .. License: CS-043556 Construction Supervisor SCOTT E CROSBY 62 CROSBY CIR- r OSTERVILLE MA 02655 - Y 1 r �'�r�r��- Expiration: Commissioher 12/13/2018 V�ze W.1.044rsea a��laaaac�Zcraella Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:>Corporation before the expiration date. If found return to: Registration, Expiration Office of Consumer Affairs and Business Regulation t51882 07/12/2020 1000 W hington Street-Suite 710 TT E CROSBY_BU� I�LDER 1NG Bost n, 02118 1 TT E.CROSBY MAIN ST UNIT�#;7 w+� RVILLE,MA 02655 Undersecretary Not valid without signature Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO• Building Commissioner 200 Main Street, Hyannis,MA 02601 11ww.town.ba rnstable.mn.us Office: 508-862-4038 Fax: 508-190.6230 i Property Owner Must Complete and Sign This Section If Using A Builder ��,as Owner of the subject property herebyauthorize ' ` `' -� !.. e to act on my behalf, in all matters relative to work authorized by this building permit application for: A—A �. (Address of Job) 'Signature of Owner f Date Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. t � C:1UserstDecollik1App6etauLoca%licrosoAlNviddoHslTemporery Internet FileslContent.0uttookl2PIO1DHRIEXPRFSS.doe Revised 040215 I ( s Assesso�"r's mapland lot number ........:... &: .. . OF THET�y Sewage Permit number House 'number ... .... ...::..:..:.:':::.,. .... tooasMb a L E, 0 0 3 9- • � i°T�.O YPY a' T .... l� OF. BAR I ' 'AIBLE TO,R ' \, BURRINS I N SP EV ' l APPLICA'itDN FOk-�PERMIi, .. . Z®�...... .' ' b j.� f - TYPE OF'CONSTkUCTION ; f i...... ! ........ :.. l d 1 �, ..'.. .... .. .r.., .......... 19..E � O y THE INS`PEGTOR `'OF BUILb4NGS: The-pciersigned,hereby -t pplies for a permit acc 'Hing to thel';fallowing infgrmatjonnn: L[r c��J}ian ../.'.: %� r� '� 2ij .. f1........: J �'Ic;tL .. ...-' °/ :� .... ' ... ' '} :! QrpRi�s Use /T °� ! C. ............ .Rv. ...': G1 . �a;........ ......... ....................... .... j L, t �• �onit g--District ...... 1I4.............................................................F%re District .:.CI-0 ...... `! Name pf Ovrner �/ .4 !✓. -.. ...............Address . . 1.J:.../v2!. ,/Y� :............... ` E f .. 1 t' Name of Builder.,�1f `l..G� �..� t.�i.�� .......�� G. ._ .2 >Rddiess'.. .%✓.:.. ! ...... ......... ' .f%�. U/� 19~��lT ... Name of Ar'�itectcS'/. G..fl. ..�/.G. ..... ..... '°G.-..� rf✓G.::.Address ..`� ........ '`� :� /%� ../!�i��F f. Number of Rooms ................ .. .. . ....................::., :..:. ': F., 6und6tion .... .. Exterior .... ... a�`..........., v Roofing. .........., y.... .... ..... Floors ................... ............................... Interior Aa...... Heating ............... ... ........................................... Plumbin•g .....................I!�..:.......f..".*.'..*'**.......... 1 Fireplace ................ .. ........ ....... . ...... a Cost ... ay�0p-P......... . .Approximgt . - ........s............... . Definitive Plan Approved-by Planning Board ____________________ ___ ___;19. Area Dia . am of Lot and Building with Dimensions `" ,L g;r; , g :Fee. .......:..:.. .. :.......`......... Sl4b E�T TO APPROVAL -OF BOARD OF HEALTH OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS hereby.agree to conform, to all the Rules and Regulations of the Town of Barnstable regarding the above " construction. 71 Name yJ..—� :iLi� -.... ....... HURWITZ, GEORGE 2��3 2 2 REMODEL & ADD GARAGE �No .�,............. Permit for ...... ....................: sr l3ingle. Family Dwelling. _ ................................................ .. ....... ................ - 'J I Location ...95 5hort...Seach Road .} Centerville . .............................................................. ......... ....... i l; Owner George Hurwitz V ..` ....... ...... ............... Frame �- Type of Construction ....................................... ............................................................. ............... t t Plot ............................ Lot. ................................ ' r I' July 18, 83 ,t Permit Granted ........................................19 Date of Inspection "wf Date Completed 19 t z€ (,A ' 1 r� Assessors map and lot number �'.....,.::....... ,� THE ,� P Cs'ge Permit number ....... .............. O r C Z BAESSTADLE, o i Huse number ..f�Y ...4` , >.......: ....................................... 90o Mb 9 p MPy a'- TOWN OF BARNSTABLE BUILDIHGi INSPECTOR. f;� �— f is M ' 7"l'76T APPLICATION FOR PERMIT TO "✓.. .... ........................................�..7G?....C:.:;�........................................... u. TYPEOF CONSTRUCTION ... ....... ik'?' �................................................................................... 71Z.(....................................19.L:y TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following /information: Location ......... i?! �i/ 1 ,��......./�/ S......................................... .... f!. J p ............ ' Proposed Use 1� !!s'C r /.!rCi �'o/., 1.�� ,.......... .............................................................................. ZoningDistrict ........................................................................Fire District .................................................................. "'� Name of Owner Qp.r...... .......................Address .., �!!?. ..... 1 ?"...y.......................................... Name of Builder,Sa./!✓ . ..aS'.l.��s.•. .......f� Address .�ra.�`�....,/ /�1N /. �i /'✓ •�/�j�1 ............................. Name of Architect<T4,/ml,4 Address / 1�`7' i .......................................... f Numberof Rooms ..................................................................Foundation .............................................................................. Exierior ....................................................................................Roofing .................................................................................... Floors .....................................................Interior .................................................................................... ,. Heating ..................................................................................Plumbing .................................................................................. Fireplace ..................................................................................Approximate Cost ......... CD ..............................?... ....... Definitive Plan Approved by Planning Board ________________________________19-------- . Area ........r Z.! ......... ......... Diagram of Lot and Building with Dimensions Fee / SUBJECT TO APPROVAL OF BOARD OF HEALTH 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�-,z / ?...^— -....................................... HURWITZ, GEORGE A206-1 5 A2/06-1 25,322 RE ODE & ADD GARAGE - Permit . ... .. .. ... No .................. for ............ ......... ............. Single Family Dwell n ....................................................... .................. Location 95 Short Beach Road ................................................................. Centerville ............................................................................... Owner ...George Hurwitz ................................................................ Type of Construction .....F.ra.m.e.......................... IF .... .. .. ................................................................................ Plot ............................ Lot ................................ Permit Granted .......................July 18.................19 83 Date of Inspection ....................................19 Date Completed ......................................19 TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map- Parcel , ...