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HomeMy WebLinkAbout0075 VALLEY BROOK ROAD r`J S �1�:-) 1� `�roe W ,.:, ., � .1 r s � ' .. .. 4��". ' .,. � - 4 k ' o i _ _ d � � .� �� _ e � - ., �- � ,. q ' .. ...i.. .. i. i. 1 ! ., ,. � .. ,. n .. .�. �i o � ��� o� r Town of Barnstable ilding SAJIMM I ;Po'§tThis'Card So-That rt is,Uisrble;From.the Street, Approved,Plans�Must be Retained on Job andthis Card Must be Kep�t �� w, M'"` iPosted UntU;Final Inspection Has<BeenMade ? Permit ear�t )Where a Certificate of Occupancy is Required,such Bu�ldmg shall Not be Occupied until a,F�nal Inspect on has beenmade �t Permit No. B-19-3080 -Applicant Name: COHEN,JACK R&WENDY GOTTESMAN Approvals Date Issued: 09/17/2019 - Current Use: Structure Permit Type: Building-Shed-Residential-200 sf and under Expiration Date: 03/17/2020 Foundation: Location: 75 VALLEY BROOK ROAD,CENTERVILLE Map/Lot: 188-162 -Zoning District: RC Sheathing: Owner on Record: COHEN,JACK R&WENDY GOTTESMAN> Name " .,. Framing: 1. Contractor Contractor License-- Address: 13185 NORTH MARSH DRIVE 2 Est Project Cost: $0.00 PORT CHARLOTTE, FL 33953 Chimney: Permit,Fce: $35.00 Description: n: 8x12shed p Insulation: F e Paid e 535.00 I 2 shed located as shown on submitted `'lot Ian Project Review Re 8 xl s p.. R, J q Final. • Date 9/17J2019 , 1 I Plumbing/Gas i Rough Plumbing: Building Official Final Plumbing: This permitshaI[be deemed abandoned and invalid unless the work authonzedxby this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which`the permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structu6res4fiall be in compliance with the local zoning by'laws;and codes. This permit shall be displayed in a location clearly visible from access street or'road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. # r.g $ Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building amend fire Officials are�provided on this permit. Minimum of Five Call Inspections Required for All Construction Workj a 'r Service: 1.Foundation or Footing 2.Sheathing Inspection Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy • Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: r T Town of Barnstable �TRErati -Building Department Services Brian Florence,CBO • sAxxsTAATtiR Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town,barnstable.ma us Office: 508-862-403 8 . Fax: 508-790-6230 PERNM# e �� O � . FEE: $35.00 BUz MN RE�smDEN UALLOONLY 200 square feet or Iess T0 �j/1/ 0 014 �9 Location of shed(address) Village Properly owner's name Telephone number Size of Shed Map/Parcel# Sigaatrae Date Hyaanis Main Street Waterfront ffistoric District? . Old KIng's Highway 13"istoric District Commission jnrisdiction7 You must file with Old Kings Highway Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9c30&3:304:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-sbedreg REV:08/6/17 'VJ (f 52- C:iP, Ar` L- , cv . 4 f.'gin mot_eUM — Imo`\'. RIVE ra ol YA - z,- �, �r a a � � K� � a �-.• tL \ \ r \ T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel o�. pp A lication Health Division Date Issued `�` 4 Conservation Division 1840 gM01 ; Application Fee G� Planning Dept. Permit Fee I O Date Definitive Plan Approved by Planning Board atz Historic - OKH _ Preservation/Hyannis � ���� &Mal) Project Street Address IS Village__ 'J T eirV� � 1",✓ Owner Jae-C. C�_)6i1 d 44-►C GVMZSMcz11 Address 131 bs­ ,jyoy- Mc ri✓e, Tele hone �5 - a 5 �'-,4r J9J-J:_ FL 3 P Permit Request fT)) f S)­) 6Q.s2 mQ,wt j r7 /UPS IA) Ad' cl 4 D 1k (�i� Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑existing ❑ new size —Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑(Yes ❑ No If yes, site plan review# , l Current Use Proposed Use W .. _ APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name J[�rre.S s a ea_e_c , Telephone Number SbO iJa 8—?&0© Address 0 . 86Y., / 7/ License # C S_ 699S_&_0 Home Improvement Contractor# 15/�S Email SCOT 12ea.ao4k@y-r-rIZDi-71 1,7if:i' Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 1 Y) of SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE y OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION i I FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL : GAS: ROUGH FINAL FINAL BUILDING 11 . DATE CLOSED OUT ASSOCIATION PLAN NO. tag � �� oFtRME r a Town of Barnstable BARNSrnsr s. Regulatory semees �Fv ,ta Thomas F Gdiler,Director Building Division Thomas:P.erry..CBO Building Commissioner 200.Main Sheet, Hyannis,Na 02601 tig ivW..toNTn.h arnstWe.ma.0 s Office: 508-862-038 Fax. 50$-790-6230 Property. Owner.Must Complete and Sign This Section If Usincr A Builder as Owner of the subject property, hereby amhoiize � ��f�„ to:act.on.nay=behalf, in all Matteis relative to work-authorized by this building=permit-application for. Wo32- (Jkdates.s. of Job) t Signature of er ate Print Name Q:tVPF7LFS\FGR\gS�buildins Permit.fo nsiE?:PI2ESS.doc Re,.6se020108 V Massachusetts Department of Public Safety Board of Building Regulations and Standards License: CS-094500 Construction Supervisor , JAMES S PEACOCK It PO BOX 171 tl < OSTERVILLE MA 02655: E Expiration: Commissioner 07/22/2018 .�, !Y��e 1!'[+Ur7rcorruerr���-n ��(frJJCrC�rcJC� - _' Office of Consumer Affairs&Business Regulation License or registration valid for individual use only +•_ HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: r Office of Consumer Affairs and Business Regulation Registration:.;'_.1°51853 Type: F. 10 Park Plaza-Suite 5170 - 7 Expiration 7R12018 Private Corporation �, •< =_-_ Boston,MA 02116 SCOTT PEACOCK BUILDING-4--'REMODELING INC JAMES PEACOCK 1046 MAIN STREET Sl11TE7 , r OSTERVILLE,MA 02655 Undersecretary Not valid without signature I A6� ® .. DATE(nuMMDOImrY) CERTIFICATE OF LIABILITY INSURANCE 07/22/2016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must 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 endorsement(s). PRODUCER CONTACT , NAME: Germani Insurance Agency PHONE 508 28-9194 Falk No: 508 283068 908 Main Street E-MAIL Osterville,MA 02655 s :certs@qermaniinsurance.com INSURERS AFFORDING COVERAGE NAICi2 INSURER A:SAFETY INS CO INSURED INSURER B Scott Peacock Building&Remodeling,Inc. INSURER c P.O.Box 171 Osterville,MA 02655 INSURER D:Granite State-AIU Holdings 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 ADDL SUER - POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER MMIDDIYYYYI (MMIDDfYYYYI LIMITS A COMMERCIAL GENERAL LIABILITY BMA0022118 7/5/2016 7/5/2017 X EACH OCCURRENCE 8 1,000,000 CLAIMS-MADE OCCUR DAMAGE T RENTED PREMISES Ea occurrence) $ MED EXP(Any one person) $ PERSONAL 8 ADV INJURY $ GENT AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 POLICY E T LOC _ PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMB $ Ea accident ANY AUTO BODILY INJURY(Per person) S OWNED SCHEDULED AUTOS ONLY AUTOS BODILY INJURY(PerauJdent) $ HIRED NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident S UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB HCLAIMS-MADE AGGREGATE $ DED RETENTION$ - $ D WORKERS COMPENSATION WC 005-81-5464 6/22/2016 6/22/2017 PER OTH- AND EMPLOYERS'LIABILITY YIN STATUTE ER ANYPROPRIETOR/PARTNERIEXECUTIVE E.L.EACH ACCIDENT $ 500 000 OFFICER/MEMBEREXCLUDED? N NIA (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION Of OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES(ACORD 101,Additional Remarks Schedule,maybe attached if more apace is required) - CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Scott Peacock Building&Remodeling,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO BOX 171 ACCORDANCE WITH THE POLICY PROVISIONS. Osterville MA 02655 AUTHORIZED REPRESENTATIVE ©1988-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016103) The ACORD name and logo are registered marks of ACORD AFfirtmMt rfsdr 600 Wksht eeg 4a�vR�arra�g���aa - , Warkeas' CuHaPeniaffannice Afd-avit-g c�ea�l rnfra rsl I Tiers Nam ac�aie ,,;rs�irnr� j cJCL ` --Peext.;c &VI I&I lie=�6zddi -. Are to an empIgyer?.Ch ktheagpropriatebum Type of project{ret}z�Mle = I. ` arga stnploTerwtb. ❑I am a genesal coaiz$ctmaadI .employees(fiffsnfofpmt-time)-* have hiredSie ma-cam 6- ❑1tTew �.