Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
0007 HAVEN LANE
7 ��v r - - ._ - - - -- - -- r� T NIALL HOPKINS BUILDERS 7 HAVEN LANE HYANNISPORT MA January 30, 2012 Town of Barnstable Thomas Perry,CBO 200 Main Street Hyannis, Ma 02601 RE:7 Haven Lane Hyannisport Dear Mr. Perry, This affidavit is to certify that all work completed at 7 Haven Lane Hyannisport has been inspected by a certified Building Performance Institute (BPI) inspector.R-10 rigid fiberglass was applied to the crawlspace wall. All work performed meets or exceeds Federal and State Requirements. Sincerely, Hopkins Builders Inc. ;;3 �P3 t+� I I n `+ TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map Parcel. [ �I 1ABLE Application #CA 0 co Health Division Date Issued t t v Conservation Division 26 Application Feel/ Planning.Dept. ,. T Permit Fee I� Date Definitive Plan Approved by Planning Board D. Historic - OKH _Preservation / Hyannis Project Street Address Village R Aftks& I u"A' 1 Owner Y Address Telephone �� 11 Permit Request `w Square feet: 1 st floor: existing proposed 2nd floor: existing--proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuatio ` 6(X ®06 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area (sq.ft) Number of Baths: Full: existing new Half: existing new_ Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name C� t`o Telephone Number 5)6 � D� p /' p Address �-�� v` License# �4 I 1 6 . uV L� Home Improvement Contractor# JUTS- Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM TkiIS PROJECT WILL BE TAKEN TO IRIS (A SIGNATURE DATE ® III FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER i 4 DATE OF INSPECTION: ,j FOUNDATION s� FRAME INSULATION i FIREPLACE ELECTRICAL: ROUGH FINAL t PLUMBING: ROUGH FINAL GAS: ROUGH FINAL D r .. FINAL BUILDING y DATE.CLOSED OUT `y ASSOCIATION PLAN NO. y f i Z; The Commonwealth of Massachusetts 1 Department of Industrial Accidents ; ",q, Office of Investigations 600 Washington Street Boston,MA 02111 e www.mass gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual); Address: 2 City/State/Zip: Phone L/O v Are you an employer?Check the appropriate box: Type of project(required): l�I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a sole proprietor or partner- listed on the attached sheet.1 7• ❑ Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for me in any capacity. workers' comp. insurance. 9. ❑ Building addition [No workers' comp. insurance 5. ❑ We are a corporation and its officers have exercised their 10.E] Electrical repairs or additions required.] 3.❑ 1 am a homeowner doing all work right of exemption per MGL 11.0 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' 13.❑ Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. tContract:ors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site informatcon. Insurance Company Name: p� Policy#or Self-ins. Lie.#: /�1�17� "�1 �T Expiration Date: ZMi Job Site Address: 'nV�Atl { City/State/Zip: OU 4 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 or ne-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a da again the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the fo insurance coverage verification. I do hereby certify u ins and penalties of perjury that the information provided 1a ov is true and correct. Si afore: c Date: lI v Phone#: 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 t; 6. Other Contact Person: Phone#: v Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,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 bean employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the"issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely, by checking the boxes that apply to your situation and, if necessary,supply sub-contractor(s)name(s),address(es)and phone number(s)along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners,are not required to carry workers'compensation insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and 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 call the Department at the number listed below. Self-insured-companies should enter their self-insurance license number on the appropriate line. City or Town Officials ,+_ r . 