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0156 WHITMAR ROAD
l � y I .N 1 TOWN OF BARNSTABLEBUILDING PERMIT APPLICATION,, a Map O �„ Parcel. Application# au 0 Health Division Date Issued -Conservation Division <. ,�' -Application Fee Tax Collector :; ' ,,� 'Permit Feed'' l Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis r' Project Street Address 5(r�(A) N`I 1/�Y1f972 `14 U2 Village Owner U7 Yn Address - Telephone Permit Request ��1 1C,1" ! 'S'1z >( �rxS *`, 2J17 67)M I�2VUe2°4 df, �66 �c i�- Square feet: 1 st floor:existing proposed 2nd.floor:existing proposed, Total new Zoning District Flood Plain Groundwater Overlay Project Valuation UM . [. Construction Type "01D Lot Size Grandfathered: ❑Yes• ',0 No If yes, attach supporting documentation. Dwelling Type: Single Family 'U Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes 0 No On Old King's Highway: ❑Yes O No Basement Type: A Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing / new Number of Bedrooms: existing new Total Room Count(not including baths):existing ri new First Floor Room Count Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other -� Central Air: 0 Yes ❑ No Fireplaces: Existing / New Existing wood/c9i stove: ❑ems Td No Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑ i'sting ❑nez sizes Attached garage: existing ❑new size Shed:❑existing ❑new size Other: ' Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ m Commercial ❑Yes II V No If yes, site plan review# �►v Current Use � I CVt'.i�l�_- .Proposed Use <<�� _ BUILDER INFORMATION Name 1,460))00 S Telephone Number �S �yU1� 7 Address W License# C T1)ET , IAtq: f c 3� Home Improvement Contractor# jUq Worker's Compensation# We, LO D 3 3 r 3 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY tAPPLICATION# Yt. DATE ISSUED MAP/PARCEL NO. r ADDRESS VILLAGE OWNER ' 't DATE OF INSPECTION: FOUNDATION 050005 hl-t. kpl FRAME INSULATION + FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING 7 DATE CLOSED OUT ASSOCIATION PLAN NO. The Commonwealth of Massachusetts Department of'Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 www.massgov/dia. Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organizarion/Individual): ill&7J14C �� J 19,Al Address: City/State/Zip:_ C0112 1 T 14-- d Z6 3-V' ; Phone#: 5?2 zQz Are you an employer?Check the-appropriate box: Type of project(required): 1.[� I am a employer with • %% 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6 New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet t ?• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers'comp.insurance, 9, tai Building addition [No workers' comp. insurance 5. 0 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 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12.0 Roof repairs insurance required.]t employees. (No workers' comp.insurance required.] 13.❑ Other *Any applicant that checks box#f i 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'cornp.policy infornrration. 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.Lie. #: :�i Expiration Date: Job Site Address: Cl�&Z 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. 15.2 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-o the DIA for in ce coverage verification. I hereby ert and r h p ns and p alties of perjury that the information provided above is true and correct. Si afore: Dater —) — ®"(� Phone#: "�{Zvi — /1 O,f)`kial 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/To 6.Other vin Clerk 4.Electrical Inspector 5.Plumbing Inspector Contact Person: Phone#: i 02/01/2010 MON 14: 09 FAX 508 420 5406 Leonard insurance Agency 0001/001 i' ` ACORD CERTIFICATE 4F LIABILITY INSURANCE 02/0V20' PRODUCER 508.428.6921 FAX 508.420.5406 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Leonard Insurance Agency Inc ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 7 Wianno Avenue ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. P 0 Box 494 Ostervil le, MA 02655 INSURERS AFFORDING COVERAGE NAIC# INSURED Lagadinos Building & Design, Inc. INSURERA: National Grange Mutual Ins Co. 14788 13 Thankful Lane INSURER B: AIG XSB009 COtui't, MA 02635 INSURERC: 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 BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR Di qprTYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION DATE MMIDD= tJM1T3 GENERAL LIABILITY MSB87460 01/01/2010 01/01/2011 EACH OCCURRENCE $ 1,000,000 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $ 500 000 CLAIMS MADE I OCCUR WED EXP(Anyone person) S 10,00 A PERSONAL 8 ADV INJURY S 11000,000 GENERAL AGGREGATE $ 2 OOO OOO GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOPAGG S 2,000,000 POLICY JE El LOC - - AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OW NED AUTOS 80DILY INJURY $ - SCHEDULED AUTOS (Per person) HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accdent) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO + EA ACC S ' - OTHERTHAN - AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ t WORKERS COMPENSATION AND WC004-30-3313 01/02/2010 01/02/2011 WRyjg- OTH- . EMPLOYERS'LIABILITY EEL E.L.EACH ACCIDENT $ 500,OO B ANY NY PRO PROPRIETOR/PARTNER/EXECU7IVE OFFICERIMEMBER EXCLUDED? H yyees.describe Under E.0 DISEASE-EA EMPLOYEE $ S00,00 SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT S 500,000 OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, Town of. Barnstable BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY 200 Main Street OF ANY KIND UPON THE INSURER,ITS AGENTS OR REPRESENTATIVES. Hyannis, MA 02601 AUTHORIZED REPRESENTATIVE Robin Car enter LEORC1 A"a'" ACORD 25(2001108) ©ACORD CORPORATION 1988 r tKE To� Town of Barnstable C Regulatory Services • saxxsrE►si.E. • y aznss. $, Thomas F.Geller,Director �O'�Ea►A�"�� Building Division ` Tom Perry, Building Commissioner -• 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I• - SF�6 W aA ;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) Signature of Owner Date Print Name Q.FORMS:OWNERPERMISSION Massachusetts- Department of Public SafetY - Board of Building Re�j�,ulations ' and Standards Construction Supervisor License License: CS 12653 - Restricted,to:. 00.,. NICHOLAS k LAGADINOS 13 THAN LANE: r COTUIT,.MA:02635.. Expiration: 7/16/2011 Commissioner- Tr#: 19456 • - - .xe A i Board of Building Regulations and Standards License or registration valid for individul use only v HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registrttgq'ti 104804 Board of Building Regulations and Standards Eillon� 15/2010 Tr# 270833 one Ashburton Place Rm 1301 -- � Boston,Ma.02108 McEPriv1ate Corporation LAGADINOS Wli' f 71-EXESIGN,INC Nicholas Lagadin S�`e� -Fa ''3'r =- 13 Thankful Lane 1 ,,r � ' Cotuit,MA 02635 Administrator Not valid witho signature G ' i �: • Town of Barnstable *Permit# o Expires 6 months from issue date Regulatory Services Fee .�� s r✓� Thomas F.Geiler,Director Building Division h Tom Perry,CBO, Building Commissioner C��A 200 Main Street,Hyannis,MA 02601 X®P Q®iESS PERMIT MN www.town.bamstable.ma.us QQQQ Office: 508-862-4038 FaxA08-729 26 06 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONMN OF BAR.NSTABLE �ry Not Valid without Red X-Press Imprint Map/parcel Number OS(a 0-74 Property Address_156 W 1a%ti-M4t- - , W'W LT [Residential Value of Work 13SQ0 Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address �)S`o n Contractor's Name� Telephone Number SDI& -1 Li Lt 6j cz� Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ am the Homeowner r have Worker's Compensation Insurance Insurance Company Name Lt db iVlti91 , Workman's Comp.Policy# le-1 �� We�� Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) 4"Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 1 ne L ommonweacun of lvlussuc:nu3�e11a Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mas.&gov/dia Workers' Compensation Insurance Affidavit: ]Builders/Contractors/]Electricians/pluiiibers App cant Information Please Print Legibly Name (Business/organization/Individual): i , �� Address: City/State/Zip: Phone#: G0% '11-5, 4 �,kCj 9 Are�u an employer? Check the appropriate box: 'Type of project(required): 1.YJ I am a employer with_3 4. ❑ I am a general contractor and I 6. ❑New constriction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet 1 7• ❑ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity. workers' comp.insurance. g, ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑ Blectricai repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152,§1(4),and we have no 12 Roof repairs insurance required.] t . employees. [No workers' comp.insurance required.] 13.❑ Other "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. 1Contractors that check this box must attached an additional sheet showing the name of the subcontractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy andjob site information. Insurance Company Name:L ja-,2L Y�A Policy#or Self-ins.Lie. #: ��'_ 2 3 t G'� tt 04 Expiration Date: 12,Z ) Job Site Address:- Isk 14 l`Mil 1aAQCity/State/Zip: 015�0tT ' Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500;00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and'a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify,under the pains andpenalties perjury that the information provided bove i true and correct Si afore: Date: $ ! Phone#: <0�i Lf l q 9 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): I.Board of Health 2.Building Department 3.City/Town Clerk e.Electricai inspector S.Plumbing Inspector 6. Other Contact Person: - Phone#: ---- OLIVER KELLY . ASPHALT 9 PEREGRINE LANE SOUTH YARMOUT14 PH/FAX 508 775 4498 MA. REG.