❑ I am a sale PMPdetotr orpartner fisted onfhe aftarbed sheet 'I. [aRemodding sE1d have no e[�pl¢j egS `T- e&--ssub-cmfr'dct0=have 9- ❑Demoaba AotEng forrcte in any - employees and have wa&ere • # 9_"❑Sui1d-mgaddiisfln Irv 'comp-insurance camp_n,�.�.P ,. reTzfte&j ❑ Wearea=ponmandits IOLEIElectricdrepaimcradost�$ 3-❑ I ova a Fiarneo r doing aIg�orlc oiacers fi have e:Ye a ze:d thek 1I-❑I' s' hM*iag= ar ar3 Lions ' Myself[No WO&E comP- �t&= =per MGM i«vc�ttagtre1��afrF.��[ C_ v<s §1(4)6=iwehweno l LEIRoo =epai employees-[No 13-❑'D&e,- coaeo.iamiumce require&] °�Y���t a�c'ssTw�Tl mast sL�a x�i lo�fi3r�sxticabe7a�sbassi�d�ea cQmePnycgi�ao� " i r�•,T,���c su1�iris sm3ara' s� c�� clz�cic bmcnmst �additi�sis�eei sg�raic�Lfim} acasnmstsnT�ta�Rvaertm�eagsa� shau�agthensm�of the sob CamZais�d ste asnat&nse eatbse= EMP ees.IftbamiVcm9mictushave � 'yam Pmvideih�c srnrkr�s' P-F �htt F am art eeipIo�ar flta#'ispravir�rrg snor&ets'cots�aaa iasaaraxc�,�rr���' .SeTvep 2s riTta,�ii�arrd joia'.srte Ftz�arrardaart j` J 'PoohcgA'-orSelf-in..Isr-.4k � � �� � � ��u 7' uuI3ate= �l•��- �C/ Job siteAave=_ 2 S V41 ��'.�. l C��Tc ��1, CiiylSka�t�.tF ( Y-V A 0,)�0 j Attach aOW of&.e workme compeasa ionpolicg dec%rafi=Sage tshawlmg the policy nmzber and esph-,diostdate. Fadnre tta secnc c as raequirednader5 25A o€ARH.c-15 cm lead to the irnposft ion of criminal PwalEaes of a fine up to$L540:Da and for one y&irimpriso as w1 asrio Peoslfies ffi ffie,faux a a STOP WORK{71.UMand a fne of apto$25QQti a day a #fie violaftm Be advised that a copy offbis stWemeut maybe fmwarded to the Office of ` Irrves�cga#aassELe DID.far fimmmnce coversge v nn- I rfa Tree c turdbr oral u p sx€ at a irg,{arsra€�vrrpraaitl�d abaci tars and crrrrect Datp- Ojfwid aw m9r. I3a not mite in dds wwx tv be carrorefesd by cUF artatra aka£ City or Town: PIerudff-&ewe;9 lwmin.- l*y(creel--nae): 6.ether C6mtact Person: .- , �Cbmmonwealth of Massachusetts Sheet Metal Perffi t Ma Parcel AqtT Date: JAN 2 5 � 7-- 1097S- Estimated:Job Cost;>$ Pe_Tmit Fee: OF T Plans Submitted: YES., NO ` PYa�-Reviewed: YES NO Business License# Applicant License.4. Business Information: Property Owner/Job Location'Information. Nam Name: V Street: kc-)Ca'S Street: \\ CitylTown:Ll7 3(-Lofl�C5� "� � �'�J�e City/'Town:C� ��-�-(�if Telephone:.. y Telephone: Photo LD. required/"Copy of Photo :D. attached: YES �• NO � 1 sta nnitial J /.Wtwjntestricted license J-2/M2=restncted-.to dwellings 3=stori.es.:or less and:commercial up to 10,000 sq.-ft. /2=stories or less Residential. 1-2 family_Z. Multi-family.: . CondoI Townhouses Other Comumercialc Office _Retail Industrial Educational Fare Dept.Approval, Institutional-- Other_ Square Footage: under 10,00.0 sq. ft..Azover;1;0,000:_ q ft': 1Vta�ber of Stories: Sheet wetal work to be completed`: New Work: Renovation: HVAC Metal:Watershed Roofing Kitchen Exhaust System Metal Chimney]Vents; Air;Balancing k i Provide detailed`desc iption of work to be done: 4 CSC- I INSURANCE COVERAGE: i f` I have a current li bility insurance policy.or-its equivalent which meets the requirements of M.G L:Ch 11`2 YeseNo } If you have checked Y&indicate the` a of coverage bychecking':the appropriate boz beloinr:i { A liability insurance policy Other type of indemnity ,E Bond 0 { OWNER'S INSURANCE WAIVER:l am iaw.are that.the_licensee dogs:not have the insurance coverage required by Chapter 112 of the { Massachusetts..General Laws,and that my:signature on this;permitappiication waives tl is requirement: Check;One Pply Owner Agent Sign a ure of Owner or Owner's Agent { By checking this box[ ,I hereby certify that all of the details and iriformation I have;submitted(or entered)regaMing this applicationare true'and accurate to the.best of my knowledge and that all sheet.metal work-and installations.performed under the permit issued for this application will tie' in compliance wig all Oertinentprovision of the binassachusetts Building Code and Chapter 1 i 2 of the General taws: l Duct inspection required prior to.insulation:installation:YES; NO,. f � - F P tognes mLlections 1 Date Comments I } i i fbal XniS leCflQit Date ,Comments; l { t • E Type of License: 3Y. Master` y Citle �Master*-.Restricted: �ityrrown; (]Journeyperson ignature of.Licensee 4 .ermft#. I []Joumeyperson-Restricted2) License Number: Check at vvww.mass:dovlde�l i 1 nspectdr.signature of Permit Approval t S I The Commonwealth of Massachusetts Department of Industrial Accidents - Office of Investigations ' 600 Washington Street ,+ Boston,MA 02111 www mass. ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/organizationftdividual): AirSmart, LLC Address: 1065 Service Road City/State/Zip: West Barnstable, MA 02668 Phone#: 508-280-0024 Are you an employer?Check the appropriate box: Type of project(required):_ 1. ✓ I am a employer with 3 4. I am a general contractor and I 6. New construction employees(full and/or part-time).* have hired the sub-contractors 2. 1 an a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers' [No workers'comp.insurance Comp.incnran 9• Building addition �$ 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 11. Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL- 12. Roof repairs insurance required.]t c. 152,§1(4),and we have no 13 Other sheet metal 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 a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees: Below is the policy and job site information. Insurance Company Name: Merchants Insurance Group Policy#or Self-ins.Lic.#:WCA9099895 Expiration Date: 02/12/17 Job Site Address:-� � (%l `\-Q� 7JE City/State/Zip: (ESL C J 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 ce un enalties a erjury that the informatmn provided above is true and correct Si afore: � Date: Phone#: 508-280-0024 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#: Date Prepared: 02/20/16 r DIRECT BILL AJ WORKERS' COMPENSATION AND EMPLOYER'S LIABILITY INSURANCE POLICY MERCHANTS PREFERRED INSURANCE COMPANY BUFFALO, NY 14202 NCCI COMPANY NUMBER: 33942 INFORMATION PAGE POLICY NUMBER: WCA9099895 TRANSACTION TYPE: NEW BUSINESS AGENCY/BROKER: SOUTHEASTERN INSURANCE AGCY RENEWAL OF NUMBER: AGENT CODE: 66814/NER06/033 BUSINESS TYPE: LLC 1. THE A.IRSMART LLC INTERSTATE/INTRASTATE RISK ID: INSURED 1065 SERVICE ROAD BOARD FILE NUMBER: MAILING WEST BARNSTABLE, MA 02668-1849 FEDERAL EMPLOYER ADDRESS IDENTIFICATION NUMBER: 811180983 OTHER WORKPLACES NOT SHOWN ABOVE: (ADDRESS, CITY, STATE,Eii=-%C0 3i_) 2. POLICY PERIOD is from 02/12/16 . to 02/12/17 12:01 AM standard time at the insured's mailing address. 3. A. Workers' Compensation Insurance: Part One of the policy applies to the Workers' Compensation Law-of the states listed here: MA B. Employers Liability Insurance: Part Two of the policy applies to work in each state listed in item 3.A. The limits of our liability under Part Two are: - Bodily Injury by Accident $1 ,000,000 each accident Bodily Injury by Disease $1 ,000,000 policy limit Bodily Injury by Disease $1 ,000,000 each employee C. Other States Insurance: Part Three of the policy applies to the states, if aply, D. This policy includes these endorsements and schedules: MS IU 05 11 99 MU 06 3J 10 14 WC 00 00 00 C WC 00 00 01 A WC 00 03 10 WC 00 04 21 C WC 00 04 22 B WC 20 03 01 WC 20 03 02 A WC 20 03 03 D WC 20 04 01 WC 20 04 03, WC 20 04 04 WC 20 06 01 A 4. The premium for this policy will be determined by our Manuals of Rules, Classifica}i --nal A information required below is subject to verification and change by audit. Code Premium Basis Rates Per Estimated Annual Classifications No. Total Estimated Annual $100 of Premium Remuneration Remuneration SEE EXTENSION OF INFORMATION PAGE MINIMUM PREMIUM $ 486 DEPOSIT PREMIUM $ 2,269 TOTAL ESTIMATED ANNUAL PREMIUM $ 2,269 Interim adjustments of premiums shall be made: ANNUAL Countersigned by: �. AuthorizgWrepresentativd Date COPYRIGHT 1987 NATIONAL COUNCIL ON COMPENSATION INSURANCE WC 00 00 01 A i Nci noon mDv i Town of uArnstable Regulatory Services . Thomas F.Geiler,Director 639. Building A.sieon Tom,Perry,aguilding Commissioner 200:Main:Street,Hyannis,MA 02601 WWW.town.barnstable ma.us Office: '508462-403.8 Fax: 508-790t6230 Property Owner Must Complete and Sign T.his Section If Usin-a