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TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/ VEATHERIZATION PROPERTY INFORMATION Address of Project: d 8l(Q mat NUMBER STREET VILLAGE Owner's Name: -Phone I�tJ� Phone Number 5 D&-31o;),- I(off Email Address: YYJ C M C 1)03 ,2a7I0 Cell Phone Number St>& -L �_O- 9-007-7 Project cost$ ��QI �— Check one Residential Z Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize to make application for a building permit in accordance with 780 CMR Owner Signature: 6,6Z66L,,I, Date: TYPE OF WORK © Siding X1 Windows (no header change)# F-1 Insulation/Weatherization ED Doors (no header change)# Commercial Doors require an inspector's review ED Roof(not applying more than 1 layer of shingles) rr Construction Debris will be going to �CAfM& L I CONTRACTOR'S INFORMATION Contractor's name 3)r,�)kl e HG1me. �i�►�D/15 U�G�� Home Improvement Contractors Registration (if applicable)# j�S (attach copy) Construction Supervisor's License# C-3-- (attach copy) Email of Contractor �( � � Phone numberSUO-�n S--17_)0 ALL PROPERTIES THAT HAVE STRUCTURES OVER 7S YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER ............................................................ *For Tents Only* Date Tent(s) will be erected Removed on number of tents total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X , X X Additional tent dimensions can be attached on a separate piece of paper. Purpose of Event Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location (s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model /I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number CelI or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures, specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date ICANT'S SIGNATURE Signature Date All permit applications are subject t a building official's approval prior to issuance 8.. Homeowner is to carry fire,-and other necessary insurance. Contractor's workers are fully covered ley Worker's Compensation.Insurance. 9. Fencing, carpentry, painting, plumbing, electrical, dry wells, etc., and all other work necessary that is not contained in this contract, shall be the responsibility of the Homeowner. 10. For roofing, the above pricing is based on a single layer strip unless otherwise specified. Should there be an additional layer or layers of roofing they will be removed and disposed of at an additional cost. Re-leading of the chimney is not included in quote unless specified and will be bill additional, if required. 11. For Window installation, contractor is not responsible for removal or reinstallation of window treatments(i.e. curtains, blinds, etc.). 12. Contracts not fully executed within thirty days of contract date are subject to pricing adjustment if applicable. RIGHTS TO CANCEL The Owner may cancel this Agreement if it has been signed by the Owner at a place other than the address of the Contractor, which may be his main office or branch thereof, provided that the Owner notifies the Contractor in writing at his main office, or branch by ordinary mail posted,by telegram sent or by delivery, not later than midnight of the third business day following the signing of this Agreement. WARRANTIES The Contractor warrants that the work furnished hereunder shall be free from defects in workmanship for a period of two(2)years following completion and shall comply with the requirements of this Agreement. In the event any defect in workmanship, or damage caused by the Contractor, his subcontractors, employees or agents, is discovered within two years after completion of any job, including clean-up, the Contractor shall, at his own expense, forthwith remedy, repair, correct,replace, or cause to be remedied, repaired, or replaced such damage or such defect in workmanship as long as the owner has paid their agreed contract in full. The foregoing warranties shall survive any inspection performed