# 128957 MA 02664 August 7, 2006 INSURED Proposal submitted to Mrs. Seidman of 156 Whitmar Road, Cotuit MA. We propose to supply all materials and labor necessary to remove and replace the existing roof at the address above All debris to be removed to town transfer. 8".Aluminum drip edge to be installed on all eaves. (White)There are areas on existing roof where the vented white drip edge has been integrated into the trim line, in these areas we would suggest retaining the existing drip edge to minimize any damage to paint and trim work. The existing drip edge is aluminum and would be, other than age, be in the same condition as when it was originally installed. Ice and water damage protection membrane to be installed on first three feet of eaves, in all valley areas and on over all low slope areas. Remainder of deck to be covered with#30 felt paper. Timberline ultra shingle to be installed, six nails per shingle. (Color to be specified) Chimney flashings to be repaired as found necessary. Bathroom vent pipe boots to be replaced with new. Cobra ridge vent to be installed on entire length of all ridges with hand nailed caps. Protect all walls, windows, decks, plants and shrubs etc. during roof strip. Complete cleanup of work areas during and after roof installation process, including cleanout of gutters and picking up all nails. Obtaining of town work permit. At a total cost of$13500 Payment Schedule;40%with signed contract,balance upon completion. Respectfully submitted; Oliver Kelly Proposal accepted by;—p,_,.7 ���...`„_ Bate a/ ' $ /2006 Kelly roofing carries worker's comp and general liability insurance, copies of which can be mailed to you by our carrier upon request. Our worker's comp and liability policies are specific to the roofing practices we engage in. 9/t e &oard.o"TB"ding Regula ions an tan ands One.Ashburton Place - Room 1301 Boston. Massachusetts 02,108 Home ImprovemeritContractor Registration Registration: 128957 Type: Individual Expiration: 6/14/2007 Oliver Kell y Oliver Kelly 9 Peregrine,lane S. Yarmouth, MA 02664 Update Address and return card.Mark reason for change. DP9•CA7 Q 6OM•04104-0101216 [] Address Renewal 0 Employment Lost Card. Jolualsluliupd b99Z0 bW'4lnouue,k 41nog cruel aupae4ed g AIIeH j9A110 IenPNI,PuI a ., f LOulkl9 a ld L9696 'suopp class NO-L3VV-LN03.LN3W3A021e 1Nl 3WON spagpuess Pas saopupbW 8ulpliu8 Jo p,1108 I . ti Liberty Mutual Group lot Liberty PO Box 7202 Mutual. Portsmouth,NH 03902-7202 Te ephone(800)653-7893 Fax(603)431-5693 May 25, 2006 TOWN OF BARNSTABLE 720 MAIN ST HYANNIS,MA 02601- RE: Certificate of Workers Compensation Insurance Insured: OLIVER KELLY 9 PEREGRINE LANE SOUTH YARMOUTH,MA 02664 Policy Number: WC2-31S-338804-025 Effective: 12/282005 Expiration; 12.128/2006 Coverage afforded under Workers Compensation Law of the following state(s): MA FEnplovers Liability Bodily Injury By Accident: $ 100,000 Each Accident Bodily Injury by Disease: $ 100,000 Each Person Bodily Injury by Disease: $ 500,000 Policy Limits As of this date, the above-referenced policyholder is insured by Liberty Mutual Fire Insurance Co under the policy listed above. The insurance afforded by the listed policy is subject to all the terms,exclusions and conditions, and is not altered by any requirement, term or condition of any or other documents with respect to which this certificate" may be issued. - 7- This certificate is issued as a matter of information only.and confers no right:upon you,the certificate holder. This certificate is not an insurance policy and does not amend,extend, or alter the coverage afforded by the policy listed above. If this policy is cancelled before the statue expiration date,Liberty Mutual will endeavor to notify you of such .cancellation:. AUrHORIZED_REPRESEJJNIti�IVE LIBERTY MUTUAL.INSURANCE GROUP This CerOficale is executed byLMERTY-MUMAL INgURANCE GROUP as respects such insmanco as is affuded by thaw. Companies-,Producer of Record: WE cc O Insured: KELLY SANDPIPER INSURANCE AGENCY INC 9 PEREGRINE LANE' 12 ENTERPRISE RD SOUTH YARMOUTH,MA 02664 IiYANNIS,MA 02601 5/25/2006 TnWN OF BARNSTABLE BUILDING PERMIT APPLICATION p p Parcel Permit# Health Division �� ` 3�/6 �, o,�O/ w Date Issued Conservation Division_1Ta��¢ 'j ! Fee Tax Collector `/9/U 1 /�ry f�2 i �ncreA 1 SEPTIC SYSTEMQ'i Treasurer t 167 ZZ CD ] INSTALLED IN COMPLIANCE WITH TITLE 5 Planning Dept. ENVIRONMENTAL CODE AND OWN REGULATIONS Date Definitive Plan Approved b Planning Board T pp Y 9 , Historic-OKH Preservation/Hyannis Project Street Address 4:�4_ lA/�% �/���- ZIT( /0 Village Q 3� y Owner , Address kh Telephone Permit Request / 4&K-4J��. Po Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new ,r I r. Valuation �� ���r! C Zoning District Flood Plain Groundwater Overlay Construction Type Lot Size GrandfatKered: ❑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 R(new sizelPx,56 Barn:❑existing ❑new size Attached garage:❑existing ❑new .size Shed:❑existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial 0 Yes ❑ No ' If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION Name G��r f Telephone Number Address / License# d`Ion r ng6�14r Home Improvement Contractor# l (D Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY IT NO. DATE ISSUED MAP/PARCEL NO. • gas f' _ ... ADDRESS .. ,VILLAGE OWNER I ' DATE OF INSPECTION' - s FOUNDATION FRAME INSULATION FIREPLACE 7 ELECTRICAL: ROUGH FINAL ., PLUMBING: ROUGH:ry- FINAL a GAS: ROUGH;' FINALZc ` c «.g r FINAL BUILDING ' DATE CLOSED OUT ° ' �-i !1 n & ASSOCIATION PLAN NO: *" m r+ 1 F � Ill / 1 . 11 1. 11 • • 1 .:1 . 11 1 • 11 ' ..iiiiii...... �- 11 1 // • . . . • / • • . •. . IIU 1•ry 4. . • / . 11 �1111• / • ••. ... 1 . 1 1X •. VA Fi IF ■ 11 . • .•1. . 1 i 1 / 1 • 1 1 11 �1 1 / t• 1 1 �1 1 f. 1 . . �/ . • •' 1 1. •1 11 1 1 1 11 1 1 I 1 1 1 It � aaaaaaaaioaiiioaaaa iiiiiia�aiaaaiaaaaaaiaiaiaiaiiaiaaaaiaaiaaaaaiaa/aaaaaaaaiaaaaaooaaaaaiaiaiaiiiaiaiiaaiiooiiaaaaaaaioiaaaioii,�iiai 1 11 1 1 1 1 111 1 1 1 Ji ti .I. I I I I In I I �i • • • 1 JI• I I I I 7•. • 1 1 // oincial we only do not write in this area to be completed by +Ior town official E3Buading Departincot INAcensing Board ■ ■ checkifinunediate response ■ Once C3E[eaMDepartml Othercontact person: phone ■ 5 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their -mployees. As quoted from the "law",an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. :w employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of e foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer, or the receiver or rvstw of an individual,partnership,association or other legal entity, employing employees. However the owner of a ,welling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of mother who employs persons to do maintenance, construction or repair work on such dwelling house or an the grounds or ;uilding appurtenant thereto shall not because of such employment be deemed to be an employer. fGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the issuance or renewal f a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has rt produced acceptable evidence of compliance with the insurance coverage required. Additionally,neitherthe ommonwea th nor any of its political subdivisions shall enter into any contract for the performance of public work until -ceptable evidence of compliance with the insurance regeuir of this chapter have been presented to the contracting ':rthority. C4, is :as ee in the workCCS'Compensation affilavit Completely,by Checking the box that applies t0 your sitn3tlnn and Ig awn address and ph one numbers along with a certificate of insurance as all affidavits may be emitted to the Department of Industrial Accidents for ce6mation of insurance coverage. Also be sure to sign and :e the affidavit The affidavit should be returned to the city or town that the application for the permit or license is ng requested,not the Department of Industrial Accidents. Should you have any questions regarding the`law"or if you required to obtain a workers'compensation Policy,Please call the Department at the number listed below y�GrTowns ese be sure that the affidavit is complete and priated legibly. The Department has provided ep prove a space at the bottom of the 3avit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please ire to fill lathe pesaiit/license murnber which will be used as a refierence'mmrber. The affidavits may be retmcaedn+ Department by mail or FAX unless other,arrangemmts have been made. Office of Investigations would Like to thank you in advance for you cooperation and should you have any questions. ,.se do not hesitate to givi�us a caL Deparuaent's address,telephone and fax member. The Commonwealth Of Massachusetts Department of Industrial Accidents once of Untagau0na 600 Washington Street Boston,Ma. 02111 ® fax#: (617) 727-7749 nhnnn df• 19171 T77-Aonn ew* A&C Ann ; . The Town of Barnstable • �xxsrnar.E. , MAS&` �m� Regulatory Service ED 59. A Thomas F. Geiler, Director Building Division Elbert Ulshoeffer, Building Commissioner 367 Main Street,Hyannis MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. /.f Q Type of Work. l� Estimated Cost/ i Address of Work: Owner's Name: Date of Application: 4 I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 []Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY. ' I hereV ap ly for a permit as the agent of the owner: &,�, A L6R ir? D e Contractor Name Registration No. OR Date Owner's Name q:forms:Affidav i N i y 2aa,2a I W .1 O sff C-a A 0 1� N N DECK N VWELL.INe-7 58�f O N # W H NOTE:THIS PLAN WAS PREPARED USING MEASUREMENTS COM- CERTIFY TO: 1M5 A__j of//VJS r, t!