�; a5,,y, �� Application Health Division F Date Issued '`7 / S Conservation Division ,may �Nc►�Gt1�� b,;� � n`�"`'� Application 1'�. 1 �1e o� pplication Fe J" Planning Dept. �' o s . Permit Fee .„ Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation / Hyannis Project Street Address xt r I f�fftd Village Elk+.,P Owner_ ayo p f�u uab_ Address Telephone Permit Request A00 ,/dl4QV Y'rR e2ol7 LC"AMR^,J CIC 96P4 O , Pn�l✓�� Square feet: 1 st floor: existing proposed _D 2nd floor: existing dL� proposed Total new D _ Zoning District Flood Plain Groundwater Overlay Project Valuation DDVi 00 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 M4 Historic House: ❑Yes N/No On Old King's Highway: ❑Yes �I/No Basement Type: ❑ Full 'tit/Crawl/Crawl ❑Walkout ❑ Other. Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new (2 Number of Bedrooms: � existing knew Total Room Count (not including baths): existing r� newer First Floor Room Count Heat Type and Fuel: CB/Gas ❑ Oil ❑ Electric ❑ Other Central Air: LU!!Yes ❑ No Fireplaces: Existing—]_New Existing wood/coal stove: ❑Yes ❑'No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: U�existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes 20, If es, site plan review # Y ) Current Use -me, � 1 Proposed Use d APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 4 n2 Au 2 Telephone Number 15-0 9 'I E>q D Address �tw License # Home Improvement Contractor# 1 5-1 W*a_ Email f Worker's Compensation # li ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE �- ,are FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER F DATE OF INSPECTION: i FOUNDATION FRAME '� 8��15 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING W, DATE CLOSED OUT ASSOCIATION PLAN NO. 0F114Er Town of Barnstable • f Department of Health,Safety,and Environmental Services aAxxsrasr.E, i639. Conservation Division pT�a � 200 Main Street,Hyannis MA 02601 Office: 508-862-4093 Robert W.Gatewood FAX- 508-778-2412 Conservation Administrator MINOR ACTIVITY REGISTRATION Property Owner Telephone number MA- Mailing address y r Project location a Map/Parcel i t Q �. VGA+ �� ��cQ 60-f 6VV-6 LA + a I Project description aC ��Q Vt y �j�f�(�l v�'�r( d m (�Q✓t"� (1/�Cc t The following minor activities will be revs ed,under Art. 27,by Conservation staff instead of the Conservation Commission,as long as they are constructed at least 60' from a wetland resource area or top of a coastal bank- * Pathways 4' in width * Fencing that does not create a barrier to wildlife movement, 6" above grade * Conversion of lawns to decks, sheds,or patios that are accessory to single family homes, as long as: -house existed prior to August 7,1996 -alteration within the buffer zone is less then 250 sq.feet -sedimentation and erosion controls are used during construction * Stonewalls (this does not include stonewalls for retaining wall purposes, grading and/or fill) 1 S gn ture Date Reviewed by Date GIs Plan Attached(fee charged for plan) Q/WPFiles/Form/MinorAct . ■ionna Town Boundary i / i 123-466 Parcels FY2015 / ` �.�'. _ ""'•• '' - I P n tz3a Address Street Numbers / ( a t K Buildings woms[.ocations of / ....... } ................. r:?r QM Above Ground Swimming Pools / — Oo In Ground Swimming Pools 206-123� �'•,. ~ / N 206-ia Walkways lmproved F.r #79 Walkways Unimproved j ,3 ----------- h --�� - 4 - — - Paths ' ,� •- ,- ���� ------------ Stairways r Gzz�t-.j Paved Roads \ is r—` Unpaved Roads Y Paved Driveways \ u �. - � -"a r -F- •a --- Unpaved Driveways `.4*• Painted Lines t Paved Parking Lots \ ,.';' .g,�.a�Jc �• `�` - yF Unpaved Parking Lots ' Bridges � ' '' � 206-125 vj/ Railroad --X Fences - 4"+3a• + ''�`'`P . '�.' - -+— Guardrails a% x Retaining Walls o-oo Stone Walls ,- O= Sports Areas Golf Areas rti u Docks/Piers = - N? ' .'•" �.& - o Boardwalks x fi Sa tia T } 3 �.l e Jetties - --_ Streams — — - Drainage Ditches [—� Marsh Areas Water Bodies i � d'. "i k. Spot Elevations(NAVD88) Jr Topo ro ft Contours(NAVD88) a . Topo 2 ft Contours(NAVD88) y� 4° Cel wooded °» I' 0o Street Trees w; ® Catchbasins \ c x m nts( Monu e \ Lam Posts �1 P �^ Towers Manholes Utility Poles O Satellite Dish Signs O®Fuel Tanks • Water Tanks y - 0 Flagpoles Utility Boxes � O Posts • Pilings Data Source Human-made features, Disclaimer This map is for planning purposes only. It is 1 inch=40 feet N Town of Rarnstable hydrography,topography,and vegetation were Parcel lines on this map are only graphic not adequate for legal boundary determination Feet C(Q, mirvat1Q11 ffivis�,o interpreted from 2oo8 aenal photographs and representations of Assessor's tax parcels.They or regulatory interpretation.This map does no O 10 20 40 60 80 may have been updated from more current are not true property boundaries and do not represent an on-the-ground survey. - - http://www.town.barnstable.ma.us .cnnrcrcc. Parrel lines were.dieitii-d frnm .o...o^o..r.,,.,.,,..,m ec7^ti...,�ti�..^r...,t,..�:.•at Anlo.•nnm o,.rc hn,.nnAn cram.,f,^_,nn mom.. • BAMSTAB14'• 39. Town of Barnstable Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.bafnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, as Owner of the subject property . hereby authorizeQ (-o to act on my behalf, in'all matters relative to work authorized by this building permit application for: (Address of Job) QJ Signature of r Date C � Lr tu,itz,, Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the i reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 the Conanionlvealth of Massadjusetts Department of Indristrial Accidents 09we ofIns.,estigations ' 600 Washington Street Boston,Mil 02111 MV111.mass govIdia Workers' Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly � . Name(Businessiorganizationdadividual)_ No5bo e.f I- Address: I i Z .�E6 , Yv t± wX' o N City/State`Zp. MA b��. Phone; Are Y,pu an employer?Check appropriate boa: T of project(.required): t�I air a general contractor and T 1. am a employer�7tlt 4. ❑ I g b.. ❑New bv constutitivn employees(full and or part=time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed ou the attached sheet 7. ❑Remodeling ship and have no employees Thee sub-contractors,have S. ❑Demolition Ivor for me in an capacity employees and have�>,others' Y 'ty. 9. ❑Building addition. [No workers'comp.insurance comp.insurance 1 mod] 5..❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions mysel€[No workers'comp. right ofexemptionper MGL 12.❑Roof repairs 15`,§1 ,and we h 4 av e no insurance required]o c. { } eillplo}ees.[No workers' 1.3.0 other comp.insurance required_] •elny applicant that checks box#1 must also Jill but the section below showing their workeia'compensation policy in5tmatintt_ I Honteaivners ieho submit this of ulavit imitating they are doing all woak and then hire outside contractors xmist submit a nen affidavit indicating such. kontractors that check this ban must attached,im additional sheet showing the name of the sub-couttactors and state whether or not those entities have employees. If the sub{outracturs have employees,they must provide their warken'comp.policy number. lam an etttpZi2j?er that ispro*Mig",Orders'coRTj nsadati insuraum for utY employem Below is tilepoui aJtilajo.b site lttfOrttta�d0t6 Insurance Company Name- 46=14 :�l CA // Policy#or Self-ins.Lie.#: �r�`?.P�3.