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HomeMy WebLinkAbout0008 GENERAL PATTON DRIVE I � I � �. To Date` Time "f� WHILE YOU WERE OUT M of Phone Area Code Number Extension TELEPHONED PLEASE CALL CALLED TO SEE YOU WILL CALL AGAIN WANTS TO SEE YOU URGENT RETURNED YOUR CALL Message �Z d Operator AMPAD 23-021-200 SETS EFFICIENCY® 23-421-400 SETS CARBONLESS i Town of Barnstable Final Inspection Affidavit f Date: Building Division 200 Mair Street Hyannis, MA 02601 RE: Insulation Permits Dear This affida i is o certify that II rk completed at: Street: Village: has been inspec d by a certified Building Performance Institute (BPI) Inspector. All work performed meets or exceeds federal and state requirements. Permit application nu ber: &-1- 'if ILI Issue date: I '� Sincerely, 0 Francis Sheehan President Frontier Energy Solutions, Inc. 502 Harwich Road Brewster, MA 02631 Office: 774-237-0410 Email: fssfrontierenergy@gmail.com N I Town of Barnstable • P g s uildin _, a. Po t This Card Thais Visible From-theStceei ved PI n us -be Retametl ,:•k _. so. �. Q ., o., a .s,,M t on J,ob and this Gard M 5t;be.Ke 3� pP � r i �,. ,... :. . . os ed U t I<Finalans ection Ha , a e. ,, �, r �... �-. P n...I s.,Been-M ,d ,, • a a e ; > it Where aFCertifidate of,Occu an . �s,IRe u�red suchrBurld�n shall"-No.#'b Occu Ied;inttl a Frnai.lns ,ection,has'beenmatle a . ' .. ;:"✓, ,�:,.wr,. ,.. _. s.3.�,:; ,�p�,;,' �,,. 9"... ,� a-,�.,�, ... ,,,_.�,ra,v.,, 7 ': y .,�..'. c�., n..aa�.c.�„ ,,. 3,,.....,;per.,�._'.�a_...�. _ ';..?:., '�. .,, ,.,... - Permit No. B-17-1143 Applicant Name: FRONTIER ENERGY SOLUTIONS Approvals Date Issued'"' 05/03/2017 Current Use: Structure Permit Type-' Building-Insulation-Residential Expiration Date: 11/03/2017 Foundation: Location: 8 GENERAL PATTON DRIVE,HYANNIS Map/Lot 292 100 Zoning District: RB Sheathing: 1 " Owner on Record: BARNSTABLE HOUSING AUTHORITY Co tractor Na e: FRANCIS S SHEEHAN Framing: 1 §, g�x Address: 146 SOUTH STREET Contractor License CSSL-105941 2 • HYANNIS, MA 02601 _ �MKI < Est Project Cost: $3,800.00 Chimney: Description: weatherizationy' ' p Permit Fee: $85.00 Insulation: Project Review Req: weatherization Fee Paid: $85.00 ,ki D to 5/3/2017 Final: EM ` n Plumbing/Gas Gas g/ � Rough Plumbing: Building Official Final Plumbing: This permit shall be deemed abandoned and invalid unless the work authonzed byAKis permit is commenced within six 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. All construction,alterations and changes of use of any building and structures shall be incompliance with the local zornng by laws aril codes. Final Gas: This permit shall be displayed in a location clearly visible from access street or-road and shall be maintained open for p blic inspection for the entire duration of the work until the completion of the same. u Electrical The Certificate of Occupancy will not be issued until all applicable signaturesbythe Building and=Fire Officials are provided on this'permit• Service: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing ( Rough: 2.Sheathing Inspection M=„ � 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6'.