° PILED FROM ASSESSORS OR DEED INFORMATION,APPARENT OC- CUPATION LINES,OR FROM PHYSICAL EVIDENCE,AND HAS NOT BEEN VERIFIED BY AN ACTUAL INSTRUMENT SURVEY.UNDER NO CIRCUMSTANCES IS THE INFORMATION HEREON TO BE USED TO DETERMINE PROPERTY LINES,FOR CONSTRUCTION,OR RECORD- ING PURPOSES,OR FOR DEED DESCRIPTIONS.IF ACTUAL LOCA- TION OF PROPERTY LINES IS NEEDED, NOTIFY SOUTH SHORE THAT TO THE BEST OF MY PROFESSIONAL BELIEF SURVEY CONSULTANTS,INC.FOR A FULL INSTRUMENT SURVEY. THE STRUCTU RES SHOWN AR EL CATED APPROX- IMATELY AS DEPICTED AND K DO ❑ DO NOT CONFORM TO ZONING BYLAWS WITH RESPECT TO HORIZONTAL DIMENSIONAL REQUIREMENTS AT THE OUth a` TIME OF CONSTRUCTION.THERE ARE NO RIGHTS OF WAY, EASEMENTS,OR JOINT DRIVEWAYS,OVER OR hore ACROSS SAID LAND VISIBLE ON THE SURFACE, OR Urevey SHOWN ON THE RECORDED PLAT EXCEPT AS SHOWN.I HAVE CONSULTED THE NATIONAL FLOOD Consultants, Inc. INSURANCE RATE MAP AND THE. STRUCTURE EJ IS X IS NOT IN A SPECIAL FLOOD HAZARD AREA. (FLOOD ZONE_ _' 25o ool oelgo Registered Land Surveyors ��/2/92` & Civil Engineers % fl OF RJa, P.O. BOX 192A • DUXBURY, MA 02331 oho AM q°ye� (617) 934-7553 • (800) 479.7553 P. �, FAX (617) 934.7525 SYLVIA w Nc. 33947 v MORTGAGE LOAN SCALE: INSPECTION PLAN OF LAND IN DATE: RPLS B 5 . JOB NO. f' 3 S CO v/T' V ate. Coo /� �1 2'LT 6 1 G 2 RC 2'RC U U 26-011 211 14'-02-4- 1 6' 2'RC q 2'RC N 4'-0" ' DEEP i 2'RC 1 l 3 1 31 ' r 4'-011— 8' PLASTIC STAIR 81 I , 8' ' r 14'-0" 4 4 M t0 it 81 \\ ,�" 2'RC cb 2 6 8' STEEL STAIR 1 II------------------- 12'-0" 1 , 40" FINISH 4 21RC 21RC N 6' 8' Date: 12/99 pool De of Inc.7N ZFbo One fn ow"Y and Service. Title: Rectangle 18'x 36' 2'RC Road market Industrial Park Newmarket,NH 0=7 Drafter: JLC 2749.6 PHONE(603)559.4485 FAX (6001595�t2Z No clvtNo�+ File Name: tpd/RECT1836-2 Area: 648 s .ft. SH W POOLND Perimeter: 104'6 3/4" °wwa MAY CAU"PVWAN&WWJURY.VARALTEMORoaa' Template M: 21100 NSPI Type 11 WA=32't3' ,ypiE.T„,b�Mrnram eMHr vYl M 1Meb11o�ub�OL01111�F�Y.� �UIW10�W w�,C-MMMIYa. a' '^°°"'°'"""'°°° °"""'"-"-�`-" — WE DELIVER POOL KITS FASTER! EE M Yb; bWN pYl"IIU11,b110u0�f/bl b ?Mro OO�M 01 WN 011 I.YfgM,9ltf NM.w. roir e.".VA an1� 7W1)wow m'110 hd SHEE T ET 1-6 ar inal Systems, Inc ` 114196 269 South Rt. 61 Schuylkill Haven, PA. 17972 DESIGN OF Z—BRACING Controlling condition — water to the too of the pool ponels i� WATER DEPTH = 3'-6" OPEN 1'—O" DEPTH OF EXCAVATION FOR POOL. WATER SIDE 6" X 24" CONCRETE SLAB AROUND THE SIDE ;� BASE OF THE POOL WALL. I POOL DIMENSION ASSUMED 0 16' X 32' N MATERIAL: 14 GA. GALVANIZED STEEL CI I F WALL PANEL F. = 47 K.S.I. '7 � wr PM POINT "A" P. — WATER PRESSURE AT BASE OF STEEL WALL PANEL IS 218.4. #/FT. [(62.4 #/FT$) (3.50') (1.0')] = 218.4 #/FT. P., — THE RESULTANT WATER PRESSURE ACTING 1/3 FROM THE BASE IS AT 382.2 #/FT [(218.4 #/FT) (3.50') (1/2)] = 382.2 #/FT. NEGLECT THE EFFECT OF THE EARTH PRESSURE DETERMINE IF THE POOL IS STABLE WITH 3'-6" DEPTH OF WATER INSIDE. THE POOL: TRY ANCHORS AT 8'-0" MAXIMUN. E MOMENTS AT INNER FACE OF THE WALL 0 POINT "A": P.r = 352.20 X 14 = — 5,350.80 24(6)(100) = 14.400.00 X 12 = 172,800.00 24(6)(150) = 21® X 12 = 259,200.00 36,382.20 426,649.20 a = 11.7269" > b/3 = 8.00", b/2 = 12" Pmox= [(4 x 24) — 6(11.7269)]36'3(24) 20 = 1,619 PSF/FT. Pm,n = [6(1 1.7269) — 2(24)]36,(3284.20 1,412 PSF/FT. .'. THE POOL IS STABLE AND THE FOUNDATION PRESSURE IS A All Pool Kits Include The Following Features 5" Top & Bottom Flange on all Panels 14 Gauge Steel w/G235 (2.35oz. Per ft.) Zinc Coating Toggle-Lock (no weld) Panel Design Adjustable A-Frame Bracing Safety Line w/Rope, Floats, & Hooks 40pcs. 3/8" x 24" Rebar Aluminum Concrete Receptor Coping Duct Tape Thru-Wall Skimmer Lifetime Transferable Warranty on Steel Panels 2 Return Fittings w/Directionals Choice of Vyn-AlITm Liner Pattern with DuraWallTM (28 mil Wall/20 mil Floor) & Anti-Vortex Main Drain Lifetime Pro-Rated Warranty Custom Pools Designed by YOU! Your imagination is the only limit. Submit your concept for any custom shape and we will be happy to design and put together a pool kit for you. ' 4r-Olr -10' 0" 4'-0" -------- WA .WAmini Jm tllLmr►v UP oI the diving Herd pe `--- ••:;. •F,-'. airing board to Pool well. Z. At ;water level 20'r. xA �' ) 9'•0-e wear [ { { dlv!Dowd C• -::•:..... 6'Jump/8'dive board only In centerline diving only 18'-01, 2'-0" 140-011 2'R _T_'-,N- DE r.:,.:-. . . . �'�: ti•�� •:fir;-• 1,:..: {{ '{' IN (10 CV) zo - t.�S,rti:-,•.`r,�.`�-'�L': f�+ :`s L,���+.-r�:�,..ti..v"r ;'`r,/�`r�''(n�F,•� IV 81 811 8' - ~�2-o'"" - o ' _f~ 401 1 FINISH b 2'RC� $' 2'R N. , �+ 3'-4' I Date: 12/99 e Pool Depot. Inc.row N,obbw one!n r�ry rd Sa,v:c.. Title: Rectangle 18,x 36, 2' RC woes Road Newmarkel industnal Park — 4 Newmwksl.NH 0385; Drafter: JLC 2749.6 PHONE(603)659-AA65 FAX i6006954222 NO O111IN'3 IN sHaL 0 ENo FileName: tpd/RECT1836-2 Area: 648 sq. It. lii Of POOL +� DIVING MAY CAUSE PERMANENT INJURY.PARALV619"DEATH Perimeter: 1 04' 6 3/4" WjTii n,y�yQ O�veronl oor+W�rmlb*rn7onal&D •1 PotlInNlNro �,ml,lrn-m Template #: 21100 A•MYIC.,JH.COaI.W•On.N!rOu :..W CVC.y.uh aM,-eWnf.n nTe.'.M noMomxu ny.m.NnC G`uYTtlM.V n M ra ro�I Prra�,eYv.pv rol n.nCr MlGn.rI,,NIC1 MtrIM M.Iln�Ep.IG.M 7C.n r oe - N$Pl Type II WA= 31.75" x3 I ]1j]]r d00] VP^]I. WE�DELIVER POOL KITS FASTERI In.11!ul.jrll!�Mew•P..nt-,N.unM., !; ✓ � BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR. Number: CS O42838 Expires:05/22/2002 Tr.no: 22926 Restricted To: 00 WARREN F SCHERER 630 MARINER CIRCLES COTUIT, MA 02635 Administrator HOME IMPP,OVEMENT'CONTRACTOR' e Registration llbbbb Expiration: 0I105/2002 Type DBR SCHERER POOLS c HOME IMPRO NARREN SCHERER ADMINISTRATOR 630 MARINER CIR COTUIT M8' 02635 � / L `pp1HE ip ,. Town of-Barnstable__ , ._ BARNSTABIX Regulatory Services Eo �a�0� Building Division 200 Main Street,Hyannis, MA 02601 l vl �. Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection 5 7`�'ILI 6�F Location Permit Number 2 y 1 _7? r r }S Owner-,-'- Builder ����. �J �ryy S One notce to remain.onjob site, one notice on file in Building Department. ' iL. The following ' ems need correcting: - f - (� '� s ` _...�.__•___^ lid � GVo7 � t AJ r CDu r/?E v5otv05 To x tic Ya 5 Tut�S 6V . N �, . O Please call 508-862-40&8 for re-inspection,, Inspected`by YL- " Date A-eZ 'eP�UILDER INFORMATION Name (li?.70 4 I f, Telephone Number :Sf- i),�o �,600 Address ,9f5 KOO A- 6/4 V;S License# e 11-4- CO31 j Home Improvement Contractor# J/0-7:2 `^ I—eq L,--et,L— Worker's Compensation# /f Gf(` '000 FALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO /yI en r t3 C 4VM P� /J SIGNATURE DATE �— 1� ? TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION iV' 'dal �t1 1 r © O h9ap,� �_�Parcel b Permit# T Health Division �C e 3y(� /� /�-oa Date Issued �� d 2 Conservation Division L Application Fee i �� Tax Collector a 00 a b k lug _ o� f D"� /Per' it Fee If ® 0 Treasurer L D \/ SEP3!C�� �TE�9 6t aT EE INSTAL'L4®IN COMPLIANCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AW TOWN REGULATIONS Historic-OXH. Preservation/Hyannis Project Street Address Village Owner ge tA m a x m,�-6&L P -� +4)y c.`1 Address 1 (a w 9,t o A,Z RA (1n 4,,A Ac, , Telephone 50 `fa f?—O&(e,6 Permit Request ex OA&A } �,,=r �,,-.o _b „ 1 °%a o 447 Square feet: 1 st floor: existing ►3SO proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 1 0 to ap , Construction Type t o&A Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Two Family ❑ Multi-Family(#units) Age of Existing Structure 1 Historic House: ❑Yes ?I No On Old King's Highway: ❑Yes �(No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other e x,s 4►,�!s ;:2vl/ )►leas c. raw L- Basement Finished Area(sq.ft.) )o o o Basement Unfinished Area(sq.ft) 3 FS-P Number of Baths: Full: existing new Half: existing o new Number of Bedrooms: existing new Total Room Count(not including baths): existing S� new First Floor Room Count 3 Heat Type and Fuel: A Gas ❑Oil ❑ Electric ❑Other F, t-) •,q Central Air: 0 Yes ❑No Fireplaces: Existing I New Existing wood/coal stove: O Yes J6 No Detached garage*existing ❑new size Pool:)U existing ❑new size Barn:❑existing 0 new size j-. Attached garage:%existing ❑new size Shed existing ❑new size 2 Other: =� Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial 0 Yes �it No If yes,site plan review# Current Use Proposed Use _ BUILDER INFORMATION Name Cd Telephone Numb Address cense# C S o c 6 5 1 f '?7 '.L Home Improvement Contractor# c— Worker ensation# ALL CONSTRUC DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. - L ADDRESS ^ r n = VILLAGE OWNER DATE OF INSPECTION: FOUNDATION L< 1 -1 I)^U_ j 2 t FRAME INSULATION FIREPLACE Y - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH: ` FINAL ` GAS: ROUGH--,, 10 FINAL17 ' FINAL BUILDING ` t DATE CLOSED OUT " € ASSOCIATION PLAN NO.. p�triptlre Packs�tt ford"aadTwa*Frms27' ]ram Fax" M,;)C1Mum MLgm M Slab HemnB�Cml�ag pig . Owing G Baaee>eat P � Ftficirsc� arm; Rrvst� w Arza�(•/.) VAU U-valor R-v+� R-vsiva� R 3 Pa� Sl01 to 6540 Hn�Da&R*D� ' • 6 N� I l3 I9 10 . N� Q• 1Z'.'. 0.40E�.# 19 IO i I {ZY: 03ZR• 0-50 . 13 I Norte Z..1 t 3 A ?!J 13 23 NI Norma! U 1S■/. 0.46 3t 14. ?VA !S AFUE ]t 13 23 NIA as AFUE 0.44 19 !g I O 6 w 15Y. U2 30 ?VA Normal X IE•/. 032. 3t 13 2S N/A Narms! 19 7J NIA NIA '. Y iEY. ' 0.42 3t 6 90AFUE Z lE% . 0:42' 33 13 19 10 90 AFUE AA iE•/. 030 30 19 19 10 6 ' •. �_ GJ 1'. ADDRESS OF PROPERTY: �S 2. SQUARE FOOTAGE OF ALL FOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA;.(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q—AA-see chart above): G ENERGy'REQUgtEMENTS NOTE: OTHER MORE INVOLVED METHODS OF D� . ARE AVAILABLE.