A Builder ......,as. wnex of the.sub P .toP e l rty hereby authoine to.act on my be}z4 in all'tnatters relative.to work auihorizeel by this building permit:- (M0 .s of fob) Pool fences and alarms are the responsibility of the applicant. Pools_ are not to:be filled before,--fence-is Installed and pools are not to be utilized.un chtil all fin inspections are performed and accepted.. S gnatvse o owner`. \ S' tote o A.pplicarit Pxnt.Natne Print Name Date Q:FORMS;OWNERPEFMSSIONPOOLS 1/25/L 2017J Mass.gov Licensing and Permitting Portal 2 e An Official website of the Commonwealth of Massachusetts P �6 ' eLicensing and ePermitting Portal Announcements I Register for an Account I Login Need Help?For technical assistance in using this web application,please call the ePLACE Help Desk Search.. ;F-0'®j Team at(844)733-7522r@ or(844)73-ePLAC between the hours of 7:30 AM-5:00 PM Monday-Friday, with the exception of all Commonwealth and Federally observed holidays.If you prefer,you can also e- mail us at ePLACE helodesk0state.ma.us.For assistance with non-technical,please contact the issuing Agency directly using the links below. Contact Alcoholic Beverages Control Commission Contact Division of Caudal Asset Management and Maintenance Contact Division of Professional Licensure Translation Information-Click Here Document Attachment:In order to upload required documents,this system requires Microsoft Silvedight which can be downloaded for free here. Convenience Fee:Please note there may be a convenience fee for all online credit . card transactions.There is no fee for online payment by check. Home Manage Licenses Permits,&Certificates Ftle&Tra_ck Complaints Please refer to the Licensing Entity's website for additional information regarding the status and discipline information shown below. For DPL information,please visit the DPL website. For ABCC information,please visit the ABCC website. Inforrnation Pertaining To: Sheet Metal Master 6653 Licensee Detail o 1 a License Number: 6653 Licensing Entity: Board of Examiners of Sheet Metal Workers License Type: Sheet Metal Master Type Class: M1 License Issue Date: 02/08/2011 License Expiration Date: 11/28/2018 Status: Current Current Discipline: Other Discipline: Name: PI�J TAVANO Business Name: DBA Name: ©2015 Commonwealth of Massachusetts. _ Mass.Gov®Site Policies Mass.GOv®is a registered service mark of the Commonwealth of Massachusetts. " httpsJ/eiicensing.state.ma.tu/CitizenAccess/_SearchaLicense.htm 1/1 �f _¢ S— ""is . r'_ COMMERCIAL DRIVER'S.LICEN$E X� 2rr 13 NONE S51565690 fi. tm: r a oae m I � - zR1CHARDJ s 1U65 5@tVIcE ROAD �} W . BARNSf NIA im AHLE. Fold,Then Detach Along All Perforations =COMMONV>kE H:OFMAiiA, HUSETTS im a 51 M, ® g i on ii inne a Mrs BOARD OF SHEET: METAL- WEDRKE 1SSKS -THE FOLLQWNG LICENSE AS :A MASTER-UNREM .STR1 CTED =� a ,Z. RICHARD J TAVAND: 1065 SERVICE RD 'W W BARNSTABLE MA o2668-1.849 MMIMUNDI66§3 S o 1 t/,�8'�7:6._. e• AGRI BALANCE@ oo. Company Name CAPE COD INSULATION Phone Number 1-800-696-6611 Jose Espinol Installation Date 08-20-2016 75 Valley Brook,Centerville PA86001543 Jobsite Address - A-Side Lot#'s Permit Number B-Side Lot #'s P3037313116 Walls 5'/:" R-24 820 square feet 9" R-40 1,200 square feet Attic y Overhang 9" - R-40 30 square feet Walls 3 %" R-16 100 square feet o . o Blazelok TBX Walkout Wall 23 mils wet 15 mils dry www.Demilec.com I' o c8DEMILEC T.> ' I a,3 p�;3 µ ' wr TOWN OF,BARNSTABLE BUILDING PERMIT APPLICATION - Map U Parcel lU 2, Application..It I + _I U Health Division Date Issued 3�Z1 �jb Conservation Division VAIAJ Application Fee Planning Dept. Permit Fee ��� • �� Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address� m�&ZM Village~- me I l`e Owner JV�,Ajd � Address �,�� l v!,�� +r ► f I 4lsh Jam— Telephone 3 Per it Request ` I G V < ram/►' ►/ t. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District i, Flood Plain ,��,,��,�rrl�t Groundwater Overlay Project Valuation l Construction Type l� `, Lot Size [J J 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: X Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) 00 Basement Unfinished Area (sq.ft) 11 Z Number of Baths: Full: existing Z, new Half: existing 1 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: Xi Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: q-existing ❑_:new maize_ Attached garage: existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Cn A -°- Zoning Board of Appeals'Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes No If yes, site plan review # ff � Current Use 51 1� 6 V� JYVI C Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Pazm, r Telephone Number 5W. z y-3 -7& U0 Address I License J J�O Home Improvement Contractor# '6I _3 Email Worker's Compensation # W0Q5 91-5 Al ALL CONSTRUCTION DEBRIS RESU G FROM THIS PROJECT WILL BE TAKEN TO q" W411 P�w Rill SIGNATURE A - DATE �-�a-� a 16 I t f FOR OFFICIAL USE ONLY APPLICATION # � DATE ISSUED MAP/ PARCEL NO. - 4 - i ADDRESS VILLAGE �a = c OWNER t DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ;r ELECTRICAL: ROUGH FINAL M PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. JOB SHEET NO. ..yam Of TAYLOR DESIGN CALCULATED BY �2• l DATE - CHECKED BY VW .. .. ... . ...._ ....... ... .... ..... ...... ... ..... - . .......(_.�- r.V - Ar7... 1 .... .. tw .... - _��. `. -r�o ,,.�. '` -t �._ -- 3 tom. ► .� /........... Z S ,47S. .. . .......... ..... ........ . Iy-l.t. ...C.Bl�GQL�rT pp O ?'�jv ..G"� .QgA�•rg .kd � , .... J .... t Z,� ... _. �l . .....w z. ,tz . b .... �42, lF z = 3"............ . . Z .�ate•✓ .. ..... . - .... .. _ ............... h't= 3 2G.. u? . S t# Y kir 9 2 3 1� r .. _ -t- I°LZ Gi40p PRODUCT 204-1 Gnolr.Sheelsf 205-1 fPMdedl JOB • �/ pN SHEET NO. OF � TA LOR �ES�V r� ��' CALCULATED BY DATE I 7� 1S CHECKED BY DATE 7s Q o SCALE ..... _ ... ..... .... ....._........ :._..,.. ..._. _.. ... .. .. ... ..... ..... ..._ .. . .. 7 IQ— �C .kC,. ......Fes. Qs� .... 3.5 Z ►,..7 � •¢43. "3,55�3, - r-t _.. ... L.... ...: _... ......... � -- Ir �- 6649 _ .. ...... C 4 t.N .. z,� _ .... .... Ll 2. l k_.at- t.. �! 14 r .......... ... .. ......... ........ L l 3C.c'? Z.. a ...... 4 h�,a.'t3at�'p5 �A. '-- _ . I l .x ,t zs St� ... r JOB SHEET NO. OF Q TAYIOR DESIGN '6:iwC CALCULATED BY T DATE CHECKED BY DATE p SCALE ...... ......!. .... ..... -.�tL.S-� '�- .vo-Q� _. -r��tr•a , . . A-o..pF. + ._. PS.F �.'4i _PS'F ..... ......... / � t4y.e G...Z` . .... L -.:. Q q�-�s..c -r ' .. ....... ... .. . .. . .... 47 Pt V. Gam. ( .` ............ _ .... ........... .. c 1.� x per.. S F_ A - G- . ... _ :max, .. -.. 7 . ± ".. � . � - -)�................ ........... IQoo� .L.c► <.A-Z ..3 .. > . .............. . 7 = `1 L 500 ......... _.. .......: (��� ..3 34 �d►. � fir_^ t,4;t- ,.. ._ .. TV . ....... t �- za 4_,.. ' JOB �V SHEET NO. '�" OF �' TAYLOR DESIGN CALCULATED BY DATE, CHECKED BY DATE ._. .. _. ... ..... .... o®F (..,o 1r� .: �/ (30_.�.. ...... .... 4 Z-7.... ip Ic+ ,c,. ...a-c,u.... c-e �li-�..... 8` .....�lo P 3� 2.S�re�.� �l 4._.. '7 c....r ....... M _ t4sP � 4�4 P 1.4 0 2_ 7 ....... ..... . u --� K . . a. aY..7 c..v..•-• v.� t +tiY. 4 k l�4 T (.o.��...c, .. -r .... .. . . . . em' t2 7: fi4 i.."�. .. ^.. . p S '�, "t � ,_33> l.i.�t 7 P 3 z .... u canniu�r aw.i icne.a���ns.��o.,nn�� AcCPR& CERTIFICATE OF LIABILITY INSURANCE DATE(MNU 06(24/2015 Y) 015 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((es)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 Germans Insurance Agency NAME:PHONE FAX 908 Main Street • o E 506 28-9194 AIC No):508 28-3068 Osterville,MA 02655 EMAIL ADORE :certs@aennaniinsurance.com INSURERS AFFORDING COVERAGE - NAIC# INSURERA:SAFETY INS CO INSURED INSURER S: Scott Peacock Building&Remodeling,Inc. INSURER c: P.O.Box 171 Osterville,MA 02655 INSURER D:Commerce&Industry Ins.Co. 