in connection with the agreed upon work. All warranties for product supplied by the Contractor under this Agreement shall be those given by the manufacturers of such product, which shall be and hereby passed directly to the Owner. Such manufacturer's warranties, the Owner may be required to register or mail in a warranty card or other evidence of ownership and use of such product in order to activate such warranties. The Owner's failure to send in or register such documentation, which failure voids that manufacturer's warranty, shall not create any responsibility for the Contractor to warranty such product. Note: Any changes in the contract during the duration of the project which results in additional monies due will be paid in full to the contractor at the time of the change. I authorize Sprinkle Home Improvement to act on my behalf in all matters relative to the work to be �.� perfor led on this job (i.e. permits, applications etc.) if ne ary. _421 omeowne ignature Date Contractor Sig re Date Debra,MCM I us Brad Sprinkle- Registration number: 103757 2876 Main Street, Barnstable, MA 02630 The Commonwealth of Massachusetts. Department of Industrial Accidents d I Congress Street,Suite 100 Boston,MA 02114-2017 www mass.gov/dia NNVorkers'Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name (Business/Organization/Individual):SPRINKLE HOME IMPROVEMENT, INC. Address: 199 Barnstable Rd. City/State/Zip: Hyannis, MA 02601 Phone#:508 775-1778 Are you an employer?Check the appropriate box: 'Type of project(required): 1.0 I am a employer with 10 employees(full and/or part-time).* 7. New construction 2.[—]I am a sole proprietor or partnership and have no employees working for me in 8. Remodeling any capacity.[No workers'comp.insurance required.] emo 3.❑I am a homeowner doing all work myself.[No workers'comp.insurance required.]t 9. ❑D 10� Buildinldin iOri g addition 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will ensure that all contractors either have workers'compensation insurance or are sole 1I.EJElectrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.[]'I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ p Roof repairs These sub-contractors have employees and have workers'comp.insurance.$ 6.❑We are a corporation and its officers have exercised their right of exemption per MGL c. 14. Other � /� � 152,§1(4),and we have no employees.[No workers'comp:insurance required.] , l� 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: A.I.M.Mutual Policy#or Self-ins.Lic.#:WCC50050167472018A Expiration Date: 1/1/2019 Job Site Address:_ ���U rn (In �1Ti sl City/State/Zip:Q d���MQ 3z� Attach a copy of the workers'compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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.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 t 'es of perjury th at the information provided above is true and correct Signature: Date: zA n1 k Phone#: 508 775-1778 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#: Office of Consumer Affairs and Business Regulation One Ashburton Place-Suite 1301 Boston, Massachusetts 02108 Home lmprovemenfi=Contractor Registration �.. Type: Corporation _ i Registration: 103757 SPRINKLE HOME IMPROVEMENT,INC 199 BARNSTABLE RD. _ Expiration: 07/08/2020 q HYANNIS,MA 02601 '`+^�^ Update Address and Return Card. SCA t i',i 20M-05W - �asnnzoxzo�o�C�i�aarat�,uaaCld, . Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only TYPE:Corporation before the expiration date. If found return to: R291stiafion. gxgliratlon Office of Consumer Affairs and Business Regulation 10375T= 07/08/2020 One Ashburton Place-Suite SPRINKLE HOME IMPROVEMENT,INC. Boston,MA g c. BRAD K.SPRINKLE 199 BARNSTABLE RD HYANNIS.MA 02601 Undersecretary Not VBiid Wf Si attire v.. COnstructtan Supervisor Commonwealth of fassachusetts UnresUided-Builddtgs of any use group which coraain Division of Professional Licensure less thall 35.000 cubic feet 891 cubic meters)of enclosed Board of Building Regulations and Standards spate. t;oraStr ct brt`S ipervisot -� ra CS-006643 Upires: 1010812019 BRAD K SPRINKLE 199 BARNSTABLE ROAD HYANNIS MA 02601 1 r 1 � Failum to possess a ctumit edition oithe Massachusetts Site SullOng Code is cause for revocation of this license. For intormdIon about this pcense Can(017)TV-3200 or visit WWWJ SS.9oWdpl Commissioner I SPRIN-1 .4COR�►° DATE(MMIDDIYYYY) `.