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not..proceed until the Inspector has approved the various stages of construction..-:. final: ".Rerso.ns contracting,,wrth unregistered contractors do,not have access to---'the. uaran fund" as set forth,in MGL c.142A g ., 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 0TQ Parcel l0 C Application:#-/7— j/ 1 Health Division Date Issued S�3 Conservation Division Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/ Hyannis Project Street Address i,,., Village_Ty � Owner, /E s y% G Telephone (� Permit Request �G2� C-3 D Q 0loto- "1`o ftrn C ADO c Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation ®U. Construction Ty T Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family �/ZTwo Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old Kints Highway❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑Other �• Basement Finished Area (sq.ft.) Basement Unfinished Area (sq-�.�frq) Z Number of Baths: Full: existing new Half: existing nev� to o Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor RooF 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 r 0� If yes, site plan review# Current Use ft:�6 It D eA'� Proposed Use � '� APPLICANT INFORMATION (BUILDER OR HOMEOWNER) (�`l / lC 4i OILS 1r ne Number -7 '�-1 /"' C `�"l// 0 Address License # Home Improvement Contractor# teN'W Email l �n0Iyix-4i � r �CO tid fa0(00(53(saw 1 ALL CONST UCTION DEBRIS RESULTING F O THI PR JECT WILL BE TAKEN TO 1cc,S SIGNATURE DATE I FOR OFFICIAL USE ONLY ,L APPLICATION # f DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ` INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL ` r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING { DATE CLOSED OUT ASSOCIATION PLAN NO. 1.4. The:.:Par.tes acknovAedge..that this Veerrioot Is Under seal.. It.is°lntsndsd by the. .Parties that the Tsgont.or Vtny .successor Tenant is the.ihte enefidlaiy the-Agt.eernent and shall have.e eight of eoPQrcement: �, 14.,�. Propedy�7wtzer's Signature: Date_ i 5 ;•• ♦4trrP. � V ._d .- . •a Address: o{..'a. _—.>7hti ♦� .a'_i._ 6ARNSTOLE H6USiNG AUTHOFRTY .z HYANNIS,MA 02601 e _ t�1 "F"O Sig114ture Date Agency'Approved Weatheftation'Cvmpany Ad-tim T',Idaorp©rated / AII,CapoEnergy Alters Ve,.,We.!t erW-fort: -Cape Cod,Inw-OtiOn l Cape Save . I dZeauit ron is�l nexgy Solutions 1 Lohr Hame Impxovernent I Tupper Constr don • I AenGp Siridture Dete . . I i i v 12,1.5 14. The Parties acknowledge that this Agreement is under seal: It is intended b the Parties that the g Ag y t e Tenant or any successor Tenant is the intended beneficiary.of the Agreement and shall have a right of enforcement. Property Owner's Signature: Date Phone: Address: Tenant Signature s Date Agency Approved Weatherization Company Adam T. Incorporated J All Cape Energy J Alternative Weatherization Cape Cod Insulation / Cape Save / Cazeault Frontier Energy Solutions J Lohr Home Improvement / Tupper Construction, Agency Signature Date -- - The:Cnnamn"ntivettlth.of Nfassaehtaselt$ �- Depnrtmet:t of•I ndcrstrittl A ecitletits 1 Congress Street,Stfite:100 Boston, NIA 02114401' rVe, jo vw ntftss.a 0v%(IM 11't,tlierr'{'aritpensaii0nlnsuranct iffidavit: Builders,C'autractorS, Icctrician /t'It:n beTs. ro'BE FIuD bS°rrfi;"nif P`N'Rm1"f`h N_ 6 Aui,tiojI rt"1': .applicant Information Please Print L.e(,Yiblt [4c1Cr1e{'13usit rss'C?r=pn!ca°sarvinttivieluil;) n ) ✓jL i f t' l k``�. C tr( t.