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 ADDL SUBR POLICY EFF POLICY EXP LTR TYPE OF INSURANCE POLICY NUMBER IMMIDDfYYYY1 fMMIDDNYYY) LIMITS A I 7COMfERCIAL GENERAL LIABILITY BMA0022118 7/5/2015 7/5/2016 EACH OCCURRENCE $ 1,000,000 • DAMAGE-TO-RE NTED S MADE OCCUR PREMISES Ea occurrence $ MED EXP(Any one person) $ PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ 2,000,000 PRO POLICY❑JECT LOC PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accdent ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED BODILY INJURY Per accident $ AUTOS AUTOS ( ) HIREDAUTOS NON-OWNED $ AUTOS Per accdent UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I.RETENTION$ $ D WORKERS COMPENSATION WC 005-81-5464 6/22/2015 6/22/2016 PER 5TH- AND EMPLOYERS'LIABILITY YIN STATUTE ER. ANY PROPRIETOR/PARTNER/EXECUTIVE OFFICER/MEMBER EXCLUDED? a N/A E.L.EACH ACCIDENT $ 500,000 (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS 1 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 Peacock Building&Remodeling,Inc. THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN PO Box 171 ACCORDANCE WITH THE POLICY PROVISIONS. Osterville MA 02655 AUTHORIZE TATIVE © -2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are regis ed marks of ACORD i 77ie Conrntonweakh of Massachmelts V Departme;•tt of Industrial Accidews Office of Investigations 600 Washillron Street Boston,MA f12111 rvtm mass gov/dia Workers' Compensation Insurance Affidavit. BudderslConfiactorslEIectriciansiPlumbers hcaut Information Please Pnnt 'bl Name aL%inesstorganizarionftndivi;c u4: 1 of EE Address- j oq Ciwstate/zi I I � J Phone* Are you an employer?Check the appropriate box: Type of project(required): 1. I am a employer with 4.❑I am a general contractor and I 6 t5Newcmsft=tion , employees(full and/or part-time).* have hued the sub-contractors 2.❑ I anti a sole proprietor or partner- listed on the attached sheet` 7. ❑.Resuodeliug slip and have no employees These sob-contractors bate 8. ❑Demolition working for me in any capacity. employees and have workers' 9_ Building addition } [No workers'comp.insurance camp.it surant� 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 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12_❑Roof repairs insurance required.]T c. 152,§l(4),and we haze no employees.[No wwims' 13_❑Other comp.insurance required] 'Any applicc=thar cbecks boor#1 mast also fill out the section below showing theu•workecs'cmvpensation policy inf arrnation. .;Any who submit this affidavit indicating they are doing all wick and then bite outside contractors mast submit a new aff dasat indicating such TCuntmctors than check this boa must attached an additional sheet showing the name of the sib-coat wton and stela whether oraot those entities have employees. Irthe sub-contractors haws employees,they must provide their workers'camp.policy number. lain an employer that is providing workers'conWansation insurance for my employees. Below is tyre policy and job site information. C, l Insurance Company Name: �ommer66 �- Policy#:#or Self-ins.Lic.4- W 01 005, U i • %0 Ll Expiration Dater zZ t 6 Job Site Address: Va I lifo ga� CitylStatet7.ip:( (�i'l�fMjl 02&3a Attach a copy of the workers'compensation policy declaration page(showing die 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 S 1,500.00 and/or one-year imprisonment,as well as civil penalties in the farm 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 verifitation. I do!herein,certify under the pains and penaWes of petj ury that the infot rmadan pm deed ab a is true and correct Sittrlature: Daie. Phone# '.M , 2T-'"7*(v Official itse only. Do not write fn this area,to be completed by city or town of efaL City or Tour: Permritd dense# Issuing Authority(circle one): 1.Board of Health 2.Building'Department I City/Town Cleric 4.Electrical Inspector S.Plumbing Inspector b.Other Contact Person: Phoned. r 1 ' I �- l ' �r 1Jn�ict . ,JOt'licc ol'Consumc, Afrai,s& Business Regulation License or registration valid for individul use only OME IMPROVEMENT CONTRACTOR before the expiration date, if found return to: a istration: -�� f 9 151853 Type: Office of Consumer Affairs and Business Regulation ^. CExpiration: 7/7/2016 Private Corporation 10 Park Plaza-Suite 5170 SCOTT PEACOCK BUILDING:&REMODELING INC Boston,MA 02116 JAMES PEACOCK f 1046 MAIN STREET SUITE 7 ins�-uG riS�-- OSTERVILLE,MA 02655 Undersecretary g of valid without si nature 11M IY1assachusetts - Department of Public Safety - Board of Building Regulations and St andards C',uistrurtiun Supcn isur . License: CS-094500 JAMES S PEACOCK r PO BOX 171 Osterville MA 02655 ����l/t✓ � „ Expiration Gi„nunis51oiler 07/22/2016 Town of Barnstable _'.snxxsT"LF MAM 4 Regulatory Se ces � Thomas R G616r,Director' a Building Division Thomas:-:Perry,,CB0 Building Commissioner . 200 Ml ai i Stce6t Hyannis,MA 02601. www;to�yn.barnstabte.ma,us , Office: 50.& 62-4038 Fax: 508-79.0 5230 Property Owner must Complete and Sign This Section If Using A Builder AM ,as:Owner of the subject property herebyauthorize e� �J�/ F��� xo:act:on my behalf; e . in all rnateeis relative to work authonzed: ythis building permit application for Al. L ass Ojob) o ' ( -jo(5 , Signature-of er ate Prot Name Q:11VPFIL'ES\rokMSibuilding pemiii.fornu\-g)-CPRESS.doc Revise020168 Assessor's:map and lot number . ... 'A a / THE� F T Yet aj IN Sewage Permit number ' ...:._.. .. / COn B f.f/J d Gf �' T�.. 9 raga.L �p �l P� � y House number" .......: .....:................ . v�. .. .,..................... fi6 �r ,+� 1e3q.. 0� Ar TO k %j:Wlu .T - u OWN OF B•A`RNSTAB` `-E BUIL'DIHtG -iHSPEC:TOR a Construct Ih;relling t APPLICATION FOR PERMIT TO ...................... ..... ......%.. ............................................ ......... ......... ........ .... .. TYPE' OF CONSTRUCTION ............Wood .frame ........ ..... ......... ......... ........... s June 15, 83 ......... ................ ........19........ TO THE INSPECTOR:OF BUILDINGS: . The undersigned hereby.applies for a permit according to the following information: ' location .:...... Lot 15 Valleybrook Road, Centerville ................................................... .. .•. Proposed Use .....Singl..........Tn11y'.... ................... ...... ....: ...... .............. .............. R Residential, 2,i Y Centerville•-Ost`ervil.le' . ' Zoning District •..........Fire District .:.........: ............................................................... ..................................................................... Name of 'Owner JK..S..�.TTH. ....... ........ .....................Address r ......Barnstable........ .... ....... .............. Name of Builder Smith ....... ..................`........Address ..................................Barnstable................. .. Nameof Architect ..................................... ..... _ .........Address .......................................' :................. ................ Number of Rooms poured concrete " ................................. ........ . . ........ Foundation .......... ......................................... ..............: clapboard & wcs Roofing asphalt { Exterior ............... ........................ g ....,. ....... ........................................ ....... Oak J..... .. .......... Interior. ,......drytilall •...: Floors .. .. Heating gas warm...aaz.................... :..'....... ..Plumbing. .. 2 -baths .. Fireplace. One........ ..... Approximate�,Cdit .. 5�r000........ ... ..... ............... ....... ..... S ' Definitive Plan Approved 'by Planning Board _________ ________________19 Diagram of .Lot and. Building with .Dimensions Fee ....:.... <� SUBJECT TO APPROVAL OF BOARD OF HEALTH ' '1296. sqa ft. . OCCUPANCY PERMITS REQUIRED FOR 'NEW! DWELLINGS t `+ I. hereby agree,to conform to .all'the Rules and Regulations of,the Town of Barnstable regarding the above construction. Name ....... ... 0/(%�........ ... ' a Construction Supervisor's License " ....`....`. ..!....... 7F.. SMITH, JAMES K. 25215� One Stor - :No ......... ... Permit for ............... X... f t Single Family Dwellin Lot 15 75 Valle Brook Rd.Location ....................t.........................Y....... ' Centerville � ......... . ................... ..........i........ ...... Owner James..K......Smith.......................... Type of Construction .....Frame ..................... .................................................... ...... Plot .................... Lot'..................... T Permit"Granted ....June.. 17!.. ........19 8 3 r e 'Date"of Inspection ..... ... .....19 Date Completed ...