�. CERTIFICATE OF LIABILITY INSURANCE 0911912018 THIS CERTIFICATE tS ISSUED.AS A MATTER OF INFORMATION ONLY A.ND 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'COWtITUTE A, CONTRACT`BETWEEN THE`ISSUIN6 INSURER(Sj, AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: M the certificate holder is art ADDITIONAL INSURED;the poitey(t o must have ADDITIONAL INSURED provisions or+be endorsed. If SUBROGATION IS WAIVED,subject to`the terms and c6141ttorli of the,policy, certain policies may require an:endorsement A statement on 'this'certificate does not,confer ri hts to the ceitiflcate'h6l&r.In lieu.of such endorsement s PRODUCER SOH-775-6060; c cT Kelley ASuilivan 8ryden 8 Sullivan Ins Agency PHONE Fax. 88 Faimouth:Road c Na Ex :508-775-6060 JAIC.Na:508-7904414 IHyannis,MA 02601 A L 1Kell®y A.Sullivan ' INSURER(si.AFFORDINGVE E NAIC fl wsuRERAt.NGM Insurance Company 14788 INsuRED Sprinkle Home improvement Inc. IlvsuRt R B Associated Employers Insurance . 199.Barnstable Rd Hyannis,MA`.02601'_` INSURER C i INSURER D-. i INSURER E - COVERAGE C ,, NUMBER: THIS 1S.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 HAVESEEWREDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUB POLICY EFF POLICY.EXP WE: POLICY NUMBER LIMITS A COMMERCIAL GENERAL uABILnY EACH OCCURRENCE 1,000,000 CLAIMS-MADE F:OCCUR :: MPT2640X' 07/01/2618 '07/0112019 DAMAGE Ta RENTED 500,�U0. PRE X nes Busis Owners 10,000 ME EXP An one ergo PERSONAL& DV INJURY 1,000,000 GEN L AGG TE LIMIT APPLIES PER: GENERAL AGGREGATE' 2,000,000 X POLICY a LOC PRODUCTS-COMP/OP AGG Z OOO,OOO A .`AUTOMOBILE LIABILITY COMBINED"SINGLE LIMIT 1;0001000 ANY AUTO M1T2640X 07/2712018 07/2712019 BO ILYI URY Per ers n OWNED X .SCHEDULED- BODIL IN URY Pera 'den AU�T�ODS ONLY AUOTM0p5�/�Ep � Ty X AUTOS ONLY X AUTOS ONLY PRe�acEcRident AMAGE A .X UMBRELLA W46 X `OCCUR EACH OCCURRENCE S 10001000 DLCESSttA6 CLAIMS-MADE CUIr OX 07/01/2018.: 07/0112019 7AGGREGATE' 1100050001, DED X I,RETENTION$ 10000 B WoRkAND MRPSLO RS'U BIILITY PSTAnITF:ER OTH- 4 ANY PROPRIETOR/PARTNERIEXECUTiVE I N CC60050167472018A 01/01/2018 01/01/2019 50Q000 QQppFlCER/Mflfl Ag EXCLUDED? ER N/A E.L.EACH AC IDE {Mandatory In N E.L.DISEASE-EA EMPLOYEE 5001000 H es,describe under DRIKION OF OPERATIONSF_L.bia ocy u IT 500,000 PROPERTY 50,000 .DESCRIPTION OF OPERATIONS 1 LOCATIONS I VEHICLES(ACORD 1k Additional Remarks Schedule„maybe attached H more space is required) Certificate issued for msurance verification Home Improvement Spet;alist C SPRNKHO 8HOULq ANY OFT HE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE:.'THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISION Sprinkle Home improvement,Inc 199.046fitable Rd. o -Hyannis,MA 02601 AUTHORMEO REPRESENT7� Kelley ASullivan W Sullivan Ins, Agency, IrK. ACORD 25.(2016/03) ©1988-2015; , rights reserved. The ACORD name and logo are registered marks:of ACORD Town of Barnstable Building . P ost Card So That it is Visible From'the Street-Approved,Plans Must be Retained on Job and this Gard,Must be Kept + rARPI;i'I•ABI.E. ' trt 4..''.a .., .