•ASK US FOR THIS INFORMATION. ',A) BUILDING INSPECTOR APPROVAL: NO: YES. • q•forms-f�80303a Footnotts to Table'J5.2.Ib: ! Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors) to the gross wall area. ex' resspd as a percentage. Up to 1% of the total glazing aria may he excluded.finm the U-value requirement. For example;3 ftl ofdecomtive glass may be excluded from a building design with.300 ft2 of glazing area. = After January 1, 1999, glazing U-values'must be tested and docum,=ted by the manufactures in accordance with the Naiional� Fenestration Rating Council (NFRC) tat procedure, or takea'fiom Table 11.5.3a. U-values are for whole units:'center-of-glass U-values cannot be used. The ceiling R-values do not assume a raised or oversized taus coastructlon. If the insulation achieves the full insulation thickness over for R-18 the exterior walls without compmsio DnR- R u�a p b e t um of caviry insulation and R-38 insulation may be substituted for R-49 tnsulatt g shemhing must be laced between insulation plus insulating sheathing (if used). For.ventilated ceilings,.insulatmg. P the conditioned space and-the ventilated portion of the roof. Wall R-values represent the stun of the wall eavity.insulation Plus e,an sequirem (if.used). Do not include exterior siding, 5tructural$heathing, and interior'drywalL For example,as R-19 regttiremcnt could be met EITHER by R-19 caviry' insulation.OR R-13'caviry insulation plus K-6 insulatinS she tn� W� requirements apply to wood-frame or mass(concrete,masonry,log)wall constructidns,but do not aprply to metal-frame construction. 5 The floor'requirements apply to floors'over unconditioned spaces(stub as tmcaaditioned erawspaccs,basements, or garages).Floors over:outside air must meet the ceiling requirements. e entire opaque portion of any individual basement wall with an average depth less than 50%below grade conditionedmust 'il- rtic_. the same R-value requirement as above-gradeB Basement doorstanitidt a glass value requirement ba.,ements must be included with the other glazing- d_.scribed in Note b. additional R 2 far heated slabs. unheated slabs Add an _ 'The R-value requirements are for unhea ., if the building utilizes elettric resistance heating use compliance approach 3; en the S. 1fuQ meat with rho lowest' than one piece.of heating equipment or.mare than one piece of cooling equipm t, eq P efficiency must meet or exceed the efficiency required by the seleotedpnckage. For'Heating-Degree Day requirements of the closest city ortown see Table JS.2.la. NOTES: a) Glazing areas and U-values are maximum acceptabie.leveIs.Insulation R valua are minimum acceptable levels. R-value requirements art~for insucnveloation only e must have a U-value no greattrs�thaa 0.15.Door U-values must be tested b) Opaque doors in the building P cedum or taken from the door U=value and documented by the in in.accordance wgethe-�� r�door is not available, include the in Table 11.5.3b. If a door contains glass and an aggreg.opaque door U-value to determine compliance of the door. glass area of the door with your windows and use the opaq One door may be excluded from this regnirement'(Le.,may have a U-value greaser than 095). . c) if a ceiling,wall, floor,basement wall,slab-edge,or cowl space_ i Wallteda qMg R-valent ue s greater than oes two or more r eas equalth o different insulation levels,the•component complies if area gh the R-value requirement for that component. Glazing°r door components comply if the area-weighted,average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors).•' 43 RESIDENTIAL BUILDING PERNIIT FEES .' APPLICATION FEE New Buildings,Additions $50.00 Alterations/Renovations $25.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE S. I square feet x$96/sq.foot= x.0031= plus from below(if applicable) ALTERATIONSIRENOVATIONS OF EXISTING SPACE �, — square feet x$64/sq.foot= x.0031= plus from below(if applicable) ACCESSORY STRUCTURE>120 sq. >120sf-500sf ` S35.00 >560'sf-..750 sf 50.00 >150 sf- 1000 sf 75.00 >1000 sf-1500 sf .100.00 >1500 sf-Same as new building permit; square feet x$96/sq.foot= x.0031= STAND ALONE PERMITS Open Porch x$30.00= (der) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool .$60.00 Above Ground Swimming Pool $25.00 Relocation/Moving S150.00 (plus above if applicable) permit Fee projcost _ The Commonwealth of Massachusetts — � Department of Industrial Accidents Office ofloyesaatfaas 600 Washington Street Boston,Mass. 02111 Workers' Co m ensation Insurance Affidavit t location •� �S� lv�1��14 i2 �b • ci 1 ©(V 1� tV 0 I am a homeowner performing all work myself. ❑ I a sole Proprietor and have no one working in ca acitp %%%%%/%/ /% /%%��/%%/%%%%%/G%/%%/%%%/%/////%/%///%/%%%%////%/%/%/�/�//////%//%%%%�%. er rovi workers' co ensation for my,employees working an this job. }:n ;:a;:;YriL•5%::::j:: 1 ........ ............,::::::•........:......:.L..,:;a::.>:h?:.]:;.::::>:t{:::::<; >;;:.:.�•::]:.}:r:.}r]:a•.;}:•:n:.,,..:::...tt.:..::.... am an em g ..:�.::.tn.,.......r.t. 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Date a S*1pa Lure n Phone# Print name - -• C u� � �Z2�t�" f�6�+-� �U� official use only do not write in this area to be completed by city or town official permitiUcense# ❑B-uilding Department city or town: CILicerudng Board use is required ❑5elec inen's Office t•her if immediate rtspo 4 ❑Health Department contact person: phone#; _ Other Unisod 9/95 PJAJ Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the `law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance , construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the sspup ce ar'renewal of a license or permit to operate ence e a business or to construct buildings in the commonwealth for an applicant who has not produced acceptable evid of compliance with the insurance coverage required. Additionally,neither the r the performance of public work until an contract for P hall enter into P nor an of its political subdivisions s Y commonwealth Y acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants ti Please fill in the workers' compensation affidavit completely,by checking the box that applies to your situation and supplying cornP any names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of inw„t;�nce coverage. Also be sure to sign an :�_ date the affidavit. The affidavit should be returned to the city or town that the application for the permit or license is being requested, not the Department of Industrial Accidents. Should you have any questions regarding the 'law'or if you are required to obtain a workers' compensation policy,please can the Department at the number listed below. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out in the event the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the permitllicense number which will.be used as a reference number. The affidavits may be zeixni�ed to the Department by mail or FAX unless other arrangements have beenmade. The Office of Investigations would like to thank you in advance for you cooperation and should you have any questions. Please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of tnyestlDations 600 Washington Street Boston,Ma. 02111 fax#: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 11/08/2002 15:10 FAX 9783728870 FRED C CHURCH H 002 _ 1 ... .. «.....«... ... � wA .v. s •• '� a►n NMA]41YY} 14.L:LY..ut11M.w.ww..w...w.••.:w••........w•.+«..«. � � V••'w pramicali 978-41W1866 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION .'Fred C.Church, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE One Merrimack Pima ALTER THE COV CERTIFICATE AFFORDED NOT POLICIES MOW P.O. BOX 1865 COMPANIES AFFORDING COVEMOE Lowell, MA 01863-1866 COMPANY A NDrd>fand Insurance Company COMPANY AVL& Company,inc_ d 225 Steadman St, Suits 12 COMPANY Lowell MA 01851 C COMPANY wr.a°0y0`]5 ewe.eaa•va... o: •x: K wwn THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PFfIIOb INDICATED,NOTWITHSTANDING ANY REOVIRQAEKT.TERM OR CONDITION OF ANY.CONYTWLCT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CEr"iMCATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POUCIES OESCRM HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLJ=.UMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTTH Typo Or/ESLAM1NCi POLICY NUM561 D&TE p U11001 Y1 DATEMAOLMI LIMITS A, awvw.wrRM BINOG77070 11/05/02 11/06103 GNEFLALAGGREMATE i 2000000 X COLMLENCIALGBJ91IIA1.1J01BIUTY PRODUCTS-COMPIOPAW i 1"MOO CLANSMADE I occult PERSONAL&AOV INJURY It 1000000 DMMLR'i A COMTRILC'T IM MOT EACH OCCLMWENCS • 1000000 ftV CAMA41(ANY one Rql 1 50000 MW 07 WW ORB low I loop AUTONOW LIAYLITY COMBINED SINGLE LIMIT 11 ANY AUTO. ALL OWNED AUTOS BODILY INJURY *c"WU=AVT03 MW cm cm HRMD AUTOS aoal+.r!r.►uav a NON-OWNED AUTOS IrR aK4d�^d p1loog hT DAMAGE GAlA4E LJA*QM AUTO ONLY-EA ACCIDENT ANY AUTv - - OTHER THAN AM ONLY: EACH ACCIDENT E A=AGGATc 4- Mass UTASSM EACH OCCUMENCE 1 0U~EUA POISI AGGREGATE I OTHER THAN UIM& L1A FONA (t 111=94 00I111'U"T10N AID wCYJ AM =PUrV1 LY UABLITY RLEL EACH ACCIDENT E THE MLOPMETO111 epC6 EL pSLA3!-�OUCY UMR 1 rA�pLeCUTIV[ OFAC:OM ARE EXCL EL DM"E-EA EMPLOYEE Is e OTM I DSOCt11PBON OF OMAT>f0"A.