��.Z..,......::Q v 19 ti s � = •'mot � _ - r`' � • j t� . If S%W 6LC- FAniMtLY - BEORQoM `I -Wo GA1Z5AGE 69jNDE2 i DAtL-Y F►-OW a 110 A 3 = 330 6.P P. (I ` 5EPT1G' TAQK = 330x15o% u5c %000 6AL. 015Po5AL PIT u6E I o oO CAI.. \ I S pr-WALL ARL-a - I5oS.F 50TT'OM .AREA Sa S.F x • l• o �• ,�.o G.P�� 'K` , —I I I• � 1 / I � � 4 + -TOTAI. DE516N 4 .425 G.PD. I` `� Itl *TNT M -TOTAL 1>A►�-%{ 33oG.Po II o �� GOLAT1ON RATE, i Ito 2MIN PER � 1 � 14° ' { to- CHA W. A .. u JONES #; TER25100 r,+ Na 240480 suas ' + - T, t -1332 -3S�' ToP FNP�3L, At. H . 35' 33 loop c' t4w. + ALL BP fxT• INS. G oK r6PTIC I a 3t,.0 T NK oc I ZA. : INY, P . g SugSaG., . PIT" INV.. INY, a. y WITH .' ,�'Z.Z ��2•� ' r- — - �. v�<; �` . :. IWAs+tcDL 4ftcVL u4sotT4:5AU3 IV1AMW. f ,,, .aaD 6Ta Her 2 f & 74 Rc5PLA&3 cuirk �cT+.� Sa to 02 Glti�vrtc. � �' �NE CERTIFIED PI-07 PLAtJ,<; .:.�,, ' PZOPIL�_- - l-oC4-TIoN CEQT�EP-v�Q sz ' NO. 5CALL- . . -ScALa o' SATE 512 93 No WATe2 P N GE r f, G E RT 1 F Y I N AT 'T N� f7000DA 10r) 5No 4YN 1 NE•Rlr0o 4 GOMPLYS YJITN-THE Siv6LIN� l..cT I� f 4WD sGiTbAGK R.6Qu1R->cMENT'> oF 'fNE- 1 , ToWN..0F 34WST� BI.L AND IS -NOT- l_C 3 SS LOCp.TED WITN1 T .E FLOOD Pl:Allr1 DAT E S Z7 63 BA)kTEV_a W`{E INC I "Tu15 PLb K1 t5 NOT 5tvjED 40d AN OSTE2.VILLE � s�;; . I ,• Iw,5•T.RuMEwT 5u2veyY _-TNE oF<^�,ET.5 6uou� : 407 5C_ 'V5E.bTc� i7E'CE.Ft1^INrc Lo'T �INE�j APPLICPAWT -Z-AMEs o TOWN OF BARNSTABLE Permit No. --�5 2 i 5 - - 1 - - n� = Building Inspector Cash ---- '�' OCCUPANCY PERMIT Bond ---------_X Elm Issued to JameS K. Smith Address Lot 15, 75 Valley Brook Road, Centerville Wiring Inspector �/l �s Inspection date Plumbing Inspector Inspection date Gus Inspector � r f��� � � , �, y�f Inspection date X Engineering Department � � � Inspection dateC% Board of Health' � �- Inspection date THIS PERMIT WILL NOT BE VALID, AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS AND IN ACCORDANCE WITH SECTION 119.0 OF THE MASSACHUSETTS STATE BUILDING CODE. �"' _�.... ._.._............ 19. ./t .;�- I .-- .. ...... _... Building Inspector Ar 4 Town of Barnstable " THE Regulatory Services �OF 1p� c Richard V. Scali,Director w,,,urAB Building Division BARNSTABLE OARnS*ABlE•RMFAVtLLE•CNUR•NYAxK15 9cb MAn 9. 1639.20 Thomas Perry, CBO ""�°"'"�1639.20""�°""_" 16 0 14 �ED""Prp Building Commissioner • SDg 200 Main Street, Hyannis, MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 March 21, 2016 Brad Sprinkle 199 Barnstable Rd.. , Hyannis, Ma. 02601 RE: 75 Valley Brook Rd., Centerville, Map: 188 Parcel: 162 Dear Mr. Sprinkle, This letter is to inform you that upon review of the permitting history of the above referenced address;permit application number 201202286 has outstanding required plumbing and building inspections. As the construction supervisor of record one of your responsibilities is to ensure successful completion of all required inspections. Please contact this office to arrange for inspection or provide an update as to the progress of the work. Thank you for your anticipated cooperation in this matter. Respectfully, )*r L. Lauzon Local Inspector jeffrey.lauzon@town.bainstable.ma.us (508) 862-4034 C TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION_ 01 Lc -'ADPlicatidh Map- Parcels' U T Health Division AT D 5 Conservation Division '-.,Application licatio Fee Planning'Dept` DIT TA" Permit Fee C Date Definitive,Plan Approved by Planning Board Historic = OKH Preservation Hyannis Street Addrb ckA Project S Address _75 R6 I/od I e Village Cpr& V J 14e_ Owner N7 y C HGEdl Address Telephone t 7 - 5 (9 50� 771 - '3370 Permit Re* quest C6AV-e_V-f Lkhf,14 is 6.d /a,/MOM Re Yno Iwo Square feet: 1 st floor: existing—proposed .2nd floor: existing proposed Total new Zo ning District Flood Plain Groundwater Overlay Project Valuation Construction Type L8i Size ; Grandfathered: Ll Yes U No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family LJ Multi-Family(# units) 0 Age of Existing Structure%J Historic House: D Yes o On Old King's Highway: LJ Yes Al No Basement Type: Full LJ Crawl LJ Walkout Ll Other X +_ t Basement Finished Area(sq.ft.),, q.ft) C)9 Basement Unfinished Area (s —a /- Number of Baths: Full: existing new Half: existing —new Number of Bedrooms: existing Onew Total Room Count (not including baths): existing new First Floor Room Count 5 Heat Type and Fuel: Gas L3 Oil Ll Electric L3 Other Central Air: XYes LJ No Fireplaces: Existing_I_New Existing wood/coal stove: LJ Yes No Detached garage: LJ existing Ll new size_Pool: U existing LJ new size Barn: LJ existing U new size Attached garage:Xexisting U new size —Shed: Ll existing L) new size Other: Zoning Board of Appeals Authorization LJ Appeal # Recorded Ll Commercial U Yes )0"No If yes, site plan review # Current Use V0,1VAv Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name lrjf-i'Adle Telephone Number 77-5 F?A &t IL Address _69 ErALMO, SL_ue K-M — License dyl I'S Home Improvement Contractor# /b 3_7 5 Worker's Compensation # 700q7q3Q1D0[2_ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO YALK/Ytou* Trav�Ac, qyLm SIGNATURE DATE t a FOR OFFICIAL USE ONLY 1 APPLICATION# DATE ISSUED MAP/PARCEL NO. - fADDRESS VILLAGE OWNER • DATE OF INSPECTION: FOUNDATION .FRAME 5 I- l INSULATION 43 , 7/Z r�IL r FIREPLACE ELECTRICAL: ROUGH FINAL +� PLUMBING: ROUGH FINAL GAS: ROUGH FINAL s FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. m ' The Commonwealth of Massachusetts Print Form Department of Industrial Accidents 44 47 Office of Investigations - I Congress Street, Suite 100 , Boston,ALL 02114-2017 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Leeibly Name (Business/Organization/Individual): Sprinkle Home Improvement Address: 199 Barnstable Road City/State/Zip: Hyannis, MA 02601 Phone #: 508 775-1778 Ext. 1,0 Are you an employer?Check the appropriate box:. Type of project(requited): 1. 1 am a employer with 10-12 4. ❑ 1 am a general contractor and 1 employees(full and/or part-time).* have hired the sub-contractors 6: ❑New construction 2.❑ 1 am a sole proprietor or partner- listed on the attached sheet.. 7emodeling-- These sub-contractors have ship and have no employees 8. ❑ Demolition Working for mein any capacity. employees and have workers' 9; ❑Building addition [No workers'comp. insurance comp. insurance.* required.] 5. ❑ .We are a corporation and its 10.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 11.❑ Plumbing repairs or additions myself ' right of exemption per MGL Y [No workers comp. 12.❑ Roof repairs insurance required.)t C. 152, §1(4), and we have no employees. [No workers' 13.❑ Other comp. insurance required:] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have. employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation:insurance for my employees' Below is the policy and job site information. Insurance Company Name: Associated Industries.of MA./.A.I.M Mutual Insurance Co. Policy#or Self-ins. Lic. #: 7004943012012 Expiration Date: 01/01/2013� Job Site Address; ua ku KrOO L PA . City/State/Zip: C ,vk; _iru t`tl2 Da(p3,,Z 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 Investigations of the DIA for insurance coverage verification. I do hereby certi n er t and enalties o er u that the.information provided above is true and correct Si ature:. Date Phone#: 508 775-1778 Ext. 10 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): L. 1. Board of Health 2. Building.Department 3.City/Town Clerk .4. Electrical:Inspector 5.Plumbing:Inspector 6. Other Contact Person: Phone#: i' No.. ....... Q F�S.. ' ._.............. THE COMMONWEALTH_'OF MASSACHUSETTS _ BOARD OF HEALTH \ 1 0F..........�.,y.. �n:S._''C".: -,--e"'--- Appliratinn,for Disposal Works Tonstrnrtiun Permit Application is hereby made for a Permit to Construct (--ror Repair' ( ) an Individual Sewage Disposal System a .....V.. �. .. -..... ....(Ia �:. . ..�� ....... ----- Location-Address i o t No. ... .....................•--------------.. .... ..---•...��. -.cam. � ...... ............ ...... -_...---•- • .................._..... n �^ Owner Ad .. InstallerAddress r Q Type of Building Size Lot............................Sq. feet U Dwelling—No. of Bedrooms...........