-- ..,�. ^*-,„. ° '.:::9, $�' 'a,. rp, 'w d... s 7 �=�,x h.,:� . "�" sUntil Final Inspection Has Been Made - s �` ibsq cs" ' Certificate of Occupancy is Required,isuch'Build�ng shall N :be Occupied wuntil.a Final;lnspect�on has been made Permit Permit NO. B-18-2289 Applicant Name: HENRY E CASSIDY Approvals Date Issued: 07/18/2018 Current Use: Structure Permit Type: Building-Insulation-Residential Expiration Date: 01/18/2019 Foundation: Location: 2876 MAIN ST./RTE 6A(BARN.),BARNSTABLE Map/Loth 279-011 Zoning District: RF-2 Sheathing: . Owner on Record: MCMANUS, DEBRA L ) �A Contractor Name '*_CAPE COD INSULATION, INC Framing: 1 I , Address: P O BOX 261 Contractor License 153567 2 BARNSTABLE, MA 02630 - ( Est Project Cost: $4,700.00 Chimney: Description: INSULATION/WEATHERIZATION Permit Feie: $85.00 Insulation: Project Review Req: _ Fee Paidf: $85.00 ,Date €`� 7/18/2018 Final: Plumbing/Gas k Rough Plumbing: ~- -q 'Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed by this permit is commenced within soc months after'issuance. .; Rough Gas: All work authorized by this permit shall conform to the approved application'and the�approved construction documents for which'this permit has been granted. a � All construction,alterations and changes of use of any building and structures shall be in compliance with the local zoning by laws and codes. Final Gas: This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for¢public inspection for the entire duration of the work until the completion of the same. w , Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Budding and Fire Officals are provided on this permit. Service: Minimum of Five Call Inspections Required for All Construction Work: _ 1.Foundation or Footing Rough: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) / Low Voltage Rough: 6.Insulation �,r�1 7.Final Inspection before Occupancy 47 Low Voltage Final: ,y(/ Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. ,�/�P Health Work shall not proceed until the Inspector has approved the various stages of construction. W✓" Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Fire Department Building plans are to be available on site Final: All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel �~ Application # J Health Division r Date Issued Conservation Division 0 0 Application F W SS Planning Dept. c Permit Fee Date Definitive Plan Approved by Planning Boarit "D Historic - OKH _ Preservation PHyannis Project Street Address ,19Z4/,0 Village e Owner 2e_a � �U� Address .5'�J i4!5 Telephone ,5-OY , �� Permit Request /2 /2 - Z eq i4 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 6�7,490', 2) Construction Type P .? Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family C Two Family ❑ Multi-Family (# units) It Age of Existing Structure Historic House: ❑Yes a 1<o On Old King's Highway: ❑Yes .0'INo 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# Current Use Proposed Use - - - APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name /°Me 612 Telephone Number ���/�/� Address /��G ,� /� License # /vd ze Home improvement Contractor# 7 Email ,k)%G�d�' `�CC ,��1?i Worker's Compensation #/6�Z_2/JU q_1ZW ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAM E INSULATION FIREPLACE ;k ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. The Cotruttohwealth ofumaaltuseMls ' r bepar'lrneni ofXnduslr'ratAootdertils 1 Congress Street, Suite 100 13ost0n, ll?A 02114.2017 wwwlmass,�ov/eta }lrot'kers' Compensation Insuranoo AMAYIO°-Bulldsrs/Con�r.actorsl�lectrlalansl�l.umbers,TO 8E FILED WITH THE PDAM'Itl�1 lKO AC,ITHORITY, Name (13uslnass/organitltion/indlviduaa); Cape Cod Insula�lon address) 18 Reardon Circle City/Skate/Zip; SOWh Yermcuth,MA 02$$4 phone #i 808.776-1214 are you tin +mployerl Cbeok tht epproprlate bort i,miem�employerwith 48 amployces(fVlland/orplrl�llme),r TypsofproJeot (requlrad) t,(]I em a tole proprfalor or partrterahlp and htye no employes)worklnJ for In 7' Cl New oonstruodon Inyolpeolly (No workers oomp, ins mod roqulred,) 8, ❑ Itemodel.ing I Im I ll mNownsr doing 0 work mywt,,,(No workers'oomp,Insuranoe raqulred,)t 91 Cl 4,❑I un I homowner end will be hlHMJ oontua rl to oonduot di work on my property, I Ml 10 ❑ 8ulldlag addltlon 4ntu"Ml UI oontraotors elver hive workeril oompe ove on ln1urinoe or Ire sole proprietorswlUt no employaas, 