*CLT10wm*vcunwm I RiNS Miwt e � t• S •.........w SHOULD AW OF THE ABOVE DEOMBED POUCtE0 LNc CANCH.UM SEFORE THE t CxNFA"N DATE THuMf. TNC Ck" COMPANY WU LLIOCAVp1 YO NAIL _ 30 OATi wan Tm NOTICE TO THE cE mwATB HOLDEEL wow TO THE u;Fr. BUT FAWRE TO UAL 8"NOTICE lNALL WPM KO CKJMTION OR LAABIL TY OF ANY KIND UPON TINT P11MY Efi OR q@RilpLTATNif. AM IIE#ET � ill i ,�gCORD." CERTIFICATE 4F LIABILITY INSURANCE �, NRWaaf1T THIS CERTWMTR Is Issum AS A MATTEROF INFORMATION ONLY AND CONFERS NO RGHTs UPON TW CMUWATTE lG�:r7mriaa' ik HOWER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 3.08 Grove Xtr+.t ALTER THE COVERAGE OFORDED W THE POUM OILM- Ibsa"tw MA 01605 INSURERS AIFPORDING COVERAW lhougi 509-756-5729 rszt506-790-3569 boom oftwink Asaocistod =ad"tri" of ftss - .su�rea AYL no aTPL aOC. My�e aQ zam 8 iQ t81 asamea NttAptE: COVERAGES THE PMKXS OF NSURARM LLSTED O&OW HAVE BEEN ISSUED TO TI£NSURED N kgC ADONE FORTME PDUCY FERI00 WDl0 ATM M0rMMTMmMib ANY MENT.IUW OR COP997lON OF ANY OO CK&Zr OR CT?Idt O=Aaff WITH REWEC1'TO MAIM 7HIS.CERT>FICATi MAYBE MISLED OR NAY PE'lITAN.TF(E NSURAN1Cf MFOROEO sYTI PouCEs OEBORbED HEREN B suaatCT TOALLhE TFRMi,DCCWSt7Ie!AND OWMIONS OF SUM POIh'E'AOOAEGATE UMn SHOWN MAY HAVE BEEN RED=BY PAID CLAIM TTNe or tewnM�C= rOUCYrJEuw "Mfg= La1 eiil"eVAL" BK+mpmawftm t ODNiCYIlOBA9UllYeDtJTM mE0MY0EDWaMN t vi"WOE OWN e1W irwf�t�w,-�W t 01lI�iALIAD IUM - t cvxv LAa4'vmm t Opf�At10�ATEtARANRF>l/EI! leWOUDIf.001/il'aAEs e POLK.Y .. Fl IAC Aussim E1 mam Ca1�ImiMRdefMf (6ridtr4 _ i ammwNim Ne+ITD -A(1aN11{DApTOE LdOLYMJIAIY i IDDLYtN" t NONAYMDAUTOd (fin ' - fI100EtTY0AM1(� i '. S�wMrQ I OMIIo[Y1WTT - "" . - "AtlTE Ort!'.EAAO�IR t AIWAtflD - CT11fillTHIN aKL- i ^rm OLr.. AOD t eicsiwLm P"0cU1me"e t DOOIIR ❑WOWN•0E ... IOBgR3RTE i 't 067tX1Ii1F : - p1{M(e0, {" t OT}F YpEY,�lE D01R'aoYlewAteE T iE 1 pIR �LeEE'„ ]SIC 7006109019001 08109/09 08/09/03 ee MchA;.'od+► 1100000 LLoesw�•awweeo t 1t10000 cLoeDrxec-+atYuun 1,500000 are OEIGe/eIOMaI' ADO@tREWa�l�T7>MECNL►�O�DIr CERT MATE HOLOM N i Alp(tiNlL tItIRQ MIf POLC"M CANCELLATION ' 9 - - 4TlTDB►MWfI{tfagDmEleeMLLlYDlINIORTDW 1a DAMTeIE(TO t - � - � IpTIGLTOTMIaWTE'fiallLriomtIMSWTOt1R LMT.MRMWEeTO DODO r..� a,es tlOOEUEQRMIE WDRD7O,AM►tuw IwSEYriLtlY��RePE.Nt1lM OII - IH1AaMfAi1UED. r Qaa.. fC��Lw�pri �iL/CJLL(1/N� TOTS P.01 j i F ��FTNE'Ohti Town of Barnstable y Regulatory Services s�xxsrnBLE, I 9 asass g Thomas F.Geiler,Director 1639.,E A Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. nn Type of Work: /7ODi Estimated Cost / Address of Work: Owner's Name:�� Date of Application: 4U-,-1 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law ❑Job Under$1,000 (]Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby appl for a permit as the agent of the owner: p /l0T7 / Con tractor Name Registration No. Dat OR Date Owner's Name ` BOARD O'F BUILDING REGULATION$ , i ,License CONSTRUCTION,SURERVISOR' ; .. Number CS 019379 i 6 r Expires`:'03/05/2004 Tr.no: 18$12 << Restncfed 0 CURTIS A FRUZZETT1% _ si 28 FERNDALE HYANNIS; MA 02601 Adrninstrator .. ✓><ie �oon��ll�i a��iZ�laavac�uaelz ` I Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registration: 110771 Expiration: 11/3/2004 Type: DBA C A FRUZZETTi CONST. CO. CURTIS FRUZZETTI 28,FERNDALE RD, HYANNIS. MA 02601 t 1 f FIL Fil + ,...__-�...T_ _-..___---- I � � I I j1 1 + J + 1 - - - - - ----------- —a �f 11 I� IJ. I1 II rIj �I, �I l k � . E:. \ I i -�_. L.J_. 1 —_Isik_41 L P yA s:, ,ta_ 1 _77— -•- SCALE:/,R` r� APPROVED BY: DRAWN �. DATE: REVISE... M.A ccwvt 4 e Alf f 1d --_._-._-_. -..--...._ -___.-• ---�.�_ xis t . D,-II M f JAR 00 r J � v r� r i r d ! 1. ,,."•'jlr y .¢., __ '_. 4 ; '',� j C r ' iJ._./����„�i 1.,fir'" f�/. :`,.i'J�,_ •.�.,�,. �:I j r � _ T7CjL �r s� T ra� c J ry ! ► i ii � f �. } � --•� -fie, ----��--�- a y-, � 3� � r f'• i Y AP F,4r�. - p � i tY _ r . 77 C IVI:U1:� .1. G -Wl 1'NS1 L,CJ .0 .1.UN _l L 1N. _ NORTI-IEF114 ASSOCIATES, INC. 342 N.MAIN STREET ANDOVER, MA 01810 TEL.: (97 474-4410 FA X.• (978) 474-5067 MORTGAGER: MICHAEL D. & NANCY E. SEIDMAN DEED REF. CTF '120985 `LOCATION: 156 WHITMAR ROAD PLAN REF. , 39614-6 CITY, STATE: BARNSTABLE (COTUIT), MA SCALE: 1 " _ •.30' DATE: 12/7/98 J08 #: F 98/16743 LOT 18 43,562± S.F. (CALC:) LOT rn vj 17 DK LOT 5 8•±- 19 y 2""STY W/F #156 60t +I / f I -- t 195.56 WHITMAR ROAD CERTIFIED 10: OLD COLONY MORTGAGE CORP 0o'r i:: phis mortgage iuspecLiou was Pr cpat'ed 9'hin uun l,l age IoNl.ualluu oils fitrpnI u,I Ill 'we'll dalwu " Spec ificuIIy for mortgage .purposes Only end with Chu 'I'ur.hnlcnl 6tnndnrd:: tut Ilntiyugn Lunn 15 not to he rel led upon Its I. Inud or properly - 1" OF 4fgs tne:f,rcl.lunN ns ndupl ed by the M,s::uchuset Ls hoard of line survey, used for iecorcti ng, preparing dr.ed V` �.f_ Ituy lnl:r it lull of III of eNN l nnul f:nylnuols nod I.nnd` `. descr l pl iUIIS, at construct l on. Ho Careers wcru V, •eyG Survbynlc 250 ('1111 Gus. set. O,II)dlnq location atld offsets ere - CARMEN �� I I itIher utate that lu my plotensionul opinlnn..lhAt .n p pr oa imatcly located on the groaod and A. 4 the uLrur.1..I ea rhuw,l ciull otm wl lh the local xoniug Iier l:onta 1, aI e sbown speclf leaf ly tot roni ng de�etmit orlon, cc33 'TF_ST/� J dimensional sel hunk tequltumunt61 at the time of c.otistructlo0 Illy and are noL to I.0 used Lo es Luillish-property 18aY676..- glib nuumpt Iltnlar' proviN10116 of ILC.1.. C11. Ili-A Soc. 7, li-ties. The matters shown hereon are hosed oil •0 4 - client-tarnished informatiml and may he sul,ject 9C 9F �0 �e ppl.property/Ilouse is not In a Flood Hazard.' to further out-sales, tuk Lttgs, easements and lights '� t)/S7frP ,�4. d P (]2.Froperty/llotlse Is in a Flood llazard Area. of way, and other matters of record apd prescriptive Sj V <. or other rights. Ilorthent Associates` Inc. assumes uo �NAt•LAllog CII-IItfOralatIOil is insufficient to Ile l:e rat ir)e° respo ns lbillty harein to the laud owner or occupant, ^�^�•� / n 1`'lnud hazard. accepts no responsibility lot damages ,tesniting from sold /7 /qyf flood tlazard det0i'Inined from FQdet'al F1 oc r clfence It'll y anyone other than the said_mortgagee.and Its nsslgns Gi /// LLB/ Insurance I1aC 11-ij �1 _utel_ � l �� in eoauect ion wit h its proposed mor Cgage tinancinu to surd mort.ynlf°C• Da Le • 9Z 2nne G P `, 5 IF �Iiw Fie AI s 3 / 3' F '2 } � ig` xw Y- r -� u t� as ' a � z 1 3 4 wo 10, Fl- � E AW a��, r ���� � ;�,� �, r 'S' _ ������ ova:., P#� '� ek�'k ev'a• � F i_ � � �v'�'� t AN / s .€. - so "PS h a; WW e 5 S m r RpmrT op" h b�1 .tr a + ` r. + Y .I � r off 0,14 dd m rr a a ; 47 ER VA MWI EWEN a a . s a r " ��. h � "- � � �, w l�� �,� a 7� •.fin s s�^ 3 rel ;� k;;', 1 ,M�i« "`�„ a t Y v C f Lp_8 co Bm- c . .• 2a }§ €5 a Ea Ra yq y,��y� •� 1il y r � �£- ✓'a..%k... ,...;, �� .. ,:, <.. .., � .. ,.� M. } 1. e.�.i� L r s > q , goo '• .fi. .. -_., r�0..: 3 .�- '` vim... ,... v ..:-k:,v, -::;. ,F.: ."- z.. 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E ✓'fit � �;. ,' '�?� #��h � �,;. � ti, 3h sv.`', Y ,a41, r 1 Pazgoo H �j e us £ � fir""% -„ N� G it _,...���"$• __ � ' 1 � � � 3.2'•�•��"' �5 : i11110 ova51 OPIUM Wwo � r Ent w Q I 1' r E "" ' h� ���^"k-� t� S CFs»' *�i^,. <x *e6 M �$ tq/' •" �.7�h�i ,''F '�.^t��'�..�_. IH t. ,� 04 r" ?,> E '� '�.��•• ....,-'c, :�:';:ss.., l,r: � ..z.:". tW � . � Co PC � UO © � { co LL- � > (' \ . . f� 1-4 § . . 8 i t ' Seidman Suproom 156 Whitmar Rd. Cotuit, MA AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)1 Q Check Compliance 1.1 SCOPE Wind Speed(3-sec.gust)....:.................. 110 p xx WindExposure Category...........................................:...................... .............................................................B xx 1.2 APPLICABILITY Number of Stories ..............................................................(Fig 2)...............::........... stories <_2 stories xx Roof Pitch ...........................................................................(Fig 2) ..................:........................ 1 <_12:12 xx Mean Roof Height ..............................................................(Fig 2)..............................: ?0 ft 533' xx ................ Building Width,W...............................................................(Fig 3)........_.............. ,?ft 580, xx ......................... Building Length, L ..............................................................(Fig 3)............::...................................is ft <80' xx Building Aspect Ratio(UW) ....:.....:...............:....................(Fig 4)..........::..................................... 1.45 <3:1 xx Nominal Height of Tallest OpeningZ ....:..:........:..................(Fig 4)...................:............................6-8" <6'8" xx 1.3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2)................................................................ xx 2.1 FOUNDATION Foundation Walls meeting requirements of 780 CMR 5404.1 Concrete.............................................................................................................................. xx ConcreteMasonry.....................;............................................... ................................................................ xx 2.2 ANCHORAGE TO FOUNDATION'3 - 5/8"Anchor Bolts imbedded or 5/8"Proprietary Mechanical Anchors as an alternative in concrete only Bolt Spacing-general ..........................................(Table 4)............................................... 38 in. . xx Bolt Spacing from end/joint of plate ............................(Fig 5).....................................3 in.<_6"—12" xx Bolt Embedment—concrete.........................................(Fig 5)........................:........................12 in.'a T' xx Bolt Embedment—masonry.......:.................................(Fig 5)............................................ in.> 15" xx Plate Washer...............................................................(Fig 5)....................................3"........