�..........................Expansion Attic Garbage Grinder V)�, Other—T e of Building No. of ersons.......:.......:. Showers — a YP g ----•-•-••.---........ P --..••••. ) Cafeteria ( ) Q Other fixtures .------•..............................•---................--•--•--•--•-----•---------•-•----..............._ ------•------- ----------------- c� Design Flow...............�\9 ._..........gallo....... ns per person pei• day. Total daily flow............ 3.._"..................gallons. WSeptic Tank—Liquid capacit} !t gR.gallons Length........:....... Width................ Diameter.................Depth................ x Disposal Trench—No..................... Width....................Totallength............ Total leaching area....................sq. ft. Seepage Pit No..................... Diameter.................... Depth below inlet......:.............. Total leaching area..................sq. ft. Z Other Distribution box ( ) Dosing tank ( ) aPercolation Test Results Performed by.........................................:................................ Date........................................ Test Pit No. I................minutes per inch Depth of Test Pit..................__ Depth to ground water......................... 44 Test Pit No. 2................minutes per inch Depth of Test Pit.................... Depth to ground wafer................:....... ad ---�-. --� ---•------------------••------•---....-------•--.._.....---...---....--•--....._....... Description of Soil..---- �� . •-••••-----_.. .... .....--• ...,..............••-------- x ...................\..4� Vim..-•-•- a..... S:r?�..� .a..�...rJ -•--- --------------------- ..1_ r_.........P!1.�...`1....•.......�v......•-•�rl .............J.......---� --•.........--........................ U Nature of Repairs or Alterations—Answer when applicable......................... ------------------•--•------•------......---------------------------............--•-•-------•.......,.....................----•----•----•-•---=•-•-- ' Agreement The undersigned agrees to install the aforedescribed Individual Sewage Disposal System.in accordance with the provisions of TITLE 5 of the State Sanitary Code—'.The undersigned further agrees not to place the system in operation until a Certificate of Complian has been issued by the board of health. sig Cam.. �� ..��� ......................... Application Approved By.. .... ..........- ----------•-----•------.------------•-•----•-•----------_.-------------- �'• •f. .. Date Application Disapprov for he following reasons:.........---•....._.•----•----•--.........-.....................................::._.:.._:... .......................................••----•-••---•--•.........---•-•---..._........_............----..........-•--•-•-••.--•------•-•...........•---....••----•-•-=•---•--..._........---•---•------- r Date Permit No.......-...........-................................. -- Issued. •••-- Date THE COMMONWEALTH'OF MASSACHUSETTS BOARD OF HEALTH ( ` V.. .... .....OF. ........... ...... ..° .Q1.C.:(t: — ......... fardif i.ratr Of T]OMPliana THIS I TO CERTIFY,`That the Individual Sewage Disposal System constructed (fir Repaired.( ) by.................: .. .f ..L�.. :--..........- ......._.:- ...:_ Installer .......fv�. • ... .................. has been installed in accordance with the provisions o ITLLE 5 of T State Sanitary C as c 'bed m'the - application for Disposal Works Construction Permit No.__.�!�-r._..�;?.�.- dated. .......................... THE ISSUANCE F THIS CERTIFICATE SHALL NOT BE CONSTRU S A GUARANTEE THAT THE SYSTEM W�FU TION SATISFACTORY. DATE..../ •-••-- ... ....- ................................ Inspector. THE COMMONWEALTH OF MASSACHUSETTS BOARD OF HEALTH No.. ��� y� OF... ............................................... v i FEEY................. t �r�or�tt k C911notrurtiun Permit Permission is hereby granted........ - ............. ........................................................... to Construe or R 'ep �' livid Sewage Disposal System at No. .•... .• Street ----------•---•----- as shown/theplica ' n for D` posal Works Construction PermitNo..................... Date --�� .......... •-•-•-•-•--...-----•------••..........-•----•.....,Boa of alth DATE-- ...•-•--------••--•-•............... FORM 1255' A. M. SULKIN, INC.. BOSTON Q6L1r FAM' %L-Y - :5 BE:-,'ZOOM N yJo GA ® GE 62,IN.D6tZ / S DAILYRA 'F%-oW - 11O X 3 = L�i. L II SEPTIC, TAQK = 330XI5o% =-495&.P � i USE 1Ooo 6AL. �1, ; 015Po5At_ P►'r Q se t v oo GAt_. 5►pcWALL. AeGa 150 5,F / �5o ti 8.0TTOM A9-A . 1 . _ - ` I ♦ Z/oI 11. / 'ToTA I.. D F.51 GN r 42 5 G.P. D. ! I I� I I f r 't\ .a ITN h7 -TOTAL- DA1L.-? Ft-ow/ = 33oG.Po, t 1S T 0 \ PE2CO1_AT1014 RATE s t''IN 2MIN o1-LE5S` imy23� OF ALAN Gv, I / / / / / // I: • t RlCAARD o 10NE5' BAXTER v, 25100 ti r�V k V �1ti Na 24048 N i"rJ O cis 41 G S ��v 2 T .� -1332 I -3S� Top FNta-3��-j Hol. S �ZG�f3Z �� 3S� I�y,� 'Jq•,� i F Y 33 . look IJd. Gat.. 0pT• I �PT1G .3�.�".r V TZ IN . IN ' $vgSaG PIT 1( ' . . wITN 3z,z 3Z.St S I'j 3/q•!% +ov>� as0 Ira-13A L MA rat A-1. 4 ' r2 �b Rt5PLACJ- luIrk ,2a 54#I0 E I CaRTt1 tGD P►-oT PL N . _ LoCA-r►oN CE,.1Tl Q.VkQ-S E / NO SCALE Sc-ALM �'�=�o' SATE 51 2-7�83 No wATCs2 Q L p.N RED 62Et4 GE 1 CE czTI1=Y -r1.1A'T 'TNE FouJDATTo✓1 5KowN ►aEREo►.i GOMPI.`(5 WITOv' - - S►o6L.►NE .LoT 1s A►.!D 56-cC�o,GK 2.6Q�►TL1✓MEN`1'� oF 'TNE- ZoWN or- 3r4RjJ67;�-BLL- AN-0 iS NOTY' LOCp,TED WtTW1 T E FLOOD PL,6.1N ' DATES Z-7 $3 8 Wye: INc� REG I SZf�Q6V'LAW 015Ur-yEYQ-- -Tu15 PL.&M 15 NorT Bt\5�6p e0d AN os�rE2VILL.E - Mi�sS. Iw,5.T9-uMENT SU2VeY �--TlAS 0Pr= ,Er-5 S140UL3) L M i�J C c�T i_11J C�. Q P P L:►G A PJ T TL4 M E S k. . LOCATION. S-E1NACE PER III IT N0. VILLAGE I N S T A LLER'S NAME A ADDRESS I I,-1= M I" A l o S i BUILDER OR OWNER S M i7-d DATE. .PERMIT ISSUED _ 3 DATE COMPLIANCE ISSUED 31 4° 31y 4 12/20/2011 9 : 35 : 33 AM 8740 ® 02./09 CERTIFICATE OF LIABILITY INSURANCE 12/ZO 20�11 ' THIS CSRTIrICATE IB ISSOm As A wwTSR or INroREATION ONLY An COMM NO axon" UPON TOM CSRTI➢ICATS HOLDER. TRN CHRTIrICASS DOSS NOT ArrIWDATIVHLY OR NEOATIVNLY AM=, EXTEND OR ALTSR -TU COVERA9H_Arrowm RY TNS POLICIES HELOW. TRIS-C=TxrIc&Ts Or INSDRANCS DOSS HOT CONS'fITDTS A CONTRACT 0 -N TER ISSUING INSORm(S), AOTNORIim RSPRSBSNTATIVS OR ➢RODVCSR, AND TIM CSaTIPIcm NOLDER. - - IMPORTANT: If the certificate holder is an ADDITIONAL MOM, the policy(les) must be endorsed. If SONROOATION IB WAX Vm, subject to the terms and conditions of the policy, certain policies may require an endortesent. :A statement_on this`certificate does not confer rights to the certificate holder in lieu of such sodorsament(s). eerflsatow Dryden 6 Sullivan Ins Agency .see IIIC M/C Surat 88 aalmouth Road aS, uCUa Hyannis, ML - 02601 CUSTOMER its. Sprinkle Home �rOVCment IIIC maass,, A.I.M. Mutual Insurance Co 33758 $pr a 199 Barnstable Road losvj= Hyaaais, M& 02601 COVERAGES CEATIPICATE NQl®ER: REVISION NWBER: 'N U n TO oNRT =9 INS P07.rCa5 or si0Y1CS=HIND IQAME ORTS NEWS as0a To Ta MORM as�ason NOR I=POL=PaIOD aDDCAIa. -aw"M uvamae MIT meramOr, Tm on 000011TSON or aw Omnwr.OR Oam occw V= emacP so assce-Isis ea:aseaas aaar'la rssvm as I= rasa, s0 asoRMS awr By THE POLZCZSX nMEraaND mw a sV%JVCT So ALL IQ'ami, scenes Am COMMONS or sow t1`014=108. LaaSs saoa sa►r am Nm NfaOCMD NT PAID C&ZMX. - L.. POLICY Qr - - lOLZCY MW l�. TAi orasaaANcs ���Naom grwurTTTf - nsfn.ITar, LZKTs. oOaAL La1NSITs - Sea xLvaser S . ❑COMMUL OeURAL LIARILITY. - a>ss To min e lO/aselb..e.sT.w1' ❑❑male,eDe ❑«CDa SCSI,SOUP (aq w.P.-M) .. ❑ ❑ - .us. L i aaY IIQYQ-. a • CUTE AcmaaATe Lnllr AnLua IN: Sm.el aaeQaea ❑va.ICT ❑vewerr ❑LOC ruuRr- cM /a am • v ' . AOS IIi LiatII,iTY .. - - cols!ileela LMIT - - MAST AUTO a0121.!tO1RT /Nr Ise.�l ❑ALL OeaD AOT00 ❑SCODO,aD AUTOS - a®ILT fOIME!(Nr 1 . ❑iufuD Avfm - eeror!eaves - <ftR.DofY,p a- ❑--OeeD ADTW - o e _ D»aaLLA LIY OCC rtP meal DCCTeas4 0 , ❑escafe.LLAa ❑ CLADO MADE aeeas"Ts a Daaoaiae . i . ❑RMVTION f - - NDNANiA OD1f0»Of - aTIF - . - AND HllLOYENt LIANaITY - .Tar LaaTf Y . "M PROPRI6TWPARTa'ER!