11,[] �(ootrlaal repairs or addltl S,(]I sm a pn+rel oontrearor and l heye hlrod the sub,00ntreoton Ilstod on the atteohed sheet, '�aad�ubaontra-0tar,hays employaas Md hove worlslrsl Dom ,in„ l I2'❑p�umb(ng ropalrs or addltl ' p 13,[]Roof rcpalrs 6,❑Wo ve a oorporadon end Its o�loerl have axeroleed their rtghl olexempdon per MOL o, 14,M�r��, lit,�I(4);Ind we htye no omployees, (No worken'oomp, in+wanoe ngvircd) Other Weather(zatlor +Any+ppl o4nl who breaks x i mu+t also II out a soot 9n below show n�their workers' oompanalUon polloy Information, l ontmotors who rubmfr�ltic4`adayll Indloatint thoeyy de;ng eJl wo►k and then hers ouulde oomrnotors marl eubm tContraotorr Vu4 ohwk t}tls box must e,t+.aohad an eddldonal sheet ehowing We none o�the suboonaeators and scat employees, If the tub.eontnoton kuvl em to ees they man roylde their work4rs'Dom , Ito number, e whleWer or no tho+�Syilelentiti4haY4 1 am an employer r�sa1 tr peovtdtng workers' oompenvallon Jnsuranee far my employees, Bglow (s the polloy ar+d�ob sire lnsurmoacompmyNtrnc; Atlantic Charter Polloy k or selP•Ins, Lio,91 WCE004 3190 E bate 06/30/201�d Job Slte Address►���!_ i ._._ Attaoh a copy of the workers' oompt;nsatloa policy declarakioi, page (sbowlb I�tSlate/zlpl Z�%� "' Failure to saoura ooverage as requirad under MOL o, be polloy number and sxpl'Mo�, arjd/or.one IS2, §ESA Is a orlminal Ylolatlon punishable by a tlno u to $I S ,year Imprisonment, as well a�s olYll panalkles In the form o1'a STOP W p , OO'C day agalnsl the violator, A Dopy of this stat,t mpnt may be forwarded to the OM( C7 CRb�R and & fine of up to S2 O,C oovertge Yerft�ottlon, e of Invost{gatlons of the D1A for Insuranc I do 1►¢r¢by Der art ns and penalties o er �r+Woeprwflon pt�ovlded fpu that the J above is true and oorrec� e k+Yl!1 frI MY�1W~WruWwy�y�y WIM non$ OfJiclal usQ oily, Do not write In tll(r need, to be completed by city or town 0JY10(04 City or Towne Issulnz authorlty (01role one), PermlULloense y !, 801r6 of health 2, Building bepartment 3, CItytT'own Clerk Q, �leotrloal Ins e 6, Othar p oto> .$, Plumbin5IL Cnspector Contact Person) bH�M u, �1 CAPECOD-27 AMAHLE CERTIFICATE OF LIABILITY INSURANCE DATE/06120Y 0605/208 18 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER($),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(les)must have ADDITIONAL INSURED provisions or be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsements. PRODUCER C ACT 434 Rte 1�3gray Insurance Agency,Inc: PHONE N ,Ext: A/c,No:(877)816-2156 South Dennis,MA 02660 5b%XLEsse mail@rogersgray.com INSURERS AFFORDING COVERAGE NAIC# INSURERA:WestAmerican Insurance Company 44393 INSURED INSURER B:Saf8ly Indemnity Insurance Company 33618 Cape Cod Insulation,Inc. INSURER c:Endurance American Specialty Insurance Company 41718 18 Reardon Circle INSURER D:Atlantic Charter Insurance Company 44326 South Yarmouth,MA 02664 INSURER E: INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR TYPE OF INSURANCE ADDL SUBR POLICY NUMBER POLICY EFF POLICY EXP YYyI LIMITS A X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 CLAIMS-MADE ❑X OCCUR BKW(19)53328281 04/01/2018 04/01/2019 DAMAGES(OEa NTT encel 100,000 REMISMED EXP(Any oneperson) 5,000 PERSONAL&ADV INJURY 1,000,000 NX N'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE 2,000,000 POLICY mf LOD 2,000,000 see holder descrlp of operations PRODUCTS-COMP/OP AGG OTHER: B AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT 1,000,000 ANY AUTO 6232707 04/01/2018 04/01/2019 BODILY INJURY Perperson) OWNED SCHEDULED AUTOS ONLY X AUTOS SSWNEp BODILY INJURY Per accident $ X AUTOS ONLY X Al7TOS ONLY PPe�aCcRJ nt AMAGE C UMBRELLA LIAB X OCCUR EACH OCCURRENCE 2,000,000 X EXCESS LIAB CLAIMS-MADE EXC10006636003 04/01/2018 04/01/2019 AGGREGATE 2,000,000 DED I I RETENTION$ D WORKERS COMPENSATION PER OTH- _ AND EMPLOYERS'LIABILITY ANY PROPRIETOR/PARTNER/EXECUTIVE YIN WCE00431903 06I3012018 06/3012019 1,000,000 (FFICER/MEMg��EXCLUDED? N/A E.L.EACH ACCIDENT (Mandatory In NH) E.L.DISEASE-EA EMPLOYEE 10000,000 If yes,describe under DES RIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT 1,000,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(ACORD 101,Additional Remarks Schedule,may be attached if more space Is required) Workers Compensation includes Officers or Proprietors. Additional Insured status is provided under the General Liability and Auto Liability when required by written contract or agreement with the Certificate Holder. Excess Liability is follow form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ACORD ACORD 25(2016/03) ©1988-2016 ACORD CORPORATION. Ali rights reserved. i r V \ Commonwealth of Massachusetts l® Division of Professional Licensure .Board of Building Regulations and Standards Cons.r!14 CtMjNbpyvisor CS-100988 I-' Ires: 11/11/2019 HENRY E CASSIDY " 8 SHED ROW ii+l ' WEST YARMOGTIri MA•.02873 ?� ''' Commissioner a Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, Ma # br�iusetts 02116 Home Improveme.-Va6.�ltractor Registration ^ ..5+. . ..^T,. Type: Corporation Cape Cod Insulation, Inc ` ►'`' (a; Registration: 153567 18 ReardonpCircle s: -`� Expiration: 12/14/2018 So. Yarmouth, MA 02664 1c _CAA 0 20M•05nt Update Address and return card. Mark reason for change. .....___...._.�-•11d�::�•l"_ t:►tilt:::t._tlCrf.�ln.,m9t1� L4,^�!r' 1 ...-. �a cpamrmaararven�o�C3/�r�aaa•�croetlJ r"'� Office of Consumer Affairs&Business Regulation !< HOME IMPROVEMENT CONTRACTOR Registration valid for Individual use only t T.ypef Corporation before the expiration date, If foun urn to: : .;ttt' 91;9SCtIt14D F.2Sgjl�lQp Office of Consumer Affairs and 181 as Regulation y, rr B -�— 12/14/201 — 3r 67j 8 10 Park Plaza- e 5170 Cape Cod Ins 'i*tj� r! Boaton,MA. it Henry Cassidy`o :f i s ; 18 Reardon Ciro v , cG ,M So,Yarmouth Q u Undersecretary t 81 hout sl atu� HOME OWNER WEATHERIZATION WORK PERMIT: PLEASE COMPLETE AND SIGN THIS FORM AS THE APPLICANT HOMEOWNER. IL2 hereby consent to and agree that weatherization work may be done by the Weatherization Program of Housing Assistance Corporation on the property located at: !r The weatherization work done will be based on programmatic priorities and availability of funding and it may include all or some of the following measures: Weather stripping; air sealing; attic&basement insulation; exterior wall insulation; ventilation measures In consideration of the weatherization work to be done at my home i agree to the following: 1. I give permission to Housing Assistance Corporation to access the property with such equipment and materials as may be necessary to perform weatherization. 2. The Housing Assistance Corporation reserves the right to inspect the fuel or utility bill for the weatherized unit on an ongoing basis for no more than five (5)years after the weatherization work is completed. I have read the provisions of this agreement and give my consent. Home Owner(signature) "` Home Owner email: _ Date: Agent:(signature),.__ Date: Agency Approved Weatherization;Company All Cape Energy Alternative Weatherization Ca a Cod Insulation Cape Save Cazeault Frontier Energy Solutions Lohr Home Improvement Agency Signature: Date: For.Natural Gas Customers;: 1 have received the National Grid Discount Rate Application form from my auditor; Customer Initials 4 Engineering Dept. (3rd floor) Map #279 'Parcel #011 4��e Permit# / DO� `f 5 House# p , Date Issued �Q7 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) 6 Al Conservation Office(4th floor)(8:30-9:30/1:00-2:00) Izz— �' ✓8'B P 1111CAit A SEWER Elm THE oaf 19 "W" STABLE, �JFD MAC b�� TOWN OF BARNSTABLE Building Permit Application Project Street Address 2876 Main Street Village Barnstable Owner Debra L. McManus Babbitt Address 2876 Main Street Telephone (508) 362-1678 Permit Requests, New Deck - 14 x 20 P. T. , North Side. 2. Bring used 8 x 10 shed from off site. 3. Two (2) new French doors. 