{ f (L er 7 l 1 f n } Address: L Cit,lStatcr'.GIt o7 Are you an employer'(.'heck the approprartt boz m 'type of protect(required): l &am;,.employtr wide 10 "rnployecs(fill;and)(ir part-in'.e).' j New cvnstzuction ?.❑I are a sate proptietcr Or prrpersf ip�rtd have no emnlo;ees or<!na 1'nr me in $. any capacity [�to wnt{�cr3 uonp tntiu anre r Remodelingqi re .j Jf, I am a homeowner do'no.all weir myself::(,No worker+ ci-unp,iiisurake retlt:ireJ:l t _ ❑Demoliti.OR. u, Building,aJ(ltti.flr! J;n i am a horn.Owner and w dI be for nk contractarn ttx aonduat ali work on'm}•f rd criy;: [wilt itt ensure t:tiat ail cant{actors ith.r as +N>rk ,s.eompciF at,On uFsytra.xe or are stile i,a Electrical Ye(}3Ir5 or additions propacto-s witi,at'cm znyc es: ?.❑Plumbing repairs or additions I d.©tar 5 a ge rai tonal torank i have hired if e sub-c)rartutors listed on the at*cred sheet, n to su`•cont—utora ha k rnbto e6 OM nave wor c s ew p R.urvlce i 3.0 Roof rep itrs. 5:�.rt,.art:a crr,,rr,rahan e!.!.;Lc ct,��era h,t.c cxenrsed tq�tr nt?:.t;it exe!?tpt!pn per 1tC.;I,c. K: 152 a•t(�)•and we have no emplovevs (No uAteke'rs'comp,insurance rerun'^if.j `Any rapplicantth chcckr+-bo 4 1 trauststsntdt•qusthrsectionbeibw hcwtr}gtheirwnrkers'compensyta4r,hplrcy ofarmattbn; t HuMxawhers%vtw ubm;i this atrkf iu t jn:,c,a,.rag they t doing al work and.kjh r hire o=,de cuniracttus must su(rir:r a f&e%aiffidavii•indwating such: Ceiitc,.ors+h.:t:cftcck iku box mLs.auaChed i p additional the na ri:of tht sit'eKx>rtratctprs'aru,tote whether ornni=,tttisc entities have ` employees If thi Sub-cuntrectors iutvc cmplOutes;tfxy ncust.ornvi,.te'tlaetr xork rs'c8mp.poky number. I am rite enrPtnyertleitt Gr provi inS wnrkYrs'cvmpensntiprt insuroncr.fvr rrr errttilayees: Be(vw is the polio!tint!jvb site' i iafd rirrniion. C lnsurance Company Arne: C, f -��i - Pnley b or Selt-ihs.Lie ?l (r 1 ,' _ ' Sr.C.._...1..�.ya � � .. � } �C:��. _..__ EW�p!t ttit)n l�`)ate. job Site Address. :;'u/Slate Zip- Attach a copy of th —V or ers' eorn;petisatiunpoli y d o page(showing tl e olicv numb r an ex iratio�.da I P p r ! Failure to secure cove'raoe as rquired under MC-1,u 152;4 JA s a c rani tal violation putlishable by a Erne ifp to 1,500,00 1 anti/or one-ycrar anprisi'rn nent,,as well as civil penalties in the form of a-S T`OP WOO, O(Z: ER and a?:ne of up to 2,50.00 a day against the vivla(or. ,A copy of ti�is stater!! pet etar be,fior�aged to tdzc Office nf:Investigations of the bl A ''t>r instaarici~ - . co,ver e verification. I der hereby ertif:ander M0 pains•rr ties'-of peijury tilt!t the injrirntrrtivra prvt irlerl rt r'.c tr"e and crarrett.r Si nature: _ ..._.-- l) te: L _ ..... ___. ojrldal itse vnly. Do not write in this area]to he carnpleted by city or toter:vfft:iat l City or Town: P'c.i mtLrLicehse y Issuing Authority(tittle:onei- j I.8oartl of Health 2. Bu(lti►ng Department 3.Ciiy,Towp Clerk 4. Efecrrical Inspector 4. Pturrthin}lnspc tar 1 6.Outer t I� Contact Person: Phone : ? - 1 AC�® DATE.