/ . C(ZCUTWE OrrICGRS ARE° S.Lf eaa acemser e - 500,000 A -® incl ❑ exci 700494301201Z W.L. uass -D.LICT LOUT S ,500,000 - .., Ol/01/2012 Ol/Ol/2013 s.l. usages SA MEVLDIu v 500,000 CeaaMETf DetOLDfis t e►oaTasss s LaCAT2�, _ ( . MORKERS• COMPENSATION COVERAGE APPLIES TO MASSACHUSETTS EMPLOYEES f . CERTIFICATE HOLDER CANCELLATION PROOF of INSURANCE SZOOLD my or in "on DSSCRaNa POLDCaS a CANCELLED eaves mm - SaaATDOH DAIS TYaSOr, NOTDCs Wn& SS DSLSYam IS ACODRpucs WXIN Ta DCY . - VOL PROTISIONs. - - - auTsaa7>0 eas�ssearaT lYa ' - - .. 5289 zr -Town of Bairns table ` Regulatory Services vMABI ; Thomas F.Geiler,Director A,16 ' . Building Division Tom Perry,Building Commissionet. 200 Main Street,Hyannis,MA,02601 www:town.barnstable.ma us Office: 508-862-403$ Fax: 508-790-62.30 Property Owner Must: Complete-and Sign This Section If Using ABuilde r r Col _ as Owner of-the subject property - herebyauthorize Sprinkle Home-Improvement to act on;my behalf; in all matters relative to work authorized bytliis building permit:apphcaton for. � VA- Oi632- Address of Job)' 1 if II r /5/2012- Signature of Owner ate' - i Print'Narne If P_roue_rtY'Oovner is a PPY 1 �'n for ernvit please complete the . g. P HomeoRrners License Exemption Form on the reverse side: f1�FL1RMC�f1WNFRPFRMT.CS1ON f)fti�i oon.umerA dC�1tU w� "on ��lf ti �inl t liu+l+l+n•_ h �+t +++ ++.; +n i v, : � ..0. a►n uueac�eRu�ahoa :instruct+cr)`> a: > HOME IMPROVEMENT CONTRACTOR Registration: 103757 Type: 6643' 1 Expiration: 7/9/2012 Private Corporati' SPRINKLE HOME.IMPROVEMENT-INC BRAD K SPRINKLE 190 LOTHROPS LANE , Brad `Sprinkle W BARNSTABLE,MA 02668 �99 8arn stable''Rd. W ! „Hy s t ndersecre)yn anni ' MN 601` T 10;8y 0,1.3 6004 I.iren+i u) rcgistration--afid fur►ndividul us' i)ol Failure to possess a current*edition of the- hch►r the exp►ration date. if found'return,tu: Massachusetts State-'Building Chide Office of('onsun)er:Affairs and Business Regulation is cause for revocation ofth►s-licenc- IIIRI'nr6 Main -juice 5170 Rcfer.to: WWW.Mass.ri►�/DP.S J. \i�t' .►lid M ithout sign ure r, c r d: _ - _ FIRE DEFARTh1ENT DATE - ' `' ! I�r FLOOR PLAN 75 VALLEY BROOK ROAD BOTH SIGNATURES ARE REQUIRED FOR PERMITTING - BATH .. . BED ROOM - _ - KITCHEN DINING ROOM ; Bad ROOM . BATH LIVING ROOM W A LIT o�� 5M0KE DETECTORS REVIEWED sly __ - B T.BLEBUILDING DEPT, -0P.TE Wr taehingrr R04BSM2" /p Cud opening Rt0 52'k62" • strip existing dry wall/insulation • Paint foundation w/ULrL Dry Lor • frame per plan:2x4 KD IV oc w/pt bottom plate- 0 %*on walls with lal►ys V r • strap ceiling except bath room FAMILY Ixoorr • Yi plywood risers on existing steps _* _ - - UNFINISHED AREA 4 • insulate walls Pra fiberglass with tyveK to OFFICE cover exposed in unfinished area i finishedCciling I lit qnt 05" • %i MR 1!o"rd on all walls Pr ceiling • 3"colonial bast . - • FUKHACt 2 Y."colonial casings Ceramic Tile on all floors in finished areaT7 • Cover Ceiling in unfinished area A with I ern%u" x" Q L Yi'foam board i 3=i f5uild 274 trf base with 1/2-plywood top wi ewhnlv:np for shower Belli Room ROO 92 x62" Iv stropping on cyilbg _ . - iviev uhrnrnt 6'toj dtwin 96.0@OS a�.l - .. � • TOY ROOM U NFI N ISHtu Awi-A f CAI UNFINI SHED AREA .. ROD 36"x82" - '� Caned uperfarli PA0 37"ttK9" Inalr Arpgg� S' i I Lo -7r- Cohen rosidrnec SPrinklw Hunlw Intprvvammtl TN ValleyNrook unve - 199 Bernotuble Road Crntarallr.rin - HSAIRtln nlal � Assessor's map and lot number/ SevvoQo Permit number ..... iDAUSTULL � House number ...............................#1 ............................. NASIL 1639. � r���-���Tl�T �l��� -�0�' � �]� l�T�� r0� ��� l� �� ] � TOWN�� |"� � ��� BARN STABLE ]� �� ��^����u � ^ � BUILDING � NN N N �� N �� INSPECTOR � ' �� NNNN-0NN ���� -- -- - ---_ - -- ~- �����I��1� ]��1� ��PPLUCATU���0 FOR PERMIT TO -------�_��.-.�''������---.—...---..--^.-_---.,—.-,—_—... TYPE OF ____l�00d.. .___._....._.._____._.__,___________ _ - June ]-qw .l�'—��3 - -----.-�----...._—. ... ' TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for o permit according to the following information: ��t 15 �a�� �ok R�a� ��e�[t e Location --------.�----..��.��-------.��--..—..��.����-------------_------.'------ single family Proposeduxe ----.......—........-----------._----..—.—...._..----....,..--. .,._.------ � R Residential ftkx CentervfTle+O@terviTle � Zoning District ----------..------------'Fiva District —............._---............____________.. �� SMITH Barnstable ' Name of Owner -----------------------.A66,exs ----------._—..._--------.~---- SmC1th Barnstable Nome of Builder ----------------------'A6Jesu ---------------------------- Nama of Architect ----------------------A6Jrox ------.--------------..--.---_ Number of Rooms .......... ............. ........................................Foundation ........polXre.d—c0%lc%�e.t.e------_—__ clapboard & we8 Exleriur —.����.�.���.�---------------_---Roohng ----...���...........--.—~--------___,.. Of�% Floors — ------------------------'|n��iov ----.���/������_—_—,_,--' � i �---------`' ` Heating 'g.a.s...warm—air----------------Mum�ing ----2..T�aths--------__,______. Fireplace ------------------------Approx|mote Cost ...qq-qOo................................................. _ ' ' Definitive Plan Approved by Planning Board lQ--_-. Area ........................................... Diagram of Lot and Building with Dimensions Fee .............................................. SUBJECT TO APPROVAL OF BOARD OF HEALTH 1296 8q° ft. � � i ' ' � ^ ` / OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS | hereby agree to conform to all the Rules and Regulations mf the. Town of Barnstable regarding the above construction. ' / � /T \,? momo —.' �y����'..--..x.'^���.����� -_—~ ^ �� ^� � ��\ w\ \� ^+ | Supervisor's 'License ----��—.�-----. | � ' � ~_� � SMITH, JAMES K. In 25215 OneNo ................. Permit for ............ .Single Family Dwel...................................................... .Location Lot 15, 75 VallRd. Centerville ............................................................................... Owner James K. Smith Type of Construction Frame ................................................................................ Plot ............................ Lot ................................ June 17, 83 Permit Granted ........................................19 Date of Inspection ....................................19 ..Date Completed ......................................19 (� /�L� ✓% i Air kmati. r FZIQd8Rx02'•. � • fiM 92"x!!,2" Cawd opining- Strip existing dry wall / insulation • Vaint Foundation w/ U6gL,Dry LoK D , • Frame per plan: 2x IV oc w/ t4 K p bottom plate t 2xio on walls with lallys ,, p Strap ceiling except bathroom M FAMILY a0011r •. %Z plywood risers on existing steps y r UNFINISHED AREA •. Insulate walls 1ZI3 fiberglass with tyveK to OFFICE', k cover exposed in unfinished area rInishedciling I IicgfltSS" Y ' • %:" MR Soard on all walls fir ceiling -j1- • 3" colonial base _ FUItNACt � . • 2 % colonial casings f aL - - — =-- --- p Ceramic Tile on all floors in finished area _ • Cover Gelling in unfinished area A with I :" foam board ' • (o VT base with I/2 I wood to 5uild 2x p y P. tixi a ashelw:nu 3 for shower _. 01, OWN Roans fl� 82'a182 HuL vtiAllr 1 u HO slrappinp an Cellil+ Yllbtl F14MPtl1 �}7 r41 6t141111 . . e tl4�.II,, # k - 4 • TQ'!ROOM _ UNI}INISH u A►t�k • I i hall ^ UNFINI SHED AREA . ; R�'�O 96'x62" 1 - ITIGIM droll ., ua+ed u e 'rl 7r ---- 'Spriu hie Harua Inipruvtluron i ohen residence 199 Barini*nl� 4't - T'r 1f�llryklmok UnVr. • � 19$6elrulslabla Ruwd Cr_nM_rnllr.rob i �? S 1/cc,l P�rvo k /Lal Leo rVI, Ile, TOwppf {" re,fil7SrA 8 LE 29 - ' {yy'r If r `w`.raay�yyWr@ny i i i i .._. .. .....: ....... .:.. .. .. r.: ( . _..:: . I In. L 1di z I ---- — --- -I ---- I LU Q Lu O 00 ,11 ,1 cn A. NEW REAR ELEVATION W w � j SCALE: 1/4" 1`-0" Z 1 W LU w W 1 Ojw SMOKE DETECTORS REVIEWED u Lo u ' BUI 3 Zi ®A r1 LELDING DEPT. DATE FIRE DEPARTMENT DATE 9Q�" SIGNt+YURES ARE REQUIRED FOR PERMITTING i i - IF] 1 JOB: g1411-1 DRAWN BDATE= `- i �-- D 7 ` PARTIAL FRONT ELEVATION SCALE: 1/4' = 1'-O" art a 1 NEW RIGHT ELEVATION j SCALE: 114" = 1'-0" ADDITION r i uj Q o o IU � J. - I I Lu fY i QZ i i rl � ADDITION pq IN NEW LEFT ELEVATION ADDITION SCALE: 1/4" = I'-O" JOB. 15W DRAWN BYr l-IW I DATE: 2Y10/16 i 42'-1" N w =t. 