>_3"x 3"x'/4" XX 3.1 FLOORS Floor framing member spans checked ........... (per 780 CMR Chapter 55).................................... xx Maximum Floor Opening Dimension...................................(Fig 6)...........................9_ft<_ 12'or U2 or W/2 xx Full Height Wall Studs at Floor Openings less than 2'from Exterior Wall(Fig 6)NONE XX Maximum Floor Joist Setbacks Supporting Loadbearing Walls or Shearwall................(Fig 7)....................................... ............0 ft <_d xx Maximum Cantilevered Floor Joists c Supporting Loadbearing Walls or Shearwall................(Fig 8)...................................................0_ft <_d xx Floor Bracing at Endwalls...................................................(Fig 9)....:............................................................... xx Floor Sheathing Type ...............(per 780 CMR Chapter 55)spa:r ana c na�aoceo XX ......................................... . Floor Sheathing Thickness ..............................................:...(per 780 CMR Chapter 55)............:.......... 3/4' in. xx XX Floor Sheathing Fastening..................................................(Table 2)..8 d nails at 6" in edge/42 in field 4.1 WALLS Wall Height Loadbearing walls........................................................(Fig 10 and Table 5)..........................$'0" ft <_10' xx (Fig 10 and Table 5 .........e-o_ft <_20'Non-Loadbearing walls.................:........:..............:..... ( g )................. , . Wall Stud Spacing ........................................................(Fig 10 and Table 5)...................16" in. <_24"o.c. Wall Story Offsets . ......... (Figs 7&8 ..................... ft <_d 4.2 EXTERIOR WALLS' Wood Studs Loadbearing walls........................................................(Table 5) ...2x 6 a ft.o in. ........................ Non-Loadbearing walls........................ ........ .........(Table 5) ..............2x4 _8 ft o in. Gable End Wall Bracing' Full Height Endwall Studs......` ...............................(Fig 10):......:............,..... :....,....................... WSP Attic Floor Length..........................i.....................(Fig 11).`............ > Gypsum Ceiling Length(if WSP not used)...................(Fig 11)...:.:..:..................................:_ft>_0.9W 2 x 4 Continuous Lateral-Brace @ 6 ft.o.c. ..(Fig 11).............................. ... ....................... Double.Top Plate Splice Length ..................................................(Fig 13 and Table 6)...... ...... ..4_ft Splice Connection(no. of 16d commomnails)..............(Table.6) ......... is AWC Guide to Wood Construction in High Wind Areas: I10 mph Wind Zone Massachusetts Checklist for Compliance(7so CMR 5301.2.1.1)1 Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)..............(Table 7).............,..........................................2 XX Non-Loadbearing Wall Connections Lateral(no.of endnailed 16d common nails)...............(Table 8).........................................................2 XX Load Bearing Wall Openings(record largest opening:but check all openings for compliance to Table 9) Header Spans ........................................................(Table 9)..................................9 ft 0 in.<11' Sill Plate Spans ........................................................(Table 9).................................._ft_in.<_11' XX Full Height Studs (no.of studs)...................................(Table 9)...................................................:....3 Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header Spans.............................................................(Table 9)..................................6 ft o in. <_12' Sill Plate Spans............................................................(Table 9)..................................3 ft in.<_12" Full Height Studs(no.of studs)....................................(Table 9)..................:.....................................2 Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously4 Minimum Building Dimension,W Nominal Height of Tallest Opening2 .......... ..................................................................6'8=<_6'8" SheathingType..............................................(note 4)..............:.......................................112"cox Edge Nail Spacing............:...........................(Table 10 or note 4 if less)........................4 in. XX Field Nail Spacing..........................................(Table 10)...........................................:...... 72 in. XX Shear Connection(no.of 16d common nails)(Table 10)........................................................ 3/ft. Percent Full-Height Sheathing.......................(Table 10)...................................................46 % X 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... XX Maximum Building Dimension, L g2.........:Nominal Height of Tallest Openin ...:.......... 6'8"<_6'8" XXI ........................................ SheathingType..............................................(note 4)......................................................;n°cox XX Edge Nail Spacing....................::...................(Table 11 or note 4 if less)........................4 in. XX Field Nail Spacing..........:...............................(Table 11) 12 in. Shear Connection(no.of 16d common nails)(Table 11)...................................................... 3/ft. Percent Full-Height Sheathing.......................(Table 11)....................................................23 % XX 5%Additional Sheathing for Wall with Opening>6'8"(Design Concepts)..................... XX Wall Cladding Rated for Wind Speed?........................................:. : ....... 5.1 ROOFS Roof framing member spans checked?......a................(For Rafters use AWC Span Tool,see BBRS Website) Roof Overhang .............................(Figure 19)..............1 ft<_smaller of 2'or L/3 XX Truss or Rafter Connections at Loadbearing Walls Proprietary Connectors Uplift.........................................:......(Table 12)............................................U=no. plf XX . Lateral.............................................(Table 12).............................................L=176 plf XX Shear............:..................................(Table 12)............................................S=77 plf XX Ridge Strap Connections, if collar ties not used per page 21..... (Table 13)..............................T= plf Gable Rake Outlooker......................................... (Figure 20).............. .5 ft<_smaller of 2'or L/2 X Truss or Rafter Connections at Non-Loadbearing Walls Proprietary Connectors Uplift................................................(Table 14).................:..........................U=417 lb. XX Lateral(no. of 16d common nails)...(Table 14).......................................L=t487 lb. Roof Sheathing Type Fig? ..........._................................(per 780 CMR Chapters 58 and 59)3Tc.X Roof Sheathing Thickness...:.: ......... 3/4" in.>_7/16"WSP XX Roof Sheathing Fastening............................................(Table 2).............: XX ........... ...............................6_' Notes: 1. This checklist must be met in its entirety,excluding the specific exception noted in 2,to comply with the requirements of 780 CMR 5301.2.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs are not required per the WFCM 110 mph Guide: - a. Steel Straps per Figure 5 b. 20 Gage Straps per Figure 11 c. Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Corner Stud Hold Downs per Figure 18a 2. Exception: Opening heights of up to 8 ft.shall be.permitted when 5%is added to the percent full-height sheathing . requirements'shown in Tables`10 and 11. 3. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness. pressure treated#2-grade. AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (780 CMR 5301.2.1.1)' 4. a. From Table 10 and location of wall sheathing and Building Aspect Ratio,determine Percent Full-Height Sheathing requirements b. Wood Structural Panels shall be minimum thickness of 7/16"and be installed as follows: i. Panels shall be installed with strength axis parallel to studs. ii. All horizontal joints shall occur over and be nailed to framing. iii. On single story construction, panels shall be attached to bottom plates and top member of the double top plate. iv. On two story construction, upper panels shall be attached to the top member of the upper double top plate and to band joist at bottom of panel. Upper attachment of lower panel shall be made to band joist and lower attachment made to lowest plate at first floor framing. v. Horizontal nail spacing at double top plates, band joists, and girders shall be a double row of 8d staggered at 3 inches on center per the Figure, Vertical and Horizontal Nailing for Panel Attachment AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance (7so CMR 5301.2.1.1)1 -MEN THIS EDGE FIESTS ON FaRAMINGUSE8d WLS ATfib c 11 1! I! 1 JI !! 11 ! u 1_I 7 11 11 ! I! Y 11 rF•r F - r I I M II d 11 Ir � ! I I Yf 1 1, 1 Z 40 fl 11 Q II pp n Ir g 1 � IMF IF I r Fl2 11 11 , le 0 fl Ir � 1 !! 