(MMIDDIYYYY) CERTIFICATE OF LIABILITY INSURANCE 03/16/2017 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies) must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER NAME:CONTACT Rogers and Gray Processing ROGERS & GRAY INSURANCE AGENCY INC AIC- �, ): (508)3s8 7980_____ _ E-MAIL mail ro ers ra com ADDRESS: g Y• 434 ROUTE 134 INSURERS AFFORDING COVERAGE NAIC N SOUTH DENNIS MA 02660 INSURERA: AIM MUTUAL INS CO 33758 INSURED INSURER B: FRONTIER ENERGY SOLUTIONS INC INSURERC: INSURER D: 502 HARWICH ROAD INSURER E: BREWSTER MA 02631 INSURER F: COVERAGES CERTIFICATE NUMBER: 134675 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 ADOL SUER POLICY EFF POLICY EXP LTR POLICY NUMBER MMIDDIYYYY MM/DDIY LIMITS CO MMERCIAL GENERAL LIABILITY EACH OCCURRENCE —t CLAIMS-MADE OCCUR � PREMISES Ea occurrence $ MED EXP(Any one person) $ N/A PERSONAL&ADV INJURY $ GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE $ . POLICY❑jE lOC I PRODUCTS-COMP/OP AGG $ OTHER: $ AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ Ea accident ANY AUTO BODILY INJURY(Per person) $ ALL OWNED SCHEDULED AUTOS AUTOS N/A BODILY INJURY(Per accident) $ NON-OWNED PROPERTY DAMAGE $ HIRED AUTOS AUTOS 1ENLr accident UMBRELLALUAB OCCUR I EACH OCCURRENCE $ EXCESS LIAR HCLAIMS-MADE N/A AGGREGATE $ DED RETENTION$ $ WORKERS COMPENSATION X PER STATUTE ORH AND EMPLOYERS'LIABILITY Y/N ANVPROPRIETORIPARTNERIEXECUTIVE i E.L.EACH ACCIDENT $ 1,000,000 A OFFICER/MEMBEREXCLUDED? NIA N/A NIA VWC10060153152017A 03/14/2017 03/14/2018 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 1,000,000 If yes,describe under I --- - -- ---"-..------ DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 1,000,000 N/A DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached If more space Is required) Workers'Compensation benefits will be paid.to Massachusetts employees only.Pursuant to Endorsement WC 20 03 06 B,no authorization is given to pay claims for benefits to employees in states other than Massachusetts if the insured hires,or has hired those employees outside of Massachusetts. This certificate of insurance shows the policy in force on the date that this certificate was issued(unless the expiration date on the above policy precedes the issue date of this certificate of insurance). The status of this coverage can be monitored daily by accessing the Proof of Coverage-Coverage Verification Search tool at www.mass.gov/lwd/workers-compensation/investigations/. 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. Frontier Energy Solutions Inc. 502 Harwich Road AUTHORIZED REPRESENTATIVE Brewster MA 02631 Daniel M.Crgwfey,CPCU,Vice President—Residual Market—WCRIBMA ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014/01) The ACORD name and logo are registered marks of ACORD License or registration valid for individual use only ; Office of Consumer aff.