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OO Z� 0 32° X 41-3/8° j N y TJ A - f: I e j 2-6' 3'-0" 3'-0" 2'-0" D ` GX135 S z 32' X 41 3/8' rn o , o N ' e O O Z v O W N CC IK D COVEN RESIDENCE m z 75 VALLEY BROOK RD rEmPA-DESIGN CENTERVILLE, 1"A p� N < L to L F m PLAN 12-_11u 42—1---� -- 2c1_4n 13'-4" W_On MZ 15i_0n 1 N n 1 z m , a � 1 i CW15 1 28-7/8' X 60-3/8' r i ———————————————— ------------ 1 I � I I I 1 " 3 CW15 1 i 28-7/8' X 60-3/8' s I 1 i Ii J 1 �1 CWi5 I1 28-7/8 X 60-3/8 I m v 1 �. v O N oq I I 1 m Z �N 3 o m, d �A o z ��. 1 I o b r I 1 28-7/8 X 60-3/6 I T I 1(3) CWi5 I r3B-T/e I 1 s ND L"O 1 I_ vM Z t!! I I O IttAtAgAW111�rJvppp� �-- x. �,�� 1 I Tl — cn 11 a r1 I " I tp L: - I N I m - 1 O GONEN RESIDENCE 75 VALLEY BROOK RDFMLM ARCHMMRALDERIGN . CENTERVILLE, MA m PLAN 508-420-1296 + LAYOVER TO EXISTING RIDGE - TYP- ROOF 2x12a 0 16" O.G. 5/6' PLYWOOD SHEATHING/ SUPPORTED AT (2 X 4') BEARING WALL ASPHALT SHINGLES 122 �_--- -- TYP WED ROOF ` FULL COVERAGE ICE t WATER SHIELD ' UNDER ASPHALT SHINGLES 2x12e ® �2° FASTENERS AT ALL C. RAFTER / TOP PLATE R49 F.G. INSUL. JUNCTIONS TYP. 2x8s ® 16 O.C. 2xI0s 0 12'O.C. TYP. EAVES Ix5 FASCIA / ix4 SECOND MEMBER Ix3 STRAPPING CONTINUOUS VENTING SOFFIT . I/2' GYP. BOARD O Iz8 FRIEZE HD. W/ BED MOULDING RIGID WIND WASH BARRIER REQUIRED NEW AT EXTERIOR EDGE OF EXTERIOR WALL I KITCHEN TOP PLATE EXISTING I .. ° GARAGE TYP. EXTERIOR WALL I 2x6 EXT. STUDS 016° O.G./ j 6' R21 F.G. INSUL./ i 1/2' PLYWOOD SHEATHING/ TYVEK WRAP/N.C. SHINGLES UUUU F.G. INQ FT { UU II 7/8" I JOISTS @ 16"O.G BLOCKING 4' 0°O.C. ,. .... Rap UL D IN FIRST TWO J015T AND RAFTER Ix3 STRAPPING BAYS FROM GABLE WALL 1/2' GYP. BOARD NEW I ED BASEMENT 3 1/2" CONCRETE SLAB { 6 MIL VAPOR BARRIER _ TYP FOUNDATION WALL SECTION II II P.T. SILL ANCHORED L O.G: 8 x46 CONCRETE WALL I IO"xl6' CONTINUOUS FOOTING { (2) 1-3/4' X 14" LVL'S i RIDGE 4 X 6" POST LLI � . .. (2) 4 X 6" '2xlOs ® i6"O G U Q IT Z BEAM REPLACES (2) I ,3/4. X 14" LVL 5 Lam— (2) I 3/4" X 14. LVL 5 i Q .w REMOVED WALL—� .. ---- --- --------- - --- -- :i -- --- - --- -' - - - . STEEL SEAM � � �. �`O f i; m iv I�,REMOVE WALL O ' LLI Lu REMOVE WALL I NEW = Z _1..LU W I ]DININGCONVERSATION W -11 (f) O j LLI # 1; 3/4" TtG OSB SUBFLOOR U U NAILED t GLUED TO JOISiT - 4' I I1 7/8' I-JOIST5 ® 12°O.G. {2).I1 7/8° LVIa. i EXISTING GIRT R30 F.G. INSUL.. T EXISTING COLUMN Ix3 STRAPPING 2' OVERHANG I . 1/2" GYP. BOARD NIP NEW 1 UNFINISHED BASEMENT 3 1/2" CONCRETE SLAB I 6 MIL VAPOR BARRIER Lli SECTION. ngll L SCALE 1/4" _ .I'-O'i JOB. 1518' 0" DRAWN BY HW 1 DATE 2/10/16 I I i LAYOVER TO EXISTING RIDGE 5UPPORTED AT (2 X 4°) BEARING WALL 2 2X72s ® 12 O G, HANGER 2x8a @ I6°O.G. 2x8a @ 12°0.G. - TVT pINET I . _ J. MEDIA ROOM II 7/8° I-JOISTS B 1610. j EXISTING GIRT EXISTING COLUMNNEW 1\\ UNFINIIWED \ BASEMENT \� I \ \ \ \ i \ - - NOTE - 5/8° ANCHOR BOLTS SECTION "C11 EMBEDDED 7" SCALE: I14" = 1'-0° SPACED 32 O.G. - I2" FROM CORNERS WASHERS Wx3°xi/4" i f l s 12 I a3 d I i f x4 WALL ® 12° - 'Q HANGER O C' Z 's I 2x8s @ 16'O.C. ----- _ 2x8a 12 O G. - Lu ILU _ ZjLU W i 4 LLL aZ SCREENED PORC U �I f 1.(� EXISTING'GIRT P.T. 2x12a 01610.C. r . \ - - ,. .. - \ EXISTING COLUMN •' - - I t �-F BIG FOOT 28 F BIG FOOT 28 SECTION "ID" loft SCALE: 1/4" = V-0" JOB; 1510 D.RAWN BY6 HW DATEt. 2/10/16 j 15'-2 514" _ 12--0" 20'-9 114" 12'-0" 9 I '1 I (2) It 7/01 LVLa PT r r Z 2 X 101 O I i PT 2x12e II 1 7/81 1- IST o 11 7/ 1 JOIST 11 7/81 14014 r ® 1610.G. ® Ib"O.C. ® 121 O.C. �p O Py- Ib" O.G. = i (2) 2X12" eN o I I I I PT 2 X 12 LEDGER AND HANGERS WITH 2-5/8" BOLTS® 121 O.C. I U a � ? 0 � f _ 1 { Q ZV � z Lu Q Ll O LLIVL -� 3i_0n - LLL J >. Z Z _! LU O > ULL f LO . i 1 i i F I EST FLOOR FRAM I NG PLAN SCALE: 1/4" = 1'-O" JOB:.' 1518: DRAG4N BY.:. yW DATE•` 2/10/Ib p G B A 53 S3 S2 " S2pq 1 1 POST 4 X ° �— (3) 1— 3/4 X 9-1/4" LVL HDR , (3) 2 X W'S i Xi2s 1 _ 1 z Iz i v u a -- in x -� a —— 2X12s : 2XI2s — 2X12e - 2X12a 2X12s —-- — w -� w X I g. 3 3 — w -- Z GC —` ® CEILING — —— ' Y --I I POST 4 X 6' � x w - - zV- � 31 l NEW BEAM AT CEILING I. r�� L_ e. I Al ( ).1 3/4 X 14 LV LU Z 1 1 4 I I I � Lu � LU J Q I Q W { O � Lo ie I ROOF FRAMING PLAN SCALE: 1/4" 1'-0" JOB: 1518: DRAWN. BY:...HW: i DATE::. ... 2/10/ib I _. i Z29% JOINT DESCRIPTION NUMBER OF 711UM.,11OF NAIL SPACING -RAFTER ® 16" O.G.COMMON NAILS S ' Aft ROOF FRAMING BLOCKING TO RAFTER(TOE NAILED) 2-Bd 2-IOd EACH END RIM BOARD TO RAFTER(END NAILED 2-16d 3-166 EACH END 6 WALL FRAMING o0o 1-i2.5 0 EA. RAFTER TOP PLATES AT INTERSECTIONS(FACE NAILED) 4-I6d 3-Ibd AT JOINTS STUD TO STUD(FACE NAILED) 2-16d .2-I6d 24"O.C. o HEADER TO HEADER(FACE NAILED) Ibd I6d 24° O.C. ALONG EDGES o o i FLOOR FRAMING oa TOP PLATE JOIST TO SILL, TOP PLATE OR GIRDER(TOE NAILED) 4-ed 4-IOd PER JOIST BLOCKING TO JOIST(TOE NAILED) 2-5d 2-IOd EACH END BLOCKING TO SILL OR TOP PLATE(TOE NAILED) 3-I6d 4-16d EACH BLOCK LEDGER STRIP TO BEAM OR GIRDER(FACE NAILED) 3-I6d 4-16d EACH JOIST JOIST ON LEDGER TO BEAM(TOE NAILED) 3-Bd 3-IOd PER JOIST BAND JOIST TO JOIST(END NAILED) 5-I6d 4-16d PER JOIST BAND JOIST TO SILL OR TOP PLATE(TOE NAILED) 2-16D 37I6d PER FOOT ROOF SHEATHING O RAFTER TO PLATE CONNECTION SCALE: N.T.5. WOOD STRUCTURAL PANELS RAFTERS OR TRUSSES SPACED UP TO 16"O.C. Bd IOd 6" EDGE/6" FIELD RAFTERS OR TRUSSES SPACED OVER 16'O.G. ad IOd 4" EDGE/6"FIELD GABLE ENDWALL RAKE OR RAKE TRUSS w/o GABLE OVERHANG Bd god 6" EDGE/6' FIELD - GABLE ENDWALL RAKE OR RAKE TRUSS w/STRUCTURAL Sd IOd 6" EDGE/6" FIELD - DOUBLE ROW 1 OUTLOOKERs STAGGER NAILING GABLE ENDWALL RAKE OR RAKE TRUSS w/LOOKOUT BLOCKS Bd god 4' EDGE/4" FIELD - INTO BOTH PLATES ' CEILING SHEATHING R 2x6 DBL TOP PLATE # f5 z GYPSUM WALLBOARD 3d COOLERS - 7" EDGE/10'FIELD WALL.SHEATHING a 1 � WOOD STRUCTURAL PANELS STUDS SPACED UP TO 24"O.C. Od IOd 6" EDGE/12' FIELD } ,V,AND'i',,,'FIBERBOARD PANELS Bd - 3' EDGE/6'FIELD �`a5 P Yp°GYPSUM WALLBOARD 5d COOLERS - 7" EDGE/10' FIELD t FLOOR SHEATHING VERTICAL STRUCTURAL PANEL >•r �' s' NAILED 8d COMMON WOOD STRUCTURAL PANELS 4 _k .�_ I"OR LESS ed - IOd 6" EDGE/i' FIELD ® 3° O.C. EDGE h S ' AND 12 IN FIELD - GREATER THAN i` IOd I6d 6' EDGE/6" FIELD I k f WIND ZONE WALL COMPLIANCE: VERTICAL STRUCTURAL PANELS t DOUBLE ROW BREAK ON SECOND FLOOR - s STAGGER NAILING- W= 52% OF EACH WALL RUN \ INTO BOTH PLATES RIM JOIST \\ 1 VERTICAL SHEATHING WITH 2x6 DBL. TOP PLATE 8d NAILS IL EDGE/12" FIELD a \ (4)ibd NAILS PER F7 BOTTOM PLATE f \\ \ I v < �( ! } \ \ L= 8% OF EACH WALL RUN W _ VERTICAL SHEATHING WITH LZ11 O _ Q u \ 8d NAILS 3" EDGE/12" FIELD (4)tbd NAILS PER FT'BOTTOM PLATE (L✓. SECOND FLOOR RIM JOIST � VERTICAL -- - 1 s VERTICAL = - STRUCTURAL PANELi Ir STRUCTURAL PANEL i NAILED 8d COMMON Y NAILED Bd COMMON � w 3' O.C. EDGE 3" O.G. EDGE :W' AND 12" IN FIELD x - AND 12" IN FIELD L� l� i z J > 11.E QL a l LO ` DOUBLE ROW II>4 \ DOUBLE ROW. STAGGER NAILING STAGGER NAILING--- INTO BOX AND SILL 7r` c i\ INTO BOX AND SILL 1 { \ I I I i OFULL HEIGHT SHEATHING —SINGLE FLOOR FULL HEIGHT SHEATHING —MULTI FLOOR SCALE: N.T.S. - O SCALE: N.T.5, J015: 1518 DRAWN BY: HW. DATE: 2/10/16 i tom; �000 �Ok Ro moor- c` r � r () LOCL5 TA AVE AVE f L ICU5 MAP A55E55OR5 DATA: MAP I W PARCEL I C2 LOCU5 ADDS: •� / # 75 VALLEY BROOK R:D, CENTERVILI-E RfPERI NCI_ CERT: 2074G2 REFEPENCI7 PLAN: LC 35548-D (2) PLAN VERTICAL DATUM: NAVD88 d ZONING DISTRICT: RC PR P05ttV G' X 12 DtCK �` o,� GKOUNEAVATEK OVERLAY DI5TRICT: AP u$ � E3�rV tr t C ' r��3<.. t to _ KC ,G ETt3ACF,5: to !r I 5IDE f RfAR - I Or"' = '_ I IwIrMA DATA: ZONE "AE (€3FE 14Y t X _ 54 4' / MAP 2500 J C0563J IvW DATE: ,DULY I C, 2014 o A.M. MI-50N A55OCIATE5, INC (cly 20 RA5CAL.LY RABBIT ROAD n � I i t � MARSTQN 5 Iarlil,.E..S, MA 02C48' E4-VATtD _ 506 420--9732 V'W,'3 WETLAND FERMIT PLAN �._Q1 15 �, Zil 40 PRI~PARED fOR { zi' 3 _ 5CAL.E: I' 20' , 7 5 VALLEY Y O C �► ,t� i�,� T �` �ii«'� � , '' Jar i �`, � � Aj tr} 1 CENTL.RVILLC, MA55ACHU5M5 �...�'d , f DATE. JANLJA.R.Y 18, 201 C 1'1p� ! 5CALE: I ' _- 2C7 FTAN Vt5l()N� E t < �� z :<:tr ' - ~`• n \-'" OwR:yFtp ADDI�RON C.3..Yi..,Fi4.N5 d 5TEPHEN DOYLE AND A550CIATE5 42 CANTERbUKY LADE EA5T FALMOUTH, MA55ACHU51'TT5 0253E TELEPHONE: 506 540-2534 5J1)5UF V Y(rb,AC7L.CO