�� l� . . Expiration Date: as Job Site Address: City/State/Zip: Attach a copy of the workers'compensati+nn policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of NIGL c. 152 can lead to the imposition of crimilm I penalties of a fine up to 51,500.00 and/or one-year imprisonment,as well as chil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a a inei the-violator. Be advisedthat a copy of this statement maybe forwarded to the Office of Investigations o IA for 1iuramce coverage Seri$cation. I do her c trader theprutts i pert Wes perfuty that the ittforata#ion pro ded abmre is . rt a carrect Sitnratttre: Date: Phone#: Of j€ciai use only. Do not write is this area,to be completed by city or town officiaL City or Town: Permit/License 0 • Issuing Authority(circle one): I.Board of Health 2.Building Department 3.C ity/Tonm Clerk 4.Electrical Inspector 5.Plumbing Inspector b.Other Contact Person: Phone#: DATE(MM/DD/YYYY) CERTIFICATE OF LIABILITY INSURANCE 06/25/2015 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: German)Insurance Agency PHONE FAX 908 Main Street c 508 428 9194 A/c No: 508 428 3068 E-MAIL Osterville,MA 02655 ADDRESS:certs ermaniinsurance.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:SAFETY INS CO INSURED INSURER B:SAFETY IND INS CO Scott E.Crosby Builder,Inc. SAFETY INS CO 1112 Main St.Unit 7 INSURER C Osterville,MA 02655 INSURER D:Hartford INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY EFF POLICY EXP LIMITS LTR POLICY NUMBER MMIDD/YYYY MMIDD/YYYY A X COMMERCIAL GENERAL LIABILITY BMA0022636 10/12/2014 10/12/2015 EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR DAMAGE TO PREMISES Ea occurrence) $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY❑ PRO- JECT LOC PRODUCTS-COMP/OP AGG $ 1,000,000 OTHER: $ B AUTOMOBILE LIABILITY 3953278 9/7/2014 9/7/2015 CEa OMaccidentBINED SINGLE LIMIT g 1,000,000 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY(Per accident) $ AUTOS X AUTOS NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS Per accident C UMBRELLA LIAB OCCUR CM00001805 10/12/2014 10/12/2015 EACH OCCURRENCE $ 2,000,000 X EXCESS LIAB HCLAIMS-MADE AGGREGATE $ 2,000,000 DED I I RETENTION$ $ D WORKERS COMPENSATION 6S60UB-4727P23-8-15 6/23/2015 6/23/2016 STATUTE ERH AND.EMPLOYERS'LIABILITY Y/N ANY PROPRIETOR/PARTNER/EXECUTIVE N 1 A E.L.EACH ACCIDENT $ 1,000,000 OFFICER/MEMBER EXCLUDED? IN I (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Scott E.Crosby Builder,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 1112 Main St.Unit 7 ACCORDANCE WITH THE POLICY PROVISIONS. Osterville,MA 02655 AUTHORIZED REPRESENTATIVE I ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD Massachusetts'-Department of Public Safety Board of Building Regulations and Standards Construction Supervisor. --_ - License: CS-W656 SCOTT E CROSB)" 62 CROSBY C1R lt?AJF OSTERVILLE ba s -wit``" Expiration 12/13/2016 Commissioner t C�Lc- e rpc�n2nzcL�auea�l�a�C/`la:r��ec�ccte� Office of.Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: gistration: 151882 Type Office of Consumer Affairs and Business Regulation expiration: . 7/13/2016 Private Corporation 10 Park Plaza-Suite 5170 • ` _ ; -:_;`' y' Boston,MA 02116 SCOTT E CROSBY BUILDER INC „tt li SCOTT CROSBY 1112 MAIN ST UNIT OSTERVILLE,MA 02655 Undersecretary Not valid without signature • = r .j Assessor's Office(1st floor) Map R206 125 Permit# � Conservation Office(4th floor) Date Issued Board of Health(3rd floor)(8:30-9:30/1:00-2:00) Fee Engineering Dept.(3rd floor) House#1 . Planning Dept.(1st floor/School Admin. Bldg.) BARNSTABLE, ` Defini ' an Approved by Planning Board 19 e �� TOWN OF BARNSTABLE Building Permit Application { Project Street Address 95 Short Beach Road Village Centerville Owner George & Cynthia Hurwitz Address c/o 619 Main Street, Centerville Telephone (508) 775-1442 `Permit Request Reroof Roof { Total 1 Story Area(include 1 story garages&decks) square feet �a 541tp *AbLAO-SI.U f Total 2 Story Area(total of 1st&2nd stories) square feet Estimated Project Cost $ 5,900.00 Zoning District RDl Flood Plain _ C Water Protection Lot Size .52 Grandfathered ? Zoning Board of Appeals Authorization Recorded `Current Use Single Family House Proposed Use Single Family House Construction Type IKO Armour Seal Roof Shingles Commercial Residential X Dwelling Type: Single Family X Two Family Multi-Family Age of Existing Structure 25 Basement Type: Finished Historic House No Unfinished X Old King's Highway No Number of Baths 2.5 No. of Bedrooms 4 Total Room Count(not including baths) 7 First Floor 4 Heat Type and Fuel Gas Central Air No Fireplaces 1 Garage: Detached Other Detached Structures: Pool No Attached 2 Barn No None Sheds No Other No Builder Information Name Ronald J. Silvia Telephone Number (508) 775-1442 Address Silvia & Silvia License# 016932 619 Main Street Home Improvement Contractor# 101627 Centerville, MA 02632 Worker's Compensation# 3B OYOY Q253900 NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Barnstable SIGNATUR . DATE BUILDING PERMIT D IED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. - f DATE ISSUED d MAP/PARCEL NO. , ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE „i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING ' t DATE CLOSED OUT ASSOCIATION PLAN NO. a f y -�a4�") -2 a �iG�cr s,zc� 23396 tad effa P Q• U a - I)LPARTHENT OF PUBLIC SAFETY 23396 C i! 014E ASHBURTON PLACE,,I211 1301 OCT 3•U 1995 B0:3TON,'IIA 92108-161f; CONSTRUCTION SUPERVISCIR LICL NSG Number.: E�:�>.ir s: ' ItestL'1.0O2d TO: 00 RONAL,D J SILVIA Uetaq;lr both--n fold siyn on 619 VAIN ST back, wid laininate li.ceirse c rd. CEN`1'ERVILLE, IIA 026: 2 Reel? i:oh for receiizt and _cltanye of adds ess 116ti"fic��L� ' V�Q V/OJIt J/1091lOC(L�/� O�✓�l<7J,1N7ICNCIIJ I ' > n Restricted Tot 00 2339G.. DEPARTMENT OF PUBLIC SAFET'i 1 �. CONSTRUCTION SUPERVISOR LICENSE 00 - None NuaberI Expires: 1G - 1 6 2 Family ::ties Restricted To, co Fai_-,re to posse. a current edition of the bs-eichusetts StaU Buiildiag Code '(,+s)-mv-4 011-W RONALD J, SILVIA is cruse for reuocal.i.; his Intense. 619 KRIS S CENTERV.;,LE, HR 02612 L`avfirrrnalncuealtlt a��'GCa�1 tczefiuJeC i ' HOME IMPROVEMENT CONTRACTORS REGISTRATION5. a _' oard of Building Regulations and Standards — . One Ashburton Place Room 1301 , Boston, Massachusetts 02108 HOME IMPROVEMENT CONTRACTOR Registration 101627 Expiration 06/26/98 _ -- - -- - -- -- 'r/Ne — PRIVATE CORPORATION HOME IMPROVEMENT'CONTRACTOR Registration 101621 . SILVIA & SILVIA ASSOCIATES , INC-. ' Type PRIVATE CORPORATION Ronald J . Silvia Expiration 06/26/98 619 Main Street Cantervilla MA 02632 SILVIA & SILVIA ASSOCIATES, i _ - Ronald 1. `Silvia Main Street s ZMINISTRAToMerviI18 NA 0'2632 The Town of Barnstable KAA&AS Department of Health Safety and Environmental Services 659. `° Building Division 367 Main Street,Hyannis MA 02601 Off= 508 790-6227 Ralph Croce Building Commissior Fax» 508 775-3344 For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,rcpair,modernization,conversion, improvement,,removal, demolition, or construction of an addition to any pre-eadsting owner occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: Reroof Roof Fat Cost $5,900.00 Address of Work: 95 Short Beach Road, Centerville O%mer.Name: Cynthia & George Hurwitz Date of Permit Application: I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under SI,000 Building not owner-occupied Owner pulling own permit Notice is hereby green that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGIStF1�ED FOR APPLICABLE HOME WROVEMENI' WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL a 142A SIGNED UNDER PENALTIES OF PERJURY I hcrcby apply for a permit as the agent of the owner: HI #101627 Date Contractor name Registration No. Ronald J. Silvia OR ' The Commonwealth of Alassachusetts Department of Industrial Accidents • '. - ;:., s; office of/nvesUgat/oos 600 N•ashinglon Street Boston,Alass. 02111 Workers' Compensation Insurance Affidavit �RDhsaot tnformat o'n� �' Please PR1NT�jeEthly name: Ronald J. Silvia location: 95 Short Beach Road City Centerville, MA 02632 rhonc# (508) 775-1442 I am a homeowner performing all work myself. 0 �1 am a sole proprietor and have no one working in any capacity ^YIR9�;�t!T.�. .�.ten.^`hw�.