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 hhs'to contact'you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc. said person P is NOT required to P q complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,'teleph�one'andT fax number: The Commonwealth of 1Vlassa.chuSetts •-� Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-1vIASSAFE Revised 5-26-05 Fax # 617-727-7744 www.m.a-,-&.gov/dia r AC40 09/09/09 CERTIFICATE OF LIABILITY INSURANCE DAT //2011 ) �./ 011 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER CONTACT NAME: Mark Sylvia Insurance Agency PHONE FAX 771 Main Street Alc No Ext: 508 428-0440 A/c No: 508 420-9227 ADDRESS:mark marks Iviainsurance.com Ostervllle,MA 02655 INSURERS AFFORDING COVERAGE NAIC# INSURER A: -- INSURED INSURER B Niall Hopkins Builders,Inc. 118 Lakefield Road INSURER C PO Box 231 INSURER D: 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 EFF POLICY EXP LIMITS LTR I D POLICY NUMBER MMIDD/YYYY MM/DD/YYYY A GENERAL LIABILITY 20011-6275 10/30/2010 10/30/2011 EACH OCCURRENCE $ 1,000,000 470M MERCIAL GENERAL LIABILITY DAMAGE (RENTED PREMISESS Eaoccurrence $ 100,000 CLAIMS-MADE �X OCCUR MED EXP(Any one person) $ 5,000 � PERSONAL BADVINJURY $ 1,000,000 GENERAL AGGREGATE $ 2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 1,000,000 X POLICY PRO LOC $ A AUTOMOBILE LIABILITY 2001053575A 6/25/2011 6/25/2012 COMBINEDSINGLELIMIT Ea accident $ ANY AUTO BODILY INJURY(Per person) $ 1,000,000 ALL OW AUTOS OWNED AUTOS SCHEDULED BODILY INJURY(Per accident) $ 1,000,000 X NON-OWNED PROPERTY DAMAGE $ 1,000,000 HIRED AUTOS AUTOS Per accident UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB CLAIMS-MADE AGGREGATE $ DED I I RETENTION$ $ A WORKERS COMPENSATION 2001 W6459 9/8/2011 9/8/2012 WC STATUS I X OTH- AND EMPLOYERS'LIABILITY Y/NORY ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 OFFICERIMEMBER EXCLUDED? FN-1 N 1 A (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) Carpentry,Electrical CERTIFICATE HOLDER CANCELLATION (508)790-6230 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Town of Barnstable Building Department THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN 200 Main Street ACCORDANCE WITH THE POLICY PROVISIONS. Hyannis,MA 02601 AUTHORIZED REPRESENTATIVE s 74/ ©1988-2010 ACORD CORPORATION. All rights reserved. ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD llassachuwvs DC111.:..................-- Ii1Z t)t tSl"}llhltl �`.1�•l't� s 2. Tdaard tit 3 iailtlill 32r�d+alatia}n•and Slandards �y C�rrstru tionuprlsrar IMiCi CS 84916 LiCt?ttse: NIALL J HOPKINS BOX 231 r SOr YARMOOTH,MA 02664 Expiration: 41212013 — Tr#: 14504 "T {anrmuvi uea a a r `— Office oif onsumerA>zf � V t'au a i License or registration valid for mdivldui use:anly ws B stricss egu a ton (� 1 HOME IMPROVEMENT CONTRACTOR before the expiration date. df.found'return to pit Registration i161773 Type: Office of Consumer Affairs and Basiness Replaon=,. �° r,l , Expiration: j 1/20/2012 Private Corporation 10 Park Plaza-;Suite 5170 Bostoli :'m 02`:6 NfX�1 HOPKINS BUILDERS INC NIALL HO.PKINS 21 G FRUEAN AVE. SOUTH YARAIOUTH::MA 02664 --..... Undcrsccretar} Yot wtthotitstgnatu[e I i t F OWNER AUTHORIZATION FORM r I, P k, L:r4 T" S c� 1'1!3 (Owner's Name) owner of the property located at -1 H a ve. Lot," e (Property Address) /144 , Da6L47 (Property Address) n1 ion I ��� )1n hereby authonze 1 v S (Subcontractor) an authorized subcontractor for RISE Engineering,to act on my behalf to obtain.a building permit and to perform work on my property. E Owner's Sign4ture ®ate TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map cCo` Parcel %O Application# 63�gD Health Division a Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee • w Planning Dept. Permit Fee S Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 7� dAUe"i LAtic- e Village W e-ST Z&Z2 ` Owner p4iilli2 I_ISA�Jo Address Coolez.s edge. AD Telephone ng OjR) yao - 3;9qp t1h9,SMAX oaz 4d1 Permit Request z)0p1 .,c Ai Cad -A l 9L AA 4` �'e 2eeyu_ Rrjf 4---- - Re1cu theX!r��-M11.5k id:+eotM AU o6ti ,$�?,�ttlHootS4 Square feet: 1st floor:existing/a 4 P proposed e_9 2nd floor:existing --®" proposed -0" Total new dlo**Q Zoning District Flood Plain Groundwater Overlay Project Valuation 50 