€irs:dc Business Regulation before the expiration date. if found return to: i --r E IMPROVEMENT CONTRACTOR f Consumer Affairs and Business Regulation HOME Office o ._. Type: Registration 160854 '10 parl.Plaza-'Suite 5170 Expiration 9/8/2018 LLC Boston.NL1 021.16 • FRONTIER ENERGY SOLUTIONS T f FRANCIS SHEEHAN } 502 HARWICH RD BREWSTER,MA 02631 Ltnderseeretary N {t'al" ithou sig nature f Construction Supervisor Specialty Massachusetts Departme It of Public Safety Restricted to: CSSL-IC- Insulation Contractor Board of Suiicting Regulations and Standards, License- CSSL-105941 i C6 structirzrj Supervisor Spec a y FRANCIS S S.HEEHAN 502 HARWICH RD BREWSTER MA 02631; f Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. I " ' DPS Licensing information visit: 1NWW.MASS.GOV/DPS t'rarrrrissioner 02117f20:18 i i k 1 Town of Barnstable "o Regulatory Services Thomas F.Geiler,Director RAMSTAEM 9� MASS. Building Division pTEo►�`'� Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www,town.barnstable.m a.us Office: 508-862-4038 Fax: 508-790-623( PERMIT# r��o a�� FEE: $ a SHED REGISTRATION 120 square feet or less Location of shed(address) Vill ge nr -(Pr Property owner's name Telephone number Size of Shed Map/Parcel# . ignature Date Hyannis Main Street Waterfront Historic District? Old King's Highway Historic District Commission jurisdiction? r= Conservation Commission(signature is required) Sign off hours for Conservation 8:00-9:30&3:30-4:30 PLEASE NOTE: IF YOU ARE WITHIN THE JURISDICTION OF ANY OF THE ABOVE COMMISSIONS,THERE MAY BE A REVIEW PROCESS AND APPLICATION FEE. PLEASE SEE THE APPROPRIATE COMMISSION FOR DETAILS. THIS FORM. MUST BE ACCOMPANIED BY A PLOT PLAN Q-forms-shedreg REV:042506 May Page 1 of 1 Town of Barnstable Geographic Information System Parcel Viewer Custom Map Abutters Map Size Zoom Out `l In y he R.r 3PG Map: 292 7 292021 Location: q 353 _ Owner: t 292038 N 37 Location In 292098 Map & Pa rce #92099 r Location h Acreage �, s l' Mailing Addi r � 292039 292D97O f ', 04 ir 66 r 4 8 a � 4 Appraised 1 Extra Featur Out Building Land 292101Y tu, -29212 Buildings q g 2N 62124 Total Apprai 292040 N 65 Assessed V Extra Featur r1 } tom, G92276 69° ��L 2921 � �"� �292125 2292136 1 1, Out Building p 11 ' Land Buildings Total,Assess Set Scale 1" = 69 Aerial Photos Copyright 2005-2007 Town of Barnstable,MA All rights reserved.Send questions or comm( BarnstableMA V0.2.91 [Production] http://www.town.bamstable.ma.us/arcims/appgeoapp/map.aspx?propertyID=292100 4/25/2008 Assessor's Office(1st floor) Map Parcel � Permit# ( q l Conservation Office(4th floor)(8:30-9:30/1:00-2:00) - IM ate Issued !B ` /J Board of Health(3rd floor)(8:15 - 9:30/1:00-4:45);%h ,�� Fee Engineering Dept. (3rd floor) House# �/V�, �j? DIME A -19 YiNwAppmu too, TOWN OF BARNSTABLE _ Building Permit Application Project Street Address- DIT.� Village OwnerL L le 14va5LU Address 1 y& 56 QM S�' Telephone S 4 -7-I 7 a :3- -1 Permit Request �d oq ID W J 4 4 1) 1 Tl&I 7 F g j t T�c f d i l T It'TJY ., 4 First Floor q square feet Second Floor 41 J,+ square feet Estimated Project Cost $ ,p`�,6tq Zoning District e K Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use .,IS— Proposed Use Construction Type. .) Commercial Residential X Dwelling Type: Single Family Two Family Multi-Family Age of Existing StructureV Basement Type: Finished Historic House Unfinished S/a b Old King's Highway Number of Baths I No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel o k I Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name Mld� ('�o�,av„ �Ta�� fin// . Telephone Number 09_ 2,l_ !A C/C Address -7--����_l2 License# 62 Id nth t17 eo 4A. 04 6 p Home Improvement Contractor# /I yF`l Worker's Compensation# _�3 1 n 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 Al SIGNATURE 11'f DATE Ir, S BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED I ' + MAP/PARCEL NO. ADDRESS, .; i VILLAGE OWNER € r DATE OF INSPECTION: FOUNDATION FRAME : G INSULATION l 7 _. FIREPLACE _ ELECTRICAL: ROUGH FINAL" PLUMBING: ROUGH FINAL } ti GAS: _ .