• �. [ 1 am an employer providing workers' compensation for my employees working on this job. company name: Silvia & Silvia Associates, Inc. wddress: 619 Main Street city: Centerville, MA 02632 phone# (508) 775-1442- insurance co. Lumberrrens Mutual Casualty policy# #BY00253900 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: cont nin ,name: address: city. phone No insurance co ('.....:a�u .—� - �rcn�-'! �l}�as-a�•r-y^..'-T!rR;'"si=_'.�25� lip icy •#f i✓^�a_+,.e• -._.:�ae_��__ .- - - -ru.= _�-�Iati' 'Rlrr;•,M1e'!�r:T�S�±_t _ _9'�4-+".�a7=^':^:':',tS co mnanv name: address: city- Rhone#• insurance co. policy# :Attach additional'shcit if neiessary�'y ""-r ryi-�!:+:+�_sY a+;•.,. c£ ,�, ,. __ ,. , zs y^�^ .- ..-...�J.u'v.ui� 's J _ �.•.�_<,��_•..- _, • �YlYl .dwfe'w fi.R1'L Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a cop)'of this statement mac be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify under t e its and penalties of perjuq•that the information provided above is true and correct. re—KD Date . --J-9 6 Print name Rona J. Silvia, President Phone# (508) 775-1442 official use only do not write in this area to be compacted by city or town official city or town: permit/license# n Building Department Licensing Board i• 0 check if immediate response is required CjScicctmen's Office �11calth Department contact person: phone#; nUllacr I revised R95 PJA) s UE DAT ;�:� ::::::::: ;:�:> TF'.':1 :. .:,;::....::< .. :, c;r<:.:i E(MM/DD/YY) ............................................................................. .... 0 4 02 96 ........................................................ PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND The Fair Insurance Agency, Inc CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE .O. Box 430 619 Main Street POLICIES BELOW. enterville, Ma 02632 COMPANIES AFFORDING COVERAGE (5 0 8) 7 7 5-3 13 1 COMPANY A ` LETTER LUMBERMENS MUTUAL CASUALTY COMPANY COMPANY B INSURED LETTER MARYLAND CASUALTY llvla / Silvia Associates Inc COMPANY 19 Main Street LETTER C' COMPANY D Centerville MA 02632 LETTER ( ) COMPANY E LETTER C:......RAGES .THIS IS TO CERTIFY'.::.............................................................................................................................................................................................................................. THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED,NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM/DD/YY) DATE(MMMDNY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE s 2 M I L COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. s 2 M I L CLAIMS MADE X�OCCUR. W 7 D 3 4 7 7 3 8 0 8/O 1/9 5 0 8/O 1/9 6 PERSONAL&ADV.INJURY s 1 M I L OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE s l M I L FIRE DAMAGE(Any one lire) $5 0 0 0 0 MED.EXPENSE(Anyoneperson) s5 0 0 0 AUTOMOBILE LIABILITY COMBINED SINGLE S ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) S 500000 HIRED AUTOS CA9 0 517 2 4 4 0 8/O 1/9 5 0 8/O 1/9 6 BODILY INJURY NON-OWNED AUTOS (Per eccldent) s 1 M I L GARAGE LIABILITY PROPERTY DAMAGE $500000 EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM / / / / AGGREGATE $ OTHER THAN UMBRELLA FORM STATUTORY LIMITS WORKER'S COMPENSATION 3 BY0 0 2 5 3 9 0 0 0 4/O l/9 6 0 4/O 1/9 7 EACH ACCIDENT s 5 0 0 0 0 0 AND EMPLOYERS'LIABILITY DISEASE--POLICY LIMIT s 5 0 0 0 0 0 - DISEASE-EACH EMPLOYEE $5 0 0 0 0 0 OTHER i DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/SPECIAL ITEMS .. .. .: :, .::. .. ..... CERTIFICATE HOLDE Own Of Barnstable SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE Building Inspector EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO South Street MAIL 1 S DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR yann i s MA 02601 LIABILITY OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE .. .. . ........ . �J .: .:..:: ...:.. OACC1.Rp C9RPOFiATION 1990i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION v. Map 0,06 Parcel_1-2. 3 ,,) / Permit# T 7 Health Divisionok �� © � �w j`��� � ate Issued 2y Obi E 9g1- gym® - Conservation Division , ,a /' i�� e� L�-Ndv Application Fee Tax Collector -MokO JR& Permit Fee �5, o0 y Treasurer SEPTIC SYSTEM MUST BE INSTALLS[ .;el COMPi_iANCE Planning Dept. V1/11-k i 1Tt:E:5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE ANDTOWN REGULATIONS Historic-OKH Preservation/Hyannis _a C:� Project Street Address gJ�� FL�' 71s - '07 2, Village ' 4LLI' ! t, Owner ��lN#�'�-6� J,�t.�-�I fz Address 21 fe.v� ��, ��,SF S' AV� ' Telephone 1 Pe[mil Request �0 - 2e � o.D N� c •, ®� O ,f NO /YI ecX 1Wic L. r ILe- PoP Car)-to e? Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain 2xow� Groundwater Overlay Project Valuation tz U g Construction Type Lot Size o-5 Z Aa Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. / 1: Dwelling Type: Single Family' COY Two Family ❑ Multi-Family(#units) Age of Existing Structure 6 Lg- l J_ !t Historic House: ❑Yes woo On Old King's Highway: ❑Yes a<0 Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new . . . Number of Bedrooms: existing new Total Room Count(not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes ❑No Fireplaces: Existing New Existing wood/coal stove: ❑Yes D No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:❑existing ❑new size Shed`:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name 6t w,fs- 9 Q'C= Telephone Number Address JZIS LJulr�tj/_;,_ License# Home Improvement Contractor# Lf®I 6-z-7 _ Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO i SIGNATURE DATE I FOR OFFICIAL USE ONLY 6 1 PERMIT NO. DATE ISSUED _ MAP 7 PARCEL`NO. t` , • M .. ADDRESS - VILLAGE OWNER DATE OF INSPECTION: FOUNDATION' " FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL tit _ PLUMBING: ROUGH FINAL c p C K„ S ROUGH FINAL FINAL BUILDING f DATE CLOSED OUT - tTt o S 4 ASSOCIATION PLAN NO. M � t - i Town. of Barnstable of � Regulatory Servzdes• as Thomas F.Geiler,Director = p°oA s6g9• k,�� g r� Buildin Division� DMA • Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 0ffice: 508-862.4038 Fax: 508-790-6230 p ermit no, , Date AF=AVIT SOME Xi19'RO'YEMENT CONTRACTOR LAW, 5UI'PLEMM TO PERT=A TLICATION MQL 0,142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, • •irnprovemeut,removal,demolition,or construction of as addition to any pie-existing owrpr-occupied biding containh g at least one but not more than four dwelling units or to structures wbich are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements, •, ... f Work: T'tZ�-- �� Estimated Type o , c Address of Wank: Owner's Name; Date of Applioid= 5 1&;22 I hereby certify that: Bgistratioa is not required for the following reason(s); ' [(Work excluded by law [11cb Vnder S l:000 []Building not owner-oocupied ' []Owner pulling own permit , Notice is hereby-given that: , OyMPS PULLING TSE?R OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR A3?PLjC4fE TOME IMPROVEMENT W ORKD O NOT 11• . ACCESS TO THE ARBITRATION PROGRAM OR,GUARANTY FUND UNDER MGL c,142A, SIGNED UNDERPENALTIES OF PE=Y • Ihereby apply for apermit as the agept er; G.5 0l�9 2 • D to ContractorNtme ReQisErztionrto. OR Owner's Name i I I i y I I SEP-15-2004 WED 01:00 PM FAX NO. 5084208109 P. 02 table I it .*• r i �• i. I,I � ' ;;I i� Rory Servicos 1 C r i 6 r ! B"Iffidtag DITMOU � � ! , •!; � I , �'�,; Ca�tli�10w ?AOA 8 Y NAowl • Fm- 508 790-600 I I I -Ccj=plea snA Sign This SectIoa If using ABUIlder • f li-b II'i to II i r&tift work sired by*b big permfit spphce��a for s of job) I I III � iiI r {i I i i. i•..•o��ram.. ( /�� i ' j - � . � • i I} � 4 #YI i Ire I t voo/zoo IA IXVJ sv:so vooz cL,/so I I ✓fie Ua7�e�raooau�,aCCfi a��/faaaaclvticeell6 j i BOARD OF_BUILDING REGULATIONS 11-icense: CONSTRUCTION SUPERVISOR II . Number: CS 016932 a Expires: 108/2005 Tr.no: 12386 Restricted: 00 RONALD J SItVIA q PO BOX 430 V. 1 OSTERVILLE, MA-02655 Administrator }; - ✓fie -V�anvrrearuisec>� o�../�roaac�u�aetta Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR 1-IN Registration--, 101627 Expiration 6/26/2006 1 t i` t i11 `Type PnlZe Corporation { ,al) j t SILVIA&SILVIA ASSOCIATES*IN(. Ronald Silvia 7 1284 A MAIN OSTERVILLE,MA 02655-`� Administrator p,FP2'X= :-Lac.