11 II 11 !! w ! II S u it W 1 - p u r r I UOUSLEEDGE Y------- �* - 1!AR-SPAGING PANEL_ _ 16 � v See Detail on Next Page Vertical and Horizontal Nailing for Panel Attachment I n AWC Guide to Wood Construction in High Wind Areas: 110 mph Wind Zone Massachusetts Checklist for Compliance(7so CMR 5301.2.1.1)1 1 w Cr Z4 i 1 1 , 1 f I e i �1 00 FRAMING MEMBERS 1 I l 1 i EDGE KrERMEDIATE 1 1 I { Z j N 3"MIN. 1 1 STAG MAR MAIL PATTERN PANEL PANe-EDGE J� DOUBLE NAIL EDGE SPACING DETAL Detai l Vertical and Horizontal Nailing for Panel Attachment vi. REScheck Software Version 4.3.0 Compliance Certificate Project Title: Seidman Sunroom Energy Code: 2009 IECC Location: Cotuit,Massachusetts Construction Type: Single Family Project Type: Addition/Alteration Heating Degree Days: 6137 Climate Zone: 5 Construction Site: Owner/Agent: Designer/Contractor: 156 Whitmar Rd. Nick Lagadinos Nick Lagadinos Cotuit,MA 02635 Lagadinos Building and Design Inc. Lagadinos Building and Design Inc. 13 Thankful Lane 13 Thankful Lane Cotuit,MA 02635 Cotuit,MA 02635 508-428-4097 508-428-4097 lagcon@capecod.net lagcon@capecod.net Compliance: Compliance: Maximum UA:64 . Your UA:64 Gross Cavity Cont. Glazing UA Assembly Area or R-Value R-Value or D.. Perimeter U-Factor Ceiling 1:Flat Ceiling or Scissor Truss 176 38.0 0.0 5 Wall 1:Wood Frame,16"o.c. 432 19.0 0.0 20 Window 1:Wood Frame:Double Pane with Low-E 36 0.360 13 Door 1:Glass 60 0.360 22 Floor 1:All-Wood Joist/Truss:Over Unconditioned Space 176 42.0 0.0 4 Compliance Statement. The proposed building design described here is consistent wi a building plans,specifications,and other calculations submitted with the permit application.The proposed builoA has been cXsigVed to meet the 2009 IECC requirements in REScheck Version 4.3.0 and to comply with the mandatory requir r listed' t e Scheck I pection Checklist. Name-Title ' Signature Date . _ - Project Title: Seidman Sunroom Report date:03/12/10 Data filename:C:\Program Files(x86)\Check\REScheck\Seidman Sunroom:rck Page 1 of 1. 2009 IECC Energy Efficiency Certificate Insulation Rating R-Value Ceiling/Roof 38.00 Wall 19.00 Floor/Foundation 42.00 Ductwork(unconditioned spaces): Glass& Door Rating U-Factor SHGC Window 0.36 Door 0.36 NA CoolingHeating& Heating System: Cooling System: Water Heater: Name: Date: Comments: i Assessor's offioe (1st fjoor): Irwif Assessor's map and lot number :�o................... Board of Health 1(3rd''140or): ?/"/ Sewage Permit number ........... ... .p...... Z EARtSTABLE. • Engineering Department (3rd floor): 'VO 6 9 House number ............................ .... ................. APPLICATIONS PROCESSED 8:30-9:30 A.M. and 1:00-2:00 P.M.* only TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO 6 ................ . ......d... .... . .... ...... I... ................... ..a.- .......... TYPE OF CONSTRUCTION ............... ....................... ............. .............. . ........ 19. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: _0 Location ......... ......... ....lea t.............It .................................................................................... ProposedUse ...................................................................I.......................................................................................................... Zoning District ............ .............................................Fire District ......... ............................................. .. .... ...... ................. I-;-- � Name of Owner ..... ... ....... :ta� 4 ........................Address ............ ...................................... Name of Builder .... .. ..... ...a..:..Address ............ I....................I..I..............................I.. .............. .. . ............. Name of Architect ................. d4w............................Address ..... .............................................................. 0,!ns .....................Number of Rooms ...........................................Foundation ............................... ................... Exterior ............... .'..Rocifing ......Z(� ... . .... ..................... ... .......... .......... ....................... �6Floors C.... ...e .... Z........ ....... . . ........Interior ...... .... . .... e Heating V............. ... .....................;............ Fireplace ....... ..... ...........Approximate Cost ........ ...................................... Definitive Plan Approved by Planning ...19 1 0 .1) Board ---------------------------- Area . ...................... Diagram of List—and Building with Dimensions ... I Fee ...... ............ SUBJECT TO APPROVAL OF BOARD OF HEALTH v. OCCUPANCY PERMITS REQUIRED FOR NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ................................ Construction Supervisor's License .... ... FAGIN, ROBERT A=56-74 No .3,3 9 4 9 Permit for Two„Story.. ...... t Single. Family Dwelling.......... Location .Lot... .18.......1,5 6.,Whitmar Road ................C9tlut............................................... Owner .........Robert Fagin...'..................... Type of Construction .Frame............................ ............................................................................... Plot ............................ Lot ................................ Permit Granted ..........9aptexobe.x...5.,.19 90 Date of Inspection ....................................19 Date Completed ......................................19 'PERM IT.00MPLETED 1/1/---lL �Q�` •�ew TOWN OF BARNSTABLE BUILDING DEPARTMENT Z DAiN : TOWN OFFICE BUILDING 'q► 6 9• �� HYANNIS, MASS. 02601 �a W,r�• MEMO TO: Town Clerk FROM: Building Department �2 DATE: An Occupancy Permit has been issued for the building authorized by BuildingPermit #. ..�15 .(.:..�1............................ ......... ................................................_.....»............................. .. issuedto .................... ... ...........I........ .......... ...................................... .......... . Please release the performance bond. / /� BUILDING PER.IIT h0.��� Dz 7 D ASSESSORS PARCEL NO. CONTINUATION OF ROAD BOND The undersigned owner/contractor hereby agree to maintain their road bond in force until the following work ite=s ara completed to the satisfaction of the Engineering Section of the Depar=ent of Public works: _ loam and seed shoulders as soon as weather pe omits: y other (e--.mlain) i ' SiG11;ED G Z .Jt0:;�:uAC70R) _(print na=e ) I Kv 71�1 I Ei;G:SEE:7', ACTHJ3:ZAT-CM a� :.TOWN:OF BARNSTABLE, MASSACHUSETTS :w BUILDINGS PERM:1:1 A=56-74 DATE September 5 90 � 3�4� 19 PERMIT • . e .APPLICANT_: Bayside Building Co• ADDRESS P. 0. ..'Box 9-5...._CerXervi-i-le`- :#0 056:45" p" (NO.) (STREET) :LICENSE).- NUMBER "OF PEKMIT TO' wild Dwelling ( 2 > STORY_Single Family 'Dwellin DWELLING UNITS 1TY PE OF IMPROVEMENT) NO. (PROPOSED USE) - ZONING.. AT(LOCATION) Lot #18, 15.6 Whitmar Road, Cotult DISTRICT . (NO.) (STREET) BETWEEN AND (CROSS STREET( (CROSS,STREET) LOT SUBOIy4SION" LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY FT. LONG BY FT. IN HEIGHT AND SHALL CONFORM IN CONSTRUCTION TO.TYPE USE GROUP BASEMENT WALLS OR FOUNDATION (TYPE) REMARKS: Sewage #90-346 A AREA OR: 1H2O S • ft. ESTIMATED COST I • FEEMIT.� VOLUME q 230 000 (CUBIC/SOUARE FEET) h OWNER Robert Fagin 'P O BOX 95 BUILDING DEPT. ADDRESS'. • • , Centerville BY u6KAHm IHF 0MENT OF PUBLIC WORKS. THE-ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITION OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAINED ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FORELECTRICAL, PLUMBING AND 1. FOUNDATIONS OR FOOTINGS. MADE. WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAL INSTALLATIONS. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL MEMBERS(READY TO LATH). FINAL INSPECTION HAS BEEN MADE. 3. FINAL INSPECTION BEFORE I OCCUPANCY. POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS Z Z 3 HEATIN11USAECTION APPROVALS NGINEERIN,q DEPART ENT 1 l OTHER BOARD OF HEALTH WORK SHALL NOT PROCEED UNTIL THE INSPEC- PERMIT '+V!L L BECOME NULL AND VOID IF CONSTRUCTION INSPECTIONS INDICATED ON THIS CARD CAN E TOR HAS APPROVED THE VARIODUS STAGES OF I WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE ARRANGED FOR BY TELEPHONE OR WRITTE CONSTRUCTION. LPERMIT iS ISSUED AS NOTED ABOVE, NOTIFICATION. ' o-Assessoos offioe (1st floor): ,/li1/IC, , •�r� �G�! ftNET Assessor's map and lot number ....�.l�C ... ....... ..... Board of Health (3rd floor): 7 Sewage Permit number ......... .,C�r�. '....... lo.. �..... y �� � ASd9TADLL, i • •• - .:J •. �C.r,.�u Engineering Department (3rd floor): A.I. M6 .. VATH o •� House number ............................. . .. ................. _ �a` �nr APPLICATIONS PROCESSED 8:30-9:30 A.M, and 1:00-2:00 P.M. only :_ �MLIAENTAL C0D7-A O YP TC WK R9cCi1JUMONS TOWN OF BARNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO . .. .... G�. TYPE OF CONSTRUCTION ................. .Y...G: ? ..... .................. .......................... ...................................... ................ ............ . .......1........19YO TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ... ....... .... l/v... . .. .. ......... .... `................ .................................................................................. ProposedUse ............ . ... ......... .... ... .................................................................................................................................... ..........................Fire District ......................Zoning District ............�........................... ........................................................ _}� Name of Owner ... . .. ....... ........!...... f .............Address .� v 7..' Name of Builder ....L.J . ... .................. . ..... . ...w.. ..Address ............................. Name of Architect .......... .........................Address .......... ........................................................................ Number of Rooms ......................T........................................Foundation ../ L7`v ....... . Exterior ..............Roofing ...... .1G.Z .44. Floors // . . �....Y..d .......Interior Heating /J.... ...(..l. 0 P ...J �o Plumbing +'..� ... .. ................ .a.. !!A� � !%L � Fireplace ........ .. .....Approximate Cost ......... ..8l: !.`...v........................ ....... �j Definitive Plan Approved by Planning Board ------6--- ---19 Area�. v _ p?.................. Diagram of Lot and Building with Dimensions Fee � SUBJECT TO APPROVAL OF BOARD OF HEALTH f Col 1 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 . .....l.................... .................................. Construction Supervisor's License FAGIN, ROBERT No ...33949. Permit for Two Story .......single...F.aM!I.y....DW.e.1,UX19. .......... Location ..Lot...#18.,.......1..5.6...Wbi.tMar...Road ................. .............................................. Owner .......RQb.ex:t...F.ag.1-n........................... ;. Type of Construction ....E.name......................... �.. ............................................................................... ..................... Lot ................................ D. e: Permiit^Granted .........September 5,1 q 90 ' a Date of-Inspection ...................................19 n f Date Completed . . : `911 .............19 i L•= i r ' s Fri �i e.a Jk f t' l�Es1C�l �.Ai sHcE-T- S INGLE FkMv Ly — l3E\,-)SZ.00M S 0A I.L-Y F'LoW _ I ► C) x 4 = 44 o G.P D. :5EP-Tl c- _FA QY` - 44-o I50 = 660 G. P. D loisP06AL. FiT - USE• (2) lobo �L t w 51 DEFACE AREA goo G. P. D elLc"' Dc�D > - S 4�.�1 1 ' �O P o_FTo i-j AREA. = �2� x'.r°.78 /56. ]LL To7-,q DC S I G/J = l d 9•( To i•9 L Dq I LY FLck j =` 44 o° G.P D. P02ZC-O ,ATo►,J RATS. _ )",N '2 TEST, HOLE # So¢S SS S WTI � � t ME H . _ C�A��.:2_.� rv1'E TIC _ ' y . . • EL.SSq `F.G. = S4 _l F:G TOP FND'.= /. 4` SCHED. 40 OS00 P.V.C. "°� INV 1000 GA - INVu. rN VGAL { o,, IN V. , LEACH PITS SEPTIC , •:a J "^ WITH >L' g° I/ TANK ^oTv i °- 3/4" TO gyQQQ° INV. INV..'cp _o WASHED o 'R STONE EL.46,o �*�'�,�g� ��� ,E4` ^ems 4._ •Yi•�3Fi'" .,�`�,.. - �`�� -- -- 2 PROFILE. �� 4 �_. P=TER SULLIVAN NO SCALE RAXTER N -I„ ELTIV 13-)T- 1-FTH. f-Sos% 3(}�.. v `. f z- ,�t^it 0a ' - v CERTIFIED PLOT PLAN 41 . I CERTIFY THAT THE PROPOSED FOUNDATION.,". _ LOCATION ' SHOWN HEREON COMPLYS WITH SCALE. . I ¢o DATE THE SIDELINE AND SETBACK I t REQUIREMENTS OF THE TOWN OF PLAN REFERENCE BARNSTABLE, AND IS.NOT'LOCATED WITHIN THE FLOODPLAIN. 4 • : L, C: L ' ,� (� 1 .4 ` DATE ; '�ly ` . 19�0 J �4 A BAXTER_'B NYE, INC, THIS PLAN IS NOT BASED ON AN REGISTERED LAND SURVEYORS m INSTRUMENT SURVEY AND THE OFFSETS 't $ CIVIL ENGINEERS., SHOWN SHOULD NOT BE USED TO, OSTERVILLE, MASS: ` DETERMINE LOT LINES, APPLICANT 6A y s - - I 2 oF� Iv f.Ac Zo• Nr6�P } So\1 a \ \ �W • '1 �\ _ � .�n t-A z� I ' iFaO 73 4g,9 �' _ _ � ; LoT • 1� Of r T O r PETER I SULLIVAN BattrER c, �.ps No. c9133 w r1 i i it f I Is , I z K I _� a�� •- �1 � d -L4�-Y, q s o f r d a kc R 4. v - t 43" i I r^ 1` ff �••+,�/"/7" a s� ^#.." � '},r ,' Y .:; ` i ,.., ( - *�,� r.• � � is .. � i .I. t t 'w`i'a i, i S s -� 9 ��i� � , � e rt a.� r � "�.' 'v �d� .�` r o- t.� • 17 i a "3 �s,� 3� j•y� j, t "�,o �' r � I � t• t "u s T �� 'I � ��"{ *+.�!�s .. -44 1 I t r i - P L. I I , r a �l r S , '_ V (• 4 —RICHARD I I!10 7ACd8 FQiSTf¢� k ' 7 } i r s , E i GGE 2177/ C�1 L4TT/1� I�I" 1- ,T2 y/Ty/ rt 3 4 Tye .�,Loaa�L,4/y - q OAT, ': _�v � � �� .�--•�'..Ct �ctJ �..:... `� r - XTE.E?�aA , -OX, !/.SEO 7`25� OE"T�-/1jC/� :�f�T �f�i�.L/CA/V7' , DDDDDDDDDD . 1. D � - _ _DmD DAD- P'° =QED D� -DAD DAD D D I =� A PPR NOT'..:Q ANGES p � � 6 igTA -� AT LO NTO' IO�BRIV SaCY..9lt�:E: 331J1Lr3lNG"C6'lr+ ��'�' =f'"O" . `�.L ( ` �r o�e�•ocr eq ,vraovao�r. ne•Building Inspection Department 144 1 ; /nu rs.a ocFc. FRONT E1-EVAT 1 C>W I i IN 91 Lp FFTPS4S¢� P64� - _ 61L�l� aey iZ E A.tiZ...E LE SAYS'ST)E MU1L171NG CE-{.iTERVtLLE /tiASS; auu:l/4-a1•.d I A/►fiDYED By; • - DATC: OCT �1► 1. ,w. Irk µ .. cs. W - G�✓1 Cw " I - ( fS.l.tt NGE1L S'1 i � I 71 - --- ------ -- --- -I�-- --J�-- �E1-T '51 �E - GA(ZG�C�E 21GI-lT S1DE• 64.`lSIpE F3UtLD(NG Ce Iw p• .EIJTERVtL.L1r /nA5'S . Y SCALE:% - APFROVED Dr: DPM DATE: REN E't-E Q AT I •�;�1 I '� '•° I - ! •� � ,I. I j1 a •• n s1W! Y, n� s rsNs 5 r r 0W(A F m IP Q 4 Yx s F .1 - lL JI ce Iz O OW , °+P i0 .� Af YF• "0 I, -. _ i � N`r o�Fl h B 61 Q — • �b _• x�� Y � d� i � b tt 1bi ' -- slvo� Illlllj r f a�'1 2 r i e i n = IL 13, d�ls ;ta 1a J Yf J � O rl 4 ,j O t • I D u� o F .��' '� - 1 d1 Y � �� adi6 •d31s � - a ! i J + II �, a a 5 � � 4 U pW u 0 J d tj as c- w wj d c z I pd �( �. Z a� �c a r °0 o r � vp U Y .. CD p _ + i- _ I 4 j I i C4 OL g- v n ~ q. , _ s o p a in ^' b m u • r. --- III t I- . O Q j I a1s z Y I h I oy s i C�I I 0 I' e - I CL I Ci J x .. 2 • ��� <7 .9 V, Qr c�� a Zc � . 121- e �6 E LZU' i ^^ rg R lP C" % 'C CO J a)ID 3 e1,. U V2 aW o x >a LLo 4.- 'r zm > — =0,5 U� vie j p, dp II f -��C' I,i _ . .� /r: \•r� r,�' �� Ifi J Aye 2 � C` J IQ• h r ! / � E4 � o x j %< j J v to o ' I _ t. `,� I� i i j ff • 1 0 , o � - � �a l ILLi a d N LL.} d fl \92 l Y ''1^ SC 4, sS;ip _ .. •. of*Mf>, TOWN OF BARNSTABLE 3 Permit No. . .3.9.4.9...... BUILDING DEPARTMENT TOWN OFFICE BUILDING Cash ............ Ml o " HYANNIS,MASS.02601 Bond .....x........... CERTIFICATE OF USE AND OCCUPANCY Issued to Robert Fagin Address Lot #18, 156 Whitmar Road CQtuit, Mass. USE GROUP. FIRE GRADING OCCUPANCY LOAD THIS-PERMIT 'WILL NOT.BE YALID., AND.THE BU'ILDIPIG SHALL NOT..BE.OCCUPIED,*:UNTIL SIGNED BY. 'THE BUILDING INSPECTOR UPON. SATISFACTORY-COMPLIANCE WITH,-TOWN REQUIREMENTS AND 11WACCORDANCE'WITH SECTION,11.9.0 Of THElMASSACHUSETTS STATE BUILDING CODE ', F .....December .14, 19 9a �• Building Inspector OWN:OF. BARNSTAB <... > T LE, MASSACHUSETTS . BUIL.D.II�G ERI�Iia A=56-74 -• ; A(� t a DATE September 5., �y 90 PERMIT APPLICANT B2iVSide Building CO ADDRESS P. C. ..Box 9-5. ceplerv_ille`> #005645 7 c (NO.) ;(STREET) _ .(CON iR�S LICENSEI. PERMIT T011lld Dwel STORY-Single F ml �,(V ]�W i nrt NUMBER OF YTYPE OF IMPROVEMENT) NO. (PROPOSED USE S DWELLING UNITS AT (LOCATION) - Lot #18, 156 Wllitmar Road, CotUit ZONING,_ (No ) (STREET) DISTRICT_RF ' BETWEEN AND (CROSS STREET) (CROSS STREET) -� SUBDIy4S10N - L07 LOT BLOCK SIZE BUILDING IS TO BE FT. WIDE BY F7, LONG 13Y FT, IN HEIGHT AND SHALL CONFORM IN CONS7RU.CTION/'!/ " TO.TYPE USE GROUP BASEMENT WALLS OR FOUNDATION 77- REMARKS:. Sewage #90-346 (TYPE) ' 1' f to f AREA OR 1820 $VOLUME q• ft• ESTIMATED COST 230, 000. ..PERMIT (CUBIC/SQUARE FEET) FEE �$ " OWNER Robert Fagin ADDRESS'. p•0 ox 95 Centerville BUILDING DEPT. BY DE P A "-_.l.`..::•. :.:-.._-R MESU OF PUBIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITION OF ANY APPLICABLE SUBDIVISIO L N RESTRICTIONS. MINIMUM OF THREE CALL APPROVED PLANS MUST BE RETAtNE.D ON JOB AND THIS WHERE APPLICABLE SEPARATE INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: CARD KEPT POSTED UNTIL FINAL INSPECTION HAS BEEN PERMITS ARE REQUIRED FOR I. FOUNDATIONS OR FOOTINGS. MADE, WHERE A CERTIFICATE OF OCCUPANCY IS RE- MECHANICAELECTRICALL INSTALLATIONS. I. 2. PRIOR TO COVERING STRUCTURAL QUIRED,SUCH BUILDING SHALL NOT BE OCCUPIED UNTIL 3. FINAL INSPECTION BEFORE FINAL INSPECTION HAS BEEN.MADE.' I OCCUPANCY. - - . POST THIS CARD SO IT IS VISIBLE FROM STREET BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS -- ELECTRICAL INSPECTION APPROVALS 2 --- - 2 /J / 3 �' v HEATIN -ECTION APPROVALS ENGINEERING DEPARTMENT r OTHER ----- BOARD OF HEALTH WORK SHALL N07 PROCEED UNTIL THE INSPEC- ?E RM I T 'F!L L BECOME NULL AND V TOR HAS APPROVED THE VARIODUS STAGES OF WORK 'S NOT STARTED '4I i H I N SIX M00 N TH 5 OF ID IF SDATE THE ON INSPECTIONS INDICATED ON THIS CARD CANE CONSTRUCTION. PERMIT ;S ISSUED AS NOTED ABOVE. ARRANGED FOR BY TELEPHONE OR WRITTE NOTIFICATION. BUILDING PERMIT NO. �� 3�� j r D z E ASSESSORS PARCEL NO. CONTINUATION OF ROAD BOND The unaersigned ou-ner/contractor hereby agree to maintain their road bond in force'datil the following worn items are completed to .the satisfaction of the Engineeri.-:g Section of the Department of Public wor'.:s: lca= and seed shoulders as soon as weather pe^its: of er (e_--mlain) LOCATIO.;: l SG G(% LC; )/ Sivi;cD G;vc:c CTOR) _(print name ) cc c ;GI_vcE:I_, ACTHORIZATION T®WI� OF BAR ASTABLE K1, tlAP 26 i'rl 12: 2i o r� E 4"e - - - - - - - - - - rn c6 0 0 c . N U N � 00 o c 5468 C c,) U ._ o a d Re-Use S der and � � CD . �O Lo 7 ci (6 X j nst II n P ck doors �'c 2 Proposed "Lj) cu m 0 'T � � Sunroom Addition 0 � � o -_ � N J _ It (0 - N � O N o I S L0 ro m J 15'-5" x 10'-5" A-A N I F oti s to - I 9068 . I I 16' --4_ IMPORTANT v� 00 ANY CONSTRUCTION THAT INCREASES LIVING SPACE B_ BEYOND 1200 SQ. FT. PER LEVEL MAY REQUIRE THE ;g INSTALLATION OF ADDITIONAL SMOKE DETECTORS. .b NOTE: A SEPARATE PERMIT IS REQUIRED+ FOR THE INSTALLATION OF SMOKE DETECTORS--THE ELECTRICAL PERMIT 2QE. NOT SATISFY THIS REQUIREMENT. 0 - o N L6 N O tr z cz �U � { Vl O I r. C 4 11 I� w C U N C) N Do � C CMCC) C J N C Q ��,�j�` or) Q V O C0 Ca I- C C Cc:) U N m 6 'T CCU,) � M ----------2649DH---------------------------�&--------------------------= _ V Nv J Ca Door Replacing O o E Window To Deck � �' J Proposed Roof Deck Roof Deck 15'-1 " x 10'-7" Rubber Membrane Roof Over Sunroo P.T. Sleeper: '1 A Mahogany Decking Trademark Rails 36". High• CIO r� a� 16' o N Lp N O cC Z .d CO U Cf) -U c � ' O O o O f/) 3 CD CL o' 46'-8" �w T N o .? 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