-� ROUGH FINAL r FINAL BUILDINGA- DATE CLOSED OUT ASSOCIATION PLAN NO. r . t i g NZI r i i ® . o cs - s cn o �' ID + = a c S rt t n Igo r1-r I t�i;i .d•I i II.o x i 1 CS _ SY rn \ 9.a C . i O r C O I . The Town of. Barnstable ' W �P Department of Health Safety and Environmental Services Building Division 367 Main Strut,Hyannis MA 02601 Office: 508-790-6n7 . Ralph CmFa�c 508?75 3344 Btaldin cAmg Commission For o®3ce use only Permit no. Date ' AFFIDAVIT HOME IIVIPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. I42A requires that the"reconstruction,alterations;renovation,repair;modernization,conversion, imprvveme .rxnomal, demolition or construction of an addition to any pre-rusting owner oohed building cotaining at least one but not mom than four dwelling units or to Mmmres which am adjacent to such residence or building be done by registered contractors,with certain cxccptions, along with other Type of Work: r,✓o o ct r J r 1,&-/ Est.Cost F '0 v _ Address of Work: Gym► ra ( Pa l ac D ow•ner.Name: T i- 14 4 ull Date of Permit Application: I hereby certify that: Registration is not required for the following remn(s): Work excluded by law Job trader SLOW _Building not oww—occupied Ownerpww pulling own Pam# Notice is hereby gh-en that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITHUNREGIS�COI�'iRACfORS POR APPLICABLE HOME ZeROV0dEtq C WORK DO NOT HAVE .ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c I42A SIGNED UNDER PENALTIES OF PERJURY I I hereby apply for a permit as the agent of the owner. e Li -7 Date Contractor name Registration No. OR The Commonwealth of.4fassachusetty Department of Industrial Accidents i~ ./� 011fceoJ/avest/gat/oas- - j 6001i'aslthigu)n Street •7 r. 4=F,�\;�-;' Boston.Alas 02J II Workers' Compensation Insurance AMdavit -Ay4lican nfotmaiio'n name Ai.IA0 .0 -W,,Y PA,�l p�� c,�jLr� �V - a location: cite 0'(F A\4 C),)6 q rhonc# I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity 1 am an employer providing workers' compensation for my employees working on this job. nm L z address: city` j nhnne#• 7AV Lla 0/06 insurance co. policy# 3I C — 0 — !7 13 I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: comimov name: address: cin.: phone#: insurance co. fioiicy# common name: dr cit•: phone#• insurance co. policy# ,Atiac_h additional sheet itneeeuary•_:••�7: •w ��-;at;K-,*+~�'+t^�� =T�r�• ^� ,� - - Failure to secure coverage as required under Section 25A of AJGL 152 can lead to the imposition of criminal penalties of a fine up to S1.500.00 and/or one •ears'imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. 1 understand that a cop}•of this statement mac be forwarded to the Office of Investigations of the D1A for coverage verification. t do herebr cerrifi-under t pail and pet attics of peduly that file information provided above is true and correct Si_nature pate Print name g!La 14a <S'!