4. New decking above garage and railings. First Floor 1000 square feet Second Floor 900 square feet Construction Type Wood post and beam Estimated Project Cost $ y o OC3•0 0 Zoning District r. Flood Plain C Water Protection Lot Size .96 Grandfathered ❑Yes ❑No Dwelling Type: Single Family 3r] Two Family ❑ Multi-Family(#units) Age of Existing Structure 91 Historic House ❑Yes ❑No On Old King's Highway ®Yes ❑No Basement Type: ❑Full ❑Crawl ®Walkout ❑Other Basement Finished Area(sq.ft.) 220 Basement Unfinished Area(sq.ft) 680 Number of Baths: Full: Existing 1 New Half: Existing 1 New No.of Bedrooms: Existing 5 New Total Room Count(not including baths): Existing 10 New First Floor Room Count 4 Heat Type and Fuel: ®Gas ❑Oil ❑Electric ❑Other Central Air ❑Yes ILJNo Fireplaces: Existing 2 New Existing wood/coal stove ®Yes ❑No Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ®Attached(size) 14 x 18 ❑Barn(size) ❑None ®Shed(size) New 8 x 12 ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ®No If yes, site plan review# Current Use 12 E S e- In C. r— Proposed Use 8 ate► e � Builder Information Name Owner Telephone Number Address License# Home Improvement Contractor# Worker's Compensation# NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN(AS BUILT)SHOWING EXISTING,AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Town of Barnstable DUMP SIGNATURE ATE 9 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) Raw 3 �A1� y MM11- 'm T .. .. ! Ir . 1 - r � f • T I a � Town of Barnstable-Planning Department Old King's Highway Historic District Committee MEMORANDUM TO: Building Commissioner FROM: Gwendolyn Brown, OKH Secretary DATE : �� -7 SUBJ: Modification to Prior Approved Plan A minor modification has been approved by the OKH Committee to a prior approved plan for the applicant (s) named below. The modification is briefly summarized and I have attached backup material for your records . Applicant (s) %'^ cL A /C Address of proposed Work r 0 r Meeting Date Approved by OKH Minor Modification l' e a n C r`�- e Cal C e �e a� �G v e S e 1� ©� s 1�a , --�s a h S l r C © 4-ilYr-si C7"-- s h {^ d e o v� �5 s Chairman If you should have any questions, please do not hesitate to contact me at ext . 285 . MEMosc _�. _,,.'._.4....__..r-+.........ice... _._..k::;.i.1�3 .-.n,L�.ti u.>.Vic..a,-.i., ,.,..i.r.,. , ..... ...,. .......... .. ._. ..... .... • •. lib r 5 t rS 14/ `�-� � - '� = �9�. � P�c kef Fib nc,e .. • -' LEI i FM�n�h Ate Replace ,,V` deck, ;{ /y t� _,F�'a..ta( sfona�wad! ::�• r'�. c sfone we,!! if 0 0 II_ 7gW \�-- �iv ro so40 wy`_ r, T �• w�s•s t..,.w� A`_ I STEP #4 RAILS 2 X G CAP �G•� 2 X G Y 2XGCAP 2 X 4 ol 4 X 4 POST /—4 X 4 P05T 2 X 2 BALUSTER 2 X 6 ''> AT G' O.G. i9 i 2 X 4 G" DECKING 2 X 8 P.T. a Go' DECKING - 2 X 8 P.T. ELEVATION SECTION ELEVATION SECTION TYPICAL ALL BALUSTERS TO BE EQUALLY BALUSTERED RAIL - OPTION #2 SPACED MAX" G' ON CENTER CO/G� SAME CONSTRUCTION AS COLONIAL POST AND RAIL RAILING. USE 2X4'S FOR TOP SCALE, 1/2"- 1*-0* BALUSTERED RAILING AND BOTTOM AND 2X2 SQUARE SCALE- 1/2'- T-O' BALUSTERS CO 4 X 4 BEVELED POST 2 X G GAP COPTIONAL� �- 2X4 MOULDED HAND RAIL '—4 X 4 P05T BEVELED NOTCHED TURNED BALUSTER Y AT 62 O.G.U5TER AT G' O.C. iq MOULDED BOTTOM RAIL BEVELED G' DECKING G' DECKING 2 X 8 P.T. 2 X 8 P.T. 0 0 ELEVATION 5EGTION ELEVATION SECTION NOTTYPICAL � 'AL ALL BALUSTERS TO BE EQUALLY SPACED MAX" G' ON CENTER CO/C� TYPICAL ALL BALUSTERS TO BE EQUALLY ` SPACED MAXIMUM 6' ON CENTER CO/G.) GOLONIAL RAILING CONTEMPORARY RAILING SCALE- 1/2'= T-O' SCALE., 1/2'= 1'-0* I S iUC�L� 2 X G RAIL GAP 2 X 4 G' T7P. 4 X 4 POST 6' TyP. 2 X 2 BALUSTER AT G' O.G. 2 X 4 6' DECKING 2 X 8 P.T. 2-2 X 10 P.T. 2 — 2 X 10 P.T. GIRDER GIRDER 4 X 4 P.T. POST GRADE GRADE OI B j 1 1 I 2 X 10 P.T. STRINGER I I I °�oe u Wv 4 'r W a I GONG. PAD TO O 0 BELOW FROST LINE m J LJ p B' DIA. CONCRETE GONG. PAD TO FILLED 4 BELOW FR05T LNE SONO TUBE