• of �( �x►st�u�. �i�PT'tG. 5 ST�� �F Jcn CL> 71- N5 3.G west &�olz OV- 2.3_ _ _ SFr�dt71, i F'2ca o BE Rir HMnvtr�?� r { Jv, CT r lGf o`c�c (errs `o rw k,ol__ ✓'� S'3 _ca of/ �� rs �W---rv� 4 1 FVMT. mAs5 m TO rz " A4Eb GO[Z• CG S. �, �'`(�T-" �VIZ.�(?2 8 Q. SG.dLS -- So 8. ls , 1gaL ?Zv. 4-8- 83 M• . B,�CTE(Z 1.1 t L1C- fZ�v:. 4-t4. 83 �$• ,. TOP 4q'DrzANT oppas�TE --540Z� 2 E.STE:Z p � �7 Sv t/=Y�25 5l�o2't- B�Arrb� 2x:. ^E _- The Commonwealth of Massachusetts i Departnaent of Industrial Accidents l office®llfivesllgale®ns _= 600 Washington Street, %l'Floor Boston,Mass. 02111 Workers Compensation Insurance Affidavit: Building/Plumbing/Electrical Contractors °Applrcant•inlormatton.r' 'Please PRINT letibly 7. name: address: city state' zip'' phone# work site location(fi ll address): ❑ performing y Type ❑New Construction[]Remodel I am a homeowner erformrn all work myself Project ❑ I am a sole proprietor and have no one working in any capacity. ❑Building Addition ❑x I am an employer providing workers' compensation for my employees working on this job. company name: Silvia & Silvia Associates address: 1284A Main Street, P.O. Box 430 City: Osterville., MA 02655 phone# 5013 420 0 6 insurance co. Granite State policv# WC7681251 ",.+t-..}x.✓ .>.. ''r n,..n..., .,:.x„x'�,, .„F`i;....�a � ....t.....ik... -. �.,.. ,....:' ..n ,+.. ,.�•« ♦'.,.,>.a, -:• .,. --a.if.,r.�N:e'. ..'x' ❑ 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: company name: address: city: phone#• insurance co. policv# n..,i`'.,. ,�<-.iv.,.,2>f ..: .--is.-..w,,axt 1 L, 'L t. ._i.„ ., ..... ,....A ..k�.<..,.4'1,,... ,.•.. ...,.,.u.,_.. ..r;i company name: address: city: ' phone#• insurance co. policy# 'Attach nddrhonal sheet rf necessary s ,,an.yad r ,' k, s, �„ ,, h _. 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 tine 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 c nd z is and penalties of peJuty that the information provided above is true and correct. Signature Date " Printname Ronald J. Silvia, President Phone# 508-420-0226 '.,0.'+'a ro awT,rw.arc".. '7 ' a. r 1,Ywi. s 'bg"Yru'_.'T- arcur:,h�iibr'�s�0w. .are *w:rMtrna+ +a�rr m., , official use only do not write in this area to be completed by city or town official , city or town: permit/license At ❑Building Department []Licensing Board 'i El check if immediate response is required ❑Selectmen's Office ❑Health Department contact person phone#; ❑Other (remed Sept.2003) ' c..d.av ia,'+ �.. c„" �r nw�rro.w»rrr. r ,.�s.... °�urc.`� w-K•:+,.,s.s+.w„»n.,.,..",:rr�s,..r'"'.w,:rr�a:Mwtw"`r.,vas,,.R'«':;;i 'is.&.u. 'u'',.ke1 `�:.kiF i"�yF.1 `' l+e d,5^6",.ah'V'.• Y _ • �x f sTI�1 1. Sin� 5 ST�� `F!ZOAA OL> `PcArJS . 3.� C We7£ii. 12d �1 13 "4- y ` F, T B� � Clwl A V_ IV CT _ f`t �'� S•3 s: C9 Z ti��7 S. t• rl p L,t 4 .'1 f'YMT. 7r 2 S `` �� ' nn it ' tc//1 7— 2 ` 2 -PLOT PLA�-.1 m ELr=V/�-1-I v�.1S pS ED r C O 26 ��{ T"1-� 1 A- OIZVAT 2 sc LS 1 ; 3o Uov: S . k9 82 1A.N.w. B,dXTE2. l ly t cJ $. ?•op t-���DrzaNT oPP r rTE ��loe� rZ 5 I ST E:Z ec) lA C�.) UrLq 'Sµol2•r SLA 14 �R• q,01 o STE2.�I'' �-- M A S of� � `.-.��r '#^M'.�"1�i,.°"'�'� ��;b�r �'+�""3 - ., _ •k 0a -------------- .� �. 1.00 a ' ECK 45 �y � ra Town of Barnstable *Per mit# V Expires 6 months from issue date Regulatory Services Fee. 1�: 2G Thomas F.Geiler,Director Building Division X-PRESS PERMIT Tom Perry,CBO, Building Commissioner 20GMain Street,Hyannis,MA 02601 JUN 14 2006 . of_� www.town.bamstable.ma.us TOW OFSU .face: 508-862-4038 Fax: EXPRESS PERMIT APPLICATION. - RESIIDENTIAL ONLY Not Valid without Red X-Press Imprint , )arcel Number rty Address T' :sidential Value of Work tz-z Minimum fee of$25.00 for work under$6000.00 is Name&Address ��+2 actor's Name �i,J,a4 ` ���Ji �- �`���. Telephone Number Improvement Contractor License#(if applicable) truction Supervisor's License#(if applicable) G S ©d eo1-2,Z orkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner nfitave Worker's Compensation Insurance `- ance Company Name (!! T Z:z moan's Comp.Policy# 2 2 to y of Insurance Compliance Certificate must be on file. ut Request(check box) " f^.J E]/Re-roof(stripping old shingles) All construction debris will be taken to PP-1J4r✓ /V r ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ 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. Home rovement Contractors License is required. NA T=:expmtrg se071405 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 sY www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): Si 1 Nr i s and S 11 v i a A c ci a c i ate S Address: p_n_ uox 43n 17R4A Main St-re.Qt . . . . City/State/Zip: n G t P ry i 1 1 P f MA 0 2-h S S Phone #: SOR-420-02.2.6 Are you an employer? Check the appropriate box: Type of project(required): 1. I am a employer with 1 1 4.'❑ I am a general contractor and 1 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ 1 air a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp.insurance. 9. ❑ Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL I L❑Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ P>Pof repairs insurance required.] t 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: O ran ife5 t:,a t e Policy#or Self-ins.Lic.#: WC 8 9 5 9263 Expiration Date: 4 2 0 0 7 Job Site Address: !2 City/State/Zip: C1��—,rajz-,y �.l�� 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 certi and r h p ns and penalties of perjury that the information provided above is true and correct. Si natur : _ Date: Phone#: :!5-Q8— yZo,o7-Z 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 5.Plumbing Inspector 6. Other Contact Person: Phone#: •S � . � �W•, z 'I ✓!�e•-Po�,y�no�,,�oea� o�� ac�>,uaetla ��� ' BOARD OF BUILDING REGULATIONS . 1icerise: 'CONSTRUCTION SUPERVISOR t '; SY Number.CS 016032 ( $`' ( Expires 11/18/2007• Tr.no: 8527.0 ,4 _ Restricted00 i O ALD J SILVIA� tti7, PO BOX 430t � OSTERVILLE, MA 02655' Commissioner' �f . - (. ter .« .i..,•., ' - _ - - .' � ✓fie TOanarrrcooxiuea.C� o�✓�aaaaefivaetta• Board of Building Regulations and Standards lug HOME IMPROVEMENT CONTRACTOR Registration: _101627 F-Exp ation 6/26/2008 Type Private Corporation SILVIA&SILVI4AS966ATES'1NC. tr w Ronald Silvia ,, '. 1284 A MAIN ST. OSTERVILLE, MA 02655 Deputy Administrator . 06/12/2006 11:59 FAX 508 790 1677 FAIR INS 4 SILVIA & SILVIA [a 001 ' AO MP, CERTIFICATE OF LIABILITY INSU RACE 06/121a Pmm= (S09)77S-3131 FAX (SO8)790-1677 THI$CERTIFICATE IS i4UOD AS A MATTER OF 14F p TION The Fair Insurance Agency. Inc ONLY AND CONFERS NO RW4ffS UPON THE CERTIFICATE N.O. Box 430 AHOLDER.