_ 1 r✓l Phone tr S��^�3� ®?3ya =µ r _ _ official use only do not write in this area to be completed by city or town official city or town: permit/license# nBuilding Department [31rcensing Board I]check if immediate response is required QSeleetmen's Office (311ealth Department contact person: phone#; nOther fi imued V95 PJA) rn 10 s zZn i v r, v o ¢ v O , a. D . O { ' V n--, o Y f4 t1 IFy1i11 !J � f I I I I III SLOPED TO ► j' I,� SHED WATER 4"MAX. +? II I SALUST_R �j RAILS "GAN ' RAL ' 'S7= R L� u FZAI I Ni! Cl is ► �j 1 E, " � i I I ° ' ji I STANDARD MANIJFACTU Rao o t POST AND F GO'"iN6 ER I 0 � ,i Y . POST FOOTING r7 rAST i E . N.T. S i t I � I DATE REVISIONS ,No BARNSTABLE HOUSING AUTHORITY TYPICAL DETAILS, NOTES a 1 ENGINEERING COMp4NY INC. j CONSULTING i:.NG1NLEhS b0 TON, YA Ii AL OVE ;DESIG -D BY • R. A. V. I PLAN N0. --.� ---- 'DRAWN BY i. M• S . i TE : 21g19S ;CHECKED BY : v E i i I i S —L 'N NN a ID Contractor shall F E pg screws and bolt, VI�A wood in direct c� ; pressure treated. ' ►tom of posts shalt t new siding in bu: lar shingles and mi ,ding 433 the new iched with existinc_ isently has Harvey ;ing) . cheating room dobz prior walls in nee P x gypsum wallboa i I 6 Cum wallboard shal I ! section is provide N 01 l`�' i T; S N 1 sheathing shall it ! I sing in the new he Psum wallboard. i roof shall be asp ! 9N1G I S e warm air furnac � I ; ! stopping shall b I ! Ruct work shall b. 2!iC :iS.LNI I I lation. I I contractor must c( I i Illation of gas 1: I ' I _ louse at a locatic ings. ii i ! i i it TYi- " iCAL CROSS COLLAR BEAM rS(ECOPELY RE E -NAILED Ar RAFTERS l'V -- all 12" _ r ELEV.. 7 ' -6" —' 2',6 jo15T \� 2 - 2"xlO" \\ BEAM ; BEAM �\ EXISTING 4„ K 4 „ FRAME COLUMN 16 I \\ 410II xq SILL IE L E V. O'—O" \ .i"% A 1 a"+e a /"'�. ■ e �� h r ^. .. . — — — - ! ��UMr3lN6 CG ! O i NOT WATER HEATER i 5 h OT AIR HEAT-ER rO PANEL 80ARD -0M BYCONTRACDR I APPROXIMATE LOCATION / OP- RELOCATED ELE CTRI CAL 77 METER j --/ E RATED DOOR i j / t=XISTING WALL RELOCATE CZ) -ro PANEL GON7RAG?OR TO //VSTALL qND TIE-IN t- $o.4Ro qND DRYER AAID ALL APPURTEN.gNCES ELECTRICAL �BYCJ9/T/PACTQI VENTCOAI"E'C7 TO EX/S7-/1VCr DF PANeL I I CON/VEGT/U/V /N ACCO,-,- V//Tt � 1"(A SS �"7- NEW WALL — TO 3E TIEp i f2ELOCATEp TO EX}S'-INN WALL— WA S WALL FOUNDATION -TO aE I j qN[> DRYER j TIED TO =XISTtNG r:OUN-DATiON '~-1 � MAGNrNES j j I j J 5 TO PANEL } BOARa SPECIAL PURPOSE OUrLEr coN7�,gCToR FOR 2 20 u DRYER H001,e-UP I € t j I 5 IN THIGk CORCRETE SLAB MIN _ 60 WArr iLL�CSH� j L MOUNTED b; i 8 IN COMPACTED GRAVEL. INCANOESCEIYi j -4 000 PSI GONCRE -= i LA/-fp FIXTURE F ov I r?EI►�1FORCED W tTH FOR r000R r i LAYER WELDED WIRE i USE C PAaRIC 6K6-W2.171. 2.9 �—�-- PLACED ZIN BELOW I -� TOP SURFACE U I L D f � A l G ' # a ' EW HPATER- ROOM .LAN rn to �' �,... •. fl_1 -- -- -- - •- -� ._ .-_ l� JL �4 A rn z y .�. u In 48 . 4 7RACE- 4 w6w . . . 3 » "� •ll/J� � r/ 1 70 r � _ 4 w 1_ -., " ��1t.�P i �" � �j�f .,r/r'� ice' `• r�, \. /� ..j.. �♦ ' t _ { �l ' r�,°5;?' t Ck 7•q �� . O \ . ,,' •. --•/I•.•--��.1ti Y•... \ ,•f./,, �//�� i�i Y 4 erg '�`'�J�� .. ' • f