FRONT ELEVATION OR PER LOCAL \ RIGHT ELEVATION SCALE- 1/4'-1'-0' CODE. SCALE- 1/4--1'—O' 2 X G RAIL GAP 4 X 4 POST 6' T7P. 2 X 4 2 x 2 BALUSTER ELEVATIONS AT 6' O.G. 2 X 4 2 — 2 X 10 P.T. GIRDER DER X 4 P.T. P05T GRADE ( ( 9 5 T B' DIA. CONCRETE I I I 2 X 10 P.T. STRINGER �Q FILLED 50NO TUBE \ GONG. PAD TO �—X I I I I BELOW FROST LINE LEFT ELEVATION LJ L— OR PER LOCAL CoDE. SCALE- 1/4'=1'—O' it STEP #5 STAIRS - G- EXISTING EXTERIOR SHEATHING TYP- 2 X G RAIL 2 X G GAP SIDING EXISTING EXTERIOR RAIL GAP EXISTING 2 X 4 2 X 4 INSULATION 4 X 4 2 X 2 BALUSTER EXISTING 2 X 4 AT 16' O.G. WALL POST AT 6' O.G. FLASHING PARTION BALUSTER 2 X 10 P.T. AT G' D.G. 2 LAG BOLT EXISTING HEADER PREDRILL G' DECKING EXISTING 2 X 4 FLOORING 2 X 4 19 Ffl 2 X 8 P.T. 2 X 8 P.T. JOIST AT 16' O.G. EXISTNG JOISTNSTALLKW/ O ALL PURPOSE HANGERS EXISTING SPACE OF lOP8 P.T. w i C2� 2 X 6 NAIL BETWEEN a a METAL JOIST METAL JOIST 5Rl EACH BOARDHANGERS A - 28 HANGERS A - 28 METAL JOIST MANGERS HANGER W HANGERS A - 28 a 2 - 2 X 10 a 2 X 8 P.T. BUILT UP GIRDER > SPACER BLOCK ` 5EGT1 ON B 3 - 2 X 10 P.T. 3' FRAMING ANGLE PREDRILL ONG FOR I SCALE- 3/4'-1'-O' STRINGER POST ANCHOR EXISTING LAG BOLTS EXISTING FOUNDATION GRADE `� \\/\\/% AANCDOBLTE I I DND ANCHOR GUSSET AT METAL SPLICES BELOW FR05T W WELLS /�\\ \ r LINE O 3 u 8' CONCRETE �> ' 3 u W FILLED SONG TUBE m V I I m oc o I I � I I I I I I , I I 4T AT 12- VARIES 3'-0' q•-0- 5EGTION A SCALE- 3/4'=1'-O' v A \ \ r \ \ = Q \ A Q 7t \ 'n Z N \\ `\ oD7700 = ` " \ \ 70 O \ \ m 7K 0 O �Y-�---- r O '" 3 rn A Q ` l O D r N (P D -uD mDr \\ m V \ \ T 7U O Q 'n ZCD \J• 0 r- -� 2 \ \ \ \ \ O • \ \ \ -- n \ \ � •^• \ \ \ O \ \ Cn �\ m r- z O n d O v A () \ \ x No A \ \ D x rn rqQ �-1 O m N ` 70 1 `\`\ A n ( 70 D \ \ -uD \ N (P 70 \\�\ rn D t— -9 `\ D r m \\ 0 70 C� N nt a � \ \. 70 CD � j o FLOOR PLAN 20' -O' 8' -O 12' -O' 12- -O' g• _O' ------------------------ EXI TING BUILDING D o N ~ 6' DEMNG 2 X G RAIL GAP 4 X 4 P05T UNDER START POINT N B ~ START POINT 4 i 2 GK BOARDS l E tf TR AD 4'-0' 8' -O' A A4 12 X 20 DEGK PLAN SCALE- 1/4' - 1--0' i STEP #1 FOUNDATION PLAN STEP #2 FLOOR FRAM E 20' -0' 8' -0' 4'-0' 8.-0. LINE OF DECK ABOVE 2 X 8 P.T. SPACER \ IL BLOCK O.C. LONG 2 - 2X10P.T. O a. AT lro' p BULD UP GIRDER I n '< <j x PREDRILL FOR .� N in N LAG BOLTS \ ~ 4 X 4 P.T. POST \ N N 2 2 X 10 P.T. ON B'0 CONCRETE BIT UP GIRDER FILLED $ONO TUBES I � BELOW BELOWto 2 X 8 P.T. r N SPACER BLOCK ALL PURP05E HANGERS p 4 X 4 P.T. POST l j S• START POINT —ram -� I I I CONCRETE I (v PAD B 3 - 2 X 10 P.T.\\� START POINT r 4 STRINGERS �X A -• 28 J0I5T 4 3' 7' -9' 4'-O' 7' -9' 3' HANGERS N 7' -G' 5'-O' L 7' -6' 20' -O' 2' -G' 5' -0' 5' -0' 5' -O' 20' -0' 4 12 X 20 DECK FOUNDATION PLAN 12 X 20 FRAMING PLAN 5CALEs 1/4' 1'-O SCALE- 1/4' s 1-0' i S82 01'40"E 190. 06' i OLD LOT LINE---,1 j ti tj co fO !owoi i' 46.16' N82 01'40"W <: W Q� ` 5.0' 5.7' --HSV--:H - ti �O -- -12876=p DECK 16.0' 1 _ O N76 30'3O &AN S?' _ - 110. 74' .RT. 6A ,2 57' RES. ZONE.- "RF2" This MORTGAGE INSPECTION Plan is For FLOOD ZONE- "C" Bank Use Only TOWN: _8�R REGISTRY OWNER: -U-,& _$�.4RA!SZI���E4L�'.�'_1'�U-,'_ ------------- - DEED REF: -�8-7-N6 ------------BUYER: -------------------------- DATE: _�1�7,1� _ ______ PLAN REF: -Z3Z/-/L09-------------SCALE:1"= IQ FT. I HEREBY CERTIFY TO HE-LUCLY-F-EDEBAL.-IiE111LIIN OF YANKEE SURVEY ___THAT THE BUILDING N Mqs SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS o�'�� PAUL a CONSULTANTS SHOWN AND THAT ITS POSITION DOES —___ CONFORM A. 40B (SUITE 5) TO THE ZONING LAW SETBACK REQUIREMENTS OF THE MERITHEW N INDUSTRY ROAD TOWN OF $�$L1-fZI,$�F-------------AND THAT A NO. 32098 Q IT DOES_�0�_ LIE WITHIN THE SPECIAL FLOOD HAZARD 9�� '�FC�sTER`�° �`��� MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED-?�?l�__ �siopA� IAN�SJQ TEL'' 428-0055 C - 250001 0003 D FAX 420-5553 _ THIS PLAN NOT MADE FROM AN INSTRUMENT 11503 BJS SURVEY NOT TO BE USED FOR FENCES ETC.