�COVE ECAFUFOI$�D D� E OOR�IN. 619 Main St. Centerville, MA 0263Z INSURERS AFFORDING COVERAGE NAIC 0 IN9 mm Silvia Silvia Assoc ato5 Inc muRERA, Scottsdale PVR7 U-C INsURERS: Safety Insurance Co. PO Box 430 1284 Main Street ►NSuRER m Granite State Ostervi l l e, MA 02655 wouRER o- Essex Insurance Co INSURER I_ THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN MUEO TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREWNT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR WAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONOIYIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAM, Dim TYPE Of Bd6URAwG POLICY NUMBER POLICY EFFECTNE POLICY OWIRAT" MWERALLJAB CCUA LITY CLS0867059 09/01/2005 09/01/2006 EACHORENC£ $ 1 000 k MERCIAL GENERAL LMLITY DAM44 Tq RED SISO bma" S0,00 CI AIM6 MADE X�OCCUR MED EXP(ATry arr P°I>�) S5,00 A PERSONAL 6 ADV MURY $ 1 000 GENEIMAGGREGATE - S 21000, GENT.AGGREGATE LIMIT AP UeS PER: PRODUCTS-COMI1gOP AGG $ 2,000, POLICY J LOC AUTOMOW U ARILI rY 3007909 08/01/Z005 09/01/2006 COMBINED$1N LE LWIT e ANY AUTO (Eam) 1 OOO ALL OWNED AUTOS BODILY INJURY X scmEDmnAUros (Pww-n) 5 B X rNMD AUTOS BODILY MLIURY X NON VJNW Aurvs (P-4-66 M PRO(peraoddentlPERTY nAMacE $ G PAOF 0ABOM AUTO ONLY-EA ACCIOENT S ANY AUTO OTHER THAN FA ACC S AUTO ONLY!' AGG o(cEsanIMDREUu�I uenm EACH OCCURREWA $ 3,000 X OCCUR El CLAMS MADE AaOREOATE S 3.000,00 D X14RO3974 08/01/ZOOS 0$/01/Z006 : DEDUCTIBLE 9 RETRNTION $ s WC9959263 04/01/2006 04/01/2007 1Twn0Ry&TAmTvmjTT'- alPf orKJiB LWBM.ITY EG,EACH ACCIDENT $ 500. CIIWRExAC NICE ELDISEASE-EAE7u1PL0 s S00 0 SSPPEECwL aRovlsioNS balm &l DISEAss•POUIcv Lesrr s 500 oT�l DESCRI nW OF OPERATMG I IOCA►TIONS!VBNCLEB!EU:LUMON8 AOM BY ENBOR MENT I SPECIAL PROVISIONS 3HoULO ANY OF Tme ABOVE OE$CRMD POIJC"SE CANCILLL£D BEFORE THE EXPIRATION DATE TNP.REOF,THB MWO MURER NM.L HI FAVOR TO PAIL 1S DAYS 1YAItTE'FI kATlt,'E TO THE CEMMATE HOLAER NAMED TO TNg RAFT, Town of Barns tabl a BUT FALL TO MAIL SUCH NOTICE W"NNIOSE NO OBUQATIDN OR LIABAJTY Main Street OF ANY KWD UPON THE Md ASR,ITS AGR=OR MUNMENTATIVE& " Barnstable. MA 02601 AUT"OlumREPR NTATME , ACORD 26(2007ro8) CACORD CORPORATION iM Town of Barnstable y Regulatory Services Thomas F.Geiler,DirectorMAN ' ' Building Division.. 'O�fa MAC� y Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA b2601 www.town.b arnstabl e.ma.us ce: 508-862-403 8 Fax: 508-790-6230 Property Owner Must Complete and Sign This Scction. 'If Using ABuilder as.Owner of the subject property hereby authorize to act on my behalf, in all matters relative to work authorized by this building permit application for. -2�61ZTJ&*Ae,A L , (Address of Job 2 Signa 7of er41 ate ' t Print TZ4me ' Q:FORMS:OVTNERPERMISSION TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION. Oap Parcel—+ 1a' Application # �� -Iealth,Division Date Issued Conservation Division � �- � ��• Application Fee Planning Dept. Permit Fee Date Definitive Plari Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address Village Owner Address Telephone Permit Request v Q G 2. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay roject Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ', Two Family ❑ Multi-Family (# units) Age of Existing Structure 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) C� t.... Number of Baths: Full: existing new Half: existing mew Number of Bedrooms: existing _new c, Total Room Count (not including baths): existing new First Floor R 1r o Room Cd�i t y Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑ Other L w Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing woo /coal sEqve: P Yes ❑ No Detached garage: ❑existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: existingw ❑ nrnew size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Wommercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Z Y Telephone Number Address License# C s �7 7 A�k�rt J/ J Home Improvement Contractor# v�C�d c Worker's Compensation # AV/s� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO I SIGNATURE Z DATE FOR OFFICIAL USE ONLY 'F APPLICATION# ; a DATE ISSUED MAP/PARCEL NO. t ADDRESS VILLAGE OWNER s DATE OF INSPECTION: �y[F FOUNDATION ; \\\»! FRAME INSULATION FIREPLACE ' ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' FINAL BUILDING @N)tq/og DATE CLOSED OUT ASSOCIATION PLAN NO. ' The Commonwealth of Massachusetts Department of Industrial Accidents w Office of Investigations • y d 600 Washington Street �< Boston,MA 02111, www.mass.gov/dia ' Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Le ibl Name(Business/Organization/Individual): Address: b 1V��P''4�—^rho City/State/Zip: 4Z Phone.#: Ar .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 . employees (full and/or part-time),* • have hired the sub-contractors . 2. I am a'sole proprietor or partner- listed on the'attached sheet. 7. ❑Remodeling employees These sub-contractors have S. []Demolition partner- ship and have no pemployees and have workers' working fox me in any capacity. 9. El 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 l l.❑Plumbing repairs or additions ' myself,[No workers' comp. right of exemption per MGL 12,[]Roof repairs insurance.required,]t c. 152, §1(4), and we have no 13.❑ Other employees, [No workers' 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 anew affidavit indicating such.. $Contractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether ornot 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 job site' information. Insurance Company Name: Policy#or Self-ins.Lic,#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page'(showing the policy number and expiration.date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK,ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investi>?ations of the DIA for insurance coverage verification. _ . X do hereby certify under e p sand penalties per' ry that the in provided abo a is true and correct. Si ature: Date: _ Phone#: � 7 Official use only. Do not write in this area, to be completed by.city or town officiaL City or Town: ' Permit[License# . Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5,Plumbing Inspector 6.Other Contact Person: Phone#: .r '� � � �� �� � �, r ,/' /��) �,/' U- �, 6• • • • ' Client#: 10798 2RILEYCJ ACORD„w CERTIFICATE OF LIABILITY INSURANCE 1DATE 1/06/08D ) PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR gency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 3 lyannough Rd., PO Box 1990 yannis,MA 02601 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A. National Grange Mutual Insurance C.J.Riley Builder,Inc. INSURERB: Associated Employers Insurance Compa P.O.Box 382 INSURER C: Osterville,MA 02655 INSURER D: INSURER E: 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 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' POLICY EFFECTIVE POLICY EXPIRATION LTR INSRN TYPE OF INSURANCE POLICY NUMBER DATE IMMIDDrM DATE MM/DD LIMITS A GENERAL LIABILITY MS059664 05/02/08 05/02/09 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTEDPREMISES 1E. $50 OOO CLAIMS MADE FX-I OCCUR MED EXP(Any one person) $j 000 X BI Ded:500 PERSONAL&ADV INJURY $1 000 000 GENERAL AGGREGATE s2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $1 00O 000 POLICY RQ M LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO (Ea accident) ALL OWNED AUTOS BODILY INJURY $ SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-0WNED-AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ B WORKERS COMPENSATION AND WCC5001591012008 05/05/08 05/05/09 X WCTATU-S O R EMPLOYERS'LIABILITY $5OO OOO ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT OFFICER/MEMBER EXCLUDED? NO E.L.DISEASE-EA EMPLOYEE $500,000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS C.J.Riley is included under the workers compensation policy. Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the (See Attached Descriptions) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Cynthia T.Hurwitz DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL In DAYS WRITTEN 95 Short Beach Road NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Osterville,MA 02655 IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE - .�. �. ---�y- ACORD 25(2001/08)1 of 3 #54279 LS1 0 ACORD CORPORATION 1988 �ze zaam�rzoauuea o�,/�uaaar�ivaella -\ Board of Building Regulations and Standards License or registration valid for individul use only _= HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration:,: 125799 Board of Building Regulations and Standards -'; One Ashburton Place Rm 1301 Expiration -1/30/2010 Tr# 262231 Boston,Ma.02108 Type, Private Corporation C.J.RILEY BUILDEWIN6,:: CRAIG RILEY 10 B WIANNO AVER ` 2 l OSTERVILLE,MA 02655--- Administrator of lid wi out signatur f. ✓�ze�a�jr,�nzcueal� a� waatac�Zus Board of Building Regulations and Standards A Constructionupenii&orLicense ' License: .CS 66147 Expiration= 2/5/2009 Tr# 9767 Restrictrori: 00 ` CRAIG J RILEY PO BOX 382 OSTERVILLE,MA 02655 Comnii§swner '0 • I o,s �,,� Town of Barnstable . � o t Regulatory Services Thomas F.Ceiler,Director . Building Division. Tom Perry, Building Commissioner 200 Main S:rect, Kyennis,MA 02601 wwiv.tcwn.harrstable.mn.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I,__ Qynt-hia T - furwitz _ ,as Owne-of the si6ject p-operty hereby autbomze. 4 W to act on:ny b chaJ f-,, in all matters rela Eve to work ac th zsei by its building perrsit applicarion for: • (Address of Jots) Signature oi'Owner F a � Pti t Neme If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. • J ti � n ��K.tv •;� k dd 1 solar 9 r electricity AI 5 w, 4fiL Fa ENGINEERING EXCELLENCE 198 . WATT Designed and engineered for use with Sharp's OnEnergy solar racking system,this module is the OnEnergy yTM perfect combhnation.of technology and design. SYSTEM MODULE ADVANCED AESTHETICS Black frame module,and associated racking with hidden hardware and tapered covers,delivers a clean,elegant appearance,thaf blends beautifully with your home's roofline. DURABLE Tempered glass, EVA lamination and , weatherproof backskin provide long-life and enhanced cell performance. RELIABLE 25-year limited warranty on power output. HIGH PERFORMANCE This module uses an advanced surface texturing process to increase light absorption 1 and improve efficiency. [Designed for] ) solvr yo—by Sharp RESIDENTIAL 198 WATT MODULE FROM THE WORLD'S , TRUSTED SOURCE FOR SOLAR. This high-quality residential solar module �x is designed and engineered for use with Black frame and low profile i eking Laminated glass construction the Sharp OnEnergy solar system. Sharp's p - com Cement roofline in-a high torsion fram OnEnergy system replaces the bulky look of traditional solar roof mounts with a clean, elegant appearance that blen ds beautifully SHARP:TFIE. AI�dE T®TRUSTS When you choose Sharp you get more than s with rooflines. Using breakthrough technology, well-en,glneered products You also get'Sharps 3 , made possible by nearly 50 years of proprietary proven-reliability outstanding customerservlce research and development, this module and the assurance of our 25 year lirnitect warranty . A global leader in solar electncrty Sharp prowess ,t y ` - incorporates an advanced surface texturing r ;z i more homes grid businesses than any other solar Y 8 process to Increase.light absorption and manufacturer worldwide, improve efficiency. a. �..; fib. Y 1'F c r : }s r ✓-A r Y } y 4 tx G :� a� � y� 198 W,�T T tt r ��} f¢ tL :y r ND-198UIF t. ELECTRICAL CHARACTERISTICS IV CURVES Maximum Power(Pmax.)' 198 W Cell Tempermm s•C o 25. Tolerance +16%/-5 0 Iwo wm r Type of Cell Polycrystalline silicon Cell Configuration 54 in series 8ML lhmj Open Circuit Voltage(Voc) 32.9 V Maximum Power Voltage(Vpm) 26.3 V 6 „o Short Circuit Current(Isc) 8.23 A a 3 Maximum Power Current(Ipm) 7.52 A a Module Efficiency(%) 13.4% Maximum System(DC)Voltage 600 V 2 SO Series Fuse Rating 15 A NOCT 47.5°C Temperature Coefficient(Pmax) -0.4850/o/°C °0 5 io ..15 ao 25 so „ <o° Temperature Coefficient(Voc) -0.36 o/°C V-1•seM Temperature Coefficient(Isc) 0.053%/°C eor�eraarivort�eow.a�rl,da — rnr �, 'Nteasured at(STC)Standard Test Conditions'.25"C,1 k\N/m2,AM 1.5 hiEC@�AN[CAL CHARACTERISTICS DIP9EIdSIONS .. . . . .� Dimensions(A x B x C below) 39.1"x 58.7"x 2.3"/994 x1491 x 57.5 mn1 BACK VIEW - Cable Length(1) 43.3"/1100 mm A Type of Output Terminal Lead Wire with MC Connector o F �1 c SIDE VIEW Weight 39.6 Ibs/18.0 kg Max Load 50 psf(2400 Pascals) E QUALIFICATIONS I UL Listed UL 1703 Fire Rating Class C cIOUs a WARRANTY 0 �N 25-year limited warranty Contact Sharp for complete warranty information E i H "� L p "1 0 A B C D E 39.1'/994 mm 58.7"/1491 mm 2.3"/57.5 mm 3.0"/77 mm 13.2"/335 mm Design and specifications are subject to change without notice. - - chnrp is a regiitered[radernark of Sharp Corperation..All ocher trademarks are property of F G W their respective owners.OnEiiergy and all related trademarks are trademarks or registered 1.3"/32 on ni 8.9"/225 mm 36.4"/924 inm 43.3"/1100 nnn - tradem d arks of Sharp Corporation and/or its affiliate companies.Sharp takes no responsibility for any defects that may occur in equipment using any Sharp devices. Contact Sharp to obtain the latest product manuals before using any Sharp device. Contact Sharp for tolerance specifications Cover photo:Solar installation by Premier Power Renewable Energy,EL Dorado Hills,CA.. - SHARP ELECTRONICS CORPORATION SHARR 5901 Bolsa Avenue,Huntington Beach,CA 92647 1-800-SOLAR-06•Email:sharpsolar@sharpusa.com www.sharpusa.com/solar ©2008 Sharp Electronics Corporation.All rights reserved. 08F-010•VP-06-08 , l � 1 �f J. SHARPO solar electricity � a� 72 WATT ENGINEERING EXCELLENCE Designed for use with the.142 watt module and Sharp's OnEnergy solar racking system,this 7 module is the perfect combination of technology �P1E91�r�y and design. SYSTEM MODULE ADVANCED AESTHETICS A Sharp exclusive,the triangular module sets a new standard in aesthetics for residential hip roofs and complex roof lines. DURABLE Tempered glass, EVA lamination and weatherproof backskin provide long-life and enhanced cell performance. RELIABLE 25-year limited warranty on power output. HIGH PERFORMANCE This module uses an advanced surface texturing process to increase light absorption and improve efficiency. [Designed for (11 I color ptom by sharp ND-72E LjF/ND- 2ELUF 0. ., t..,. : RESIDENTIAL 72 WATT MODULE FROM THE WORLD S r TRUSTED SOURCE FOR SOLAR. k Designed to partner with the 142 watt module in �y`r�sl sA the Sharp OnEnergy solar system, our exclusive 1je �^}aM3L + it ri?y trC ``X1 f triangular module sets a new standard in aesthetics for residential hip roofs and complex roof lines: Black frame and low.0ofile'rack glass cons tructwn a Sharp's OnEnergy system replaces the bulky complementroofline, m:a;hrghtorsionSframc look of traditional solar roof mounts with a clean, `k elegant appearance that blends beautifully with h SHARP THE NAME TO TRUST rooflines. Using.breakthrough technology, made When you choose Sharp you get more than Possible by nearly 50 years of proprietary research .well engineered products You alsorgetsharps tx ' k and development, this module incorporates an proven,xellabillty outstanding customec,ser`vlce advanced surface texturing process to increase light and the�ssuran�e of oU'r 25 year llmltedkwarranty A global leader;rn solar electrlci,ty rp power'sF absorption and improve efficiency. Sharp is proud -� _ - Shaz,•��� more homes and businesses than any other solar . to offer innovative product choices that blend the mar,ufacturerwbrldwlder", power of solar electricity with the aesthetics of :4 modern architecture. „ ,{ r , + �`, � �'�'�ECOME�;P'�U'1i►%ERFUL'��y����j . i � - `� - �''•�. +..4 '� E T 1 r•�` E a .fit f� �a�,z��i r 4�' b nv a v w a Y +t, i6 er 0141 1fy t ��h f r7 t+. �. s t} t 7y ,Oaf 5 h '�✓fit'+�v��Y •� p'' i 72 WATT • AID-72FRUF/ND-72FLUF -.ELECTRICAL CHARACTERISTICS IV CURVES Maxifnum Power(Pmax)* 72 W C.1Tempe t—u•e Tolerance +10%/-5% ' 90 10001 hn'1 Type of Cell Polycrystalline silicon o } 80 Cell Configuration 21 in series 7 70 800[v W1 I Open Circuit Voltage(Voc) 12.71 V 6 Maximum Power Voltage(Vpm) 10.03 V 60 Short Circuit Current(Isc) 7.89 A a 5 600 !rWI Maximum Power Current(Ipm) 7.18 A 4 40 € Maximum System(DC)Voltage 600 V s Series Fuse Rating 1S A NOCT 47.5°C 2 zo Temperature Coefficient(Pmax) -0.4854'°/°C . 1 10 Temperature Coefficient(Voc) 0.36%/°C 0 0 _ 0 2 4 6 8 - 10 12 14 Temperature Coefficient(Isc) 0.053%/°C WitaSeM —c°rre,iK.vwiage 'Measured at(STC)Standard Test Conditions:25`C,1 kW/m'-,AM 1.5 ev Ll`—WVohageomraned.ua _ rw.,,,V,w, MECHAhIICAL CHARACTERISTICS DIMENSIONS Dimensions(A x B x C below) 45.86"x 38.98"x 1.81••/1165 x 990 x 4.6 min SIDE VIEW Cable Length(0) 51.271300 min p Type of Output Terminal Lead Wire with MC Connector ---i Weight 23.14 Ibs/10.5 kg Max Load 50 psf(2400 Pascals) BACK VIEW E F QUALIFICATIONS A UL Listed UL 1703 Fire Rating Class C c c=°L uS• t f8 �.tt G H WARRANTY 0 25-Year limited warranty Contact Sharp for complete warranty information K L .M. N - A B C D E 45.8671165 1nin 38.98"/990 nun 1.81•'/46 run) 6.81'/173-mm 50.3"/1277.5 min Design and specifications are subject to change without notice. F G H Sharp is a registered trademark of Sharp Corporation.All other trademarks are property of their respective owners.OnEneray.and all related trademarks are trademarks or registered 15,75"/400 nun 7.9"/200 min15.75•'/400 mm 7.2"/183 min 7.2"/1825 min trademarks of Sharp Corporation and/or its affiliated companies.Sharp takes no responsibility for any defects that may occur in K L M N O equipment using any Sharp devices. 1.06"/27 min 1.06"/27 min 23.62"/600 rnm 7.68"/195,rhm 51.2"/1300 min Contact Sharp to obtain the latest product manuals before using any Sharp device. - Contact Sharp for tolerance specifications SHARP ELECTRONICS CORPORATION 5901 Bolsa Avenue Hunti ngton ton Beach CA 9264 SHARPO 9 7 1-800-SOLAR-06•Email:sharpsolar@sharpusa.com www.sharpusa.com/solar ©2008 Sharp Electronics Corporation.All rights reserved. 08F-010•VP-06-08 4 t:rF.# r- lipz' 4 q„ 23'-9" 3'-10" 4'-2„ of • w c I A-] U) Z w Ln 15/I6" FIBERON I j I COMPOSITE6- DECKING (TYP.) cal I SHED TO BEI A m IREMOVED I A/C A-] m 1 r � C A-] f B 20'-8" -0' A] v A A-] PLAN � A v4• - r-o• . wo EXISTING DOUBLE U O CONC. ] 2X8 (TYP.) FOOTING W s = Q DOUBLE A-] EXISTING ITYP.) 2X6 (TYP.) CONC. n Q J PAD 4L UJI W W J 1 I I 2X8 a 1G" O.C. m W CONC. ING I I 2x6 ® I6" O.C. I FOOTINGS 1 (TYP.) I6±� A 4J n J I C 2x( a I6" O.C. I A] B � A-] NOTES: I. REPLACE ALL DECKING, STAIRS AND DECK FRAMING; USE EXISTING COONCRETE FOOTINGS. d- °° O �2.ALL FRAMING PRESSURE O !�� P TRcATED , �\ Q \ u o FRAMING PLAN - B v4• - r-o• DWG, N0. m n _ O �III11 I z D I I=1 uj \ N I11"1 3'-0" m - - - -11_ o � III I I z 1111111 � L - - - -III III =III Ed 11 m L - - -! � o � I:I I I ITI O IIIITI ' (� IIIIII I_III111 I_II:]II I M tJ -III- 1=1 I I :III-1 < DATE: SECTIONS A Slv;a Silvia oda c. 1/I 1/L O O I '.Bll11D®5•ROIODtl�S•D6CM® Z SCALE: HURWITZ RESIDENCE 1284 MAIN STREET N p 95 SHORT BEACH ROAD OSTERVILLE, MA 0 4' CENTERVILLE. MA 508-420-0226 . 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C, . , Y l � �i' f - '�+fl ,9.� yyu/la •Lx' C. -�� Y ' ! - f d 'FINE .LINE DESIGN 9 �i5 SHORT BEAGH ROAD �8 N1EST BAY ROAD. _ ' o N 05TERVILLE, MA55Acku55ET75 02655 QOF u GENTERVILLE, MP., 02632 (508)420-1296 e" 71� � � www.finelinearchitecturalde5ign:com e f y ' ' I � --- --� - i { a � r i _ i , t �• I j , I _ �� ��---_-_V— � I • I : : , i • III I I l _ I i V --_t r� � __ �� 1- _-- •EYE—�—_' P r — I I . IF 44 F(JJ M !— _ jam I - i I t I i 1 1-4 T s o� � � �� Lam! i I } 1 I i _fit � i_ { . ��--_.'_-'-�--> _ _-_- 1_ --- :-- • - r - I _ , --r ---I- C _ I r - - u - ! + f I I ; I __- _ .::..ice-'9 _ 1 �I� ��! l -_ •-i ��-•�!- "_ it nu iL E - i � rTI Ti ji it 7-17 • _ I yr i I 1#- i I ( -�-- -- - j _ t 1 I I 1 It I C ! 1 -1i- r..��r 1-7 -PLA a 89"' 1051" 38 4 a F! 4 a " 36 --�� 3fi� E 50t Z `i GLASS a GLASS I ` W332713 ! 36" RANGE W222713 VVPI3272713 33 15/16 & CABINET : 33 15/16" t 3 DRWR HOOD ` `- t 3�-2---"`�''' I �� 3 DRWR BLIND CORNER w ; ==ROL=L--OIIT ` .r 0 36".LIEBHERR? FRIDGE SS FRONTS O ISLAND OVERALL 30" FARM '(5) ' 86" X 49" SINK BASE(301 ,� s DW 12" 4 I PANEL X-5827=0� a DBLE , { t DRWR TRASH W - I 12" SEEP STORA E i 1 -46 NOTE::WALL_ ' I s CUT BACK 3" '1 f TABLE. - 84" X 38 1/2" 00 w dam- i W 6 X C X ft( Y . 1 ape_ O '' ^# Xi ;44�iN�...+hf+�+r.�iw�M .. ...... - ._ r .m ..♦ wv ra. r .. .++.rr+a• y�� --122 l� 148 5 All dimensions-size designations Designed by This is an original design and must- Designed:•9/13/2018 given are subject to verification on Rebecca H. Brown,CKD not be released or copied unless Pritited; 9/13/2018 job site and adjustment to tit job ;" applicable tee has been paid or joh conditions. order placed. Hurwitz revised kitchen 9-13-18.kit Al'l Drawing#: 1 Scale:,0.1/2"= 1' _ . - a W302515 W302515 I -- 13"Tal 1 _ 137 Ta11 N - w/3 d rs _ W371027 w/3 drs °D DRY.FRONT WASH.FRONT ;. cabinet above fridge 9i CI LO i _ f i CM 4 1261-1 - i I E i All dimensions -size designations Designed by This is an original design and must Designed: 9/13/2018 given are subject to verification on. Rebecca H. Brown, CKD not be released or copied unless Printed: 9/13/2018 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. Hurwitz laundry 9-13-18.kit All _ - m Drawing M 1 : = 1 Scale -153 I ;MASTER BATH 36" x 60" a Tile Shoover With Enclosure - LO O BVT6433422. _ SFLO300309 �_3511611 4211, _. 765,, , , All dimensions -size designations. Designed by This is an original design and must Designed: 9/13/2018 given are subject to verification on Rebecca H. Brown, CKD not be released or copied unless Printed: 9/13/2018 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. i lHurwitz revised master bath 9 13 1 S Sit �. Drawing #: 1 2" = 1� _ . All De Rck R,c�J I , � I i f iji l --- - -i , I , r; e� k I Ni rI ; i I ik t _ --t o rT I -i � 1 �• �'' I ( F^— i IY � k . 1 , �.r I r ------ i ►l 3� 2 w I r —�—l--1 i r��--'___�—_r i __ � s e•► ins It 1-4 • i { I -r I iI•�t Ia 4 ° ' I i •.c ri, r - II7i7i '. �.I if AM I I if- Ir , I - w --- 7 1� Imo` ' I i -►-�=r= l';��I 1'4 i-- i r L►� r—) vo f 1951" r , f 89 a,� f 105 T f 34"" 36"_____—,,f�---3g 4 0�=_ S6" _ 50 2�, GLASS I : GLASS M~ +: ' W332713 i ( 36" RANGE W222713 WPB272713 f 33 15/16" & CABINET f 33 15/1.6", �.,1 -- - �-2 I 3 DRWR HOOD 3 DRWR i I BLIND CORNER,, ,, ROL=L-OUT _ ___ . _ ...,SWINGOU-T5�, I Cn j m,- $36" LIEBHERR - `� FRIDGE SS s `Q FRONTS o ISLAND OVERALL 30" FARM = 86" X 49" SINK BASE s 24" D W - 12" 4 1 PANEL K-58'27=0 , I�•DBL'E DRWR TRASH i w E 12" DEEP STORA E I 5"'4.� .......�..� f 46.E � 'I NOTE:.WALL � ' CUT BACK 3" 03 ` w .. 7 M - TABLE .J 84" X 38 1/21' 00 a�u • T M W a— r' Z - r- U_ I Ay LT ' co I' J , 122 a„4 i f uv6 ' 71u11 14 -1 f 14.8•s" ; All dimensions_size designations Designed by" This is an original deign and must Designed: 9/1 3120 1 8 given are subject to verification on fZebecca H. Brown,CKD not be released or copied unless Printed:,9/13/2018 job site and adjustment to fit job applicable tee has been paid or job conditions. order placed. I 1 Hurwitz revised kitchen 9 13-18.kit - Ali cawing#. .1#. .1 Su�lc„0•I/2'°= 1' r { -- 126 4 ,Y ­71 EW302515 W302515 13"Ta 1 i 13 Tall) w/3 d rs W37,1027 w/3 d ors. CO cabinet above fridge DRY.FRONT WASH.FRONT ® , z__,.. _ LO CD . _ � #( � • - -{ { NIA'.+ (A) y ; ' i i All dimensions _size designations Designed b This is an original desi n and must Designed: g Yg 9/13/2018 given are subject to verification on Rebecca H. Brown, CKD not be released or copied unless Printed: 9/13/2018 job site and adjustment to fit job applicable fee has been paid or job ��� conditions. order placed. , Hurwitz laundry 9-13-18.kit All IDrawing #: I Scale : 0 1/2" = 1' _ r �5 - - - - _ --1 3 �. - e 5gtI, Q MASTER BATH 36" x 60" ' Tile Shower With Enclosure; U-) c�0 BVTC433422 SFL0300309 JiAw { All dimensions _size designations. . Designed by 'Thiss is an original design and must Designed: 9/13/2018 given are subject to verification on Rebecca H. Brown, CKD not be released or copied unlessPrinted: 9/13/2018 job site and adjustment to fit job applicable fee has been paid or job conditions. order placed. i ]Hurwitz revised master bath 9 13-1&.kit =Drav_w_in_g-#•Ail #. le 0