coo Construction Type Wcdd, FRA rt e, Lot Size mAX A. does Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family Uk-'Two Family ❑ Multi-Family(#units) Age of Existing Structure 5o Historic House: ❑Yes M(No On Old King's Highway: ❑Yes J (No Basement Type: ❑Full 9Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) -O - Number of Baths: Full:existing 1 new j Half:existing ® new-0 Number of Bedrooms: existing new 0 Total Room Count(not including baths):existing G new- First Floor Room Count �n Heat Type and Fuel: &Gas ❑Oil ❑Electric ❑Other Central Air: ❑Yes �No Fireplaces: Existing X _ New Aji Existing wood/coal stove: ❑Yes )qNo Detached garage:❑existing ❑new size Q Pool:❑existing ❑new size ® Barn:❑existing ❑new size Attached garage:❑existing ❑new size C7 Shed: sting ❑new size xe�,_Other: CD Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ ; Commercial ❑Yes- $,No If yes, site plan review# o, Current Use RfS;DLEkA7 L Proposed Use R es A.Ma L �' .. ® A BUILDER INFORMATION r- N r�-- Name RlG9/9Ab A',0 R A-9 e H Telephone Number S-0 Address A,® . Boa( oO3 4 License# C S `y- 1114 ,} e4JA)i Home Improvement Contractor# _y Worker's Compensation# LAI C�-31S-3 ae+ 3�,►-c�'o ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO Zy -eACo om M IeQ De SIGNATURE DATE A; D� - r FOR OFFICIAL USE ONLY y PERMIT NO. DATE ISSUED MAP/PARCEL NO. ; _ADDRESS VILLAGE, F OWNER DATE OF INSPECTION: FOUNDATION } FRAME 't r i INSULATION �f FIREPLACE ' i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL i r FINAL BUILDING j i s DATE CLOSED OUT ASSOCIATION PLAN NO. f ' 04 41 NO 9 4i t x �`'• �/ y. ' ��:- t , Orb mac„ N01i�3Sb31rll S11- ' Q i ' "p�•dbo t ®sodas s \.\ p0 wi' � SNIS`d9 ON QNb' /o co�+ ,_�_ . ; x vp- �� NI 03-11d1SNI �* jo o80036 Oho Sdh r �_• /L ,Ol ON1833NION3 319VIS:^•„�, LV / of J/N 2 G3NaISS`d 69'l 1,3T�180 30G3 ld -MIN Ad rl0I--Na`dW HON38 0-1 _ \ ,pF ;97 cn o • �- - 0M _ -- i-- I N 3 HOME IMPROVEMENT CONTRACTOR - Registration: 134392 Expiration:_11/13/2007 Type: Private Corporation RICH GURNEY&:ASSQCIATIES;'I CHARD GURNEY.,.-:: , ''•. ,.. 900 RT 134 SUITE 2-171;.,`: S. DENNIS, MA 02660 �tl�uiiiishator i ✓�ze TOammaaruveal�z o�✓l9aaaaclaua.� , BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR Number: CS 071114 , Birthdate 08/20/1963 Expires A8/20/2007 Tr.no: 1156.0 .. -4 Restricted 00 RI.CHARD W GURNEY PO BOX 837 C : DENNIS, MA 02638_ R Commissioner Board of Building C ulations One Ashburton Place, Rm 1301 Boston, Ma 02108-1618 'License: CONSTRUCTION SUPERVISOR LICENSE Birthdate: 08/20/1963 Number: CS 071114 Expires:08/20/2007 Restricted To: 00 RICHARD W GURNEY PO BOX 837 , DENNIS, MA 02638 Tr.no: 1156.0 Keep top for receipt and change of address notification. PS-CA1 t5 SOM 04/OSPC8698 The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers" Compensation Insurance Affidavit::Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual):. R2l�g Gwo m qq _2k A SSo e,a wW-r IAJC, •Address: P.O. Ro v 8 ' City/State/Zip: 1)&,UAdiS MA- OakLa? Phone.#:(ice) a44-631S 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. El New construction . 2.(-Tarn a'sole proprietor or partner- listed on the attached sheet. 7. Z- modeling ship and have no employees These sub-contractors have g. ❑Demolition workingfor me in an capacity. employees and have workers' Y P tY• 9. Z2-Bullding addition [No workers' comp.insurance comp. insurance. required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions officers have exercised their 3.❑ I am a homeowner doing all work 11.❑Plumbing repairs or additions myself. [No workers' comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' . .13.❑ Other comp.insurance required.] , *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is..the policy and job site. information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: _ Job Site Address: City/State/Zip: _ Attach a copy of the workers' cornpensition policy declaration page(showing the policy number and expiration date). Failure.to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pat and penalties of perjury that the information provided above is true and correct . �Sif e --Date:: Official use onlv. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# 5 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all ernpto drs to provide workers'compensation for their employees. Pursuant to this statute,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, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced;acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of.comphaz ce with the insurance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers' compensation affidavit completely,by checking the boxes that apply to your situation and,if necessary,supply sub-contractors)name(s), address(es)and phone number(s) along with their certificate(s)of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers' compensation insurance. If an LLC or LLP does have employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and 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 call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 permit/license number which will be used as a reference number. In.addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary) and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e, a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate tc give us a call. The Department's address,telephone-and fax number:. The.Commonwealth of Massachusetts. Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. T4 617-7-27-4900 ext 4.06 or 1-877-MASSAFE Fax#617-727-7749 Revised 11-22-Ob www.mass.gov/dia °FTME,�y Town-of Barnstable yP °^ Regulatory Services saxrrsraetE, x Thomas F.Geller,Director 9 Mom' i8}9 Building Division b . Tom Perry,Building Commissioner 200 Main Street, Hyaffiis,MA 02601 office: 509-862-4038 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. �TypeofWorkG[�e�t,GO ipar�clJ 1Jp���taa) Estimated Cost EG,3A� r"A"ddress of"Work: //MyP� /,A1 C:y Cis f ;KJa Ll srx� Owner's Name t, p1 SAggo +Date of Application' ak fC''f- I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 QBuildiug not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND TINDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor,_ ame,r:: �Registr�ationo. OR Date Owner's Name Q:f=,s:hcmeafday. ` °F,MF� Town of Barnstable. t Regulatory Services �H '$ Thomas F.Geller,Director Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town,barnstable.ma.us arnstable.ma.us Office: 508-862-4038 Fax: 508-790-62.30 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize R,a meh ( P•)6 to act on my behalf, in all matters relative to work authorized by this building permit application for: .(Address of Job) Signature of er tate Print Name QFORMS:OV NM-RPERMISSION Tama aszia(ecattaae� . pr criptire Paeksgd lordne and Ti 94=01 RcsldantW Balldinge$!xtex1 dit1w'PcuII�Pa14 , . gq,A�Iy�IyI A'ID+IIMU7Vt • 4laziztg Gla$n; Ceiling Wall 1:Ioor Buanrs3 Slab 'AeatiaglCoomj; Area'('!a) U'-value= R-vaive� ' R-value+ R.y4ue° Wall ,PCslraew Fq�tFmeat EfSae ry9 p ,fie 1t value' R-values . 370I to 6300$e$iing Dcgrcr Days° 1Z°Ja. 0.40 31 13 19 34 S Now 12°fs 0.52 30 19 l9 10. 6 0 A '1S74fUE g . I2% 0.30 31 13 19 3 D $ T 036 33 13_ -- 23 NiA NIA. 3�Tormal U CIS°1•� ,0,46 31 19 ' 19 la b :Tlormal gr 15% 0.44 31 13 25' NIA' AUA . i AFV3's W 13% 0.52 30 19 19 10 U` FUE 13•/a 032 31 • 13 Z_ NA NIA Nomil y 11%. IL42 31 19 25 NIA NIA Nub Z 13% G,4� 31. 13 19 10 d 90 AFUE 13Y® �30 30 I9 19 10 6 NAME T— 1, ADDRESS OF PROPEPUYe Q e-A.J e z, gQTJARE FOOTAGE OF ALL EXTERIOR WALLS; 3, SQUARE FOOTAGE OF ALL GLAZING: � �•{ 3 ' q % GLAZING AREA.(#3 IIIVIDED BY 2), ea 1? 4 3, SELECT PACKAGE (Q m AA-sea chart above); NOTE- OTTBER MORE INVOLVED�MTHODS OF DE i� -(2 ENERGY REQUMEMEMS ARE AVAILABLE. ASK.TS FOR THIS INFORMATION, EUL,DI'NGTNEPECT.OR AMOVAL: YES: 2�0 Q fsr�-flc0343� 7 } � I a Cl I 7 I i i i I r I o i o 00o za t o 0 0 0 I ch 11 1„fI f1'! ttI c7 N N N r S H J O Q rs ¢ cu ca H ` W J W O I W cc L:.J O Cx c.n ¢ W W a Li LY C" m LLJ ¢ Ca LG CJ1 I W Y•-I IN = LY L1 Cm1— W Z I— I— = Z J Z W "i I I = Z J = = W O = O } ¢ I••y I I W = S S 11 ¢ ¢ Ci i— s9 N S C i— I I LY ¢ ¢ CJ. 2 1 d TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map' CZ Parcel ` Q Application# " ' 0 Health Division Conservation Division Permit# z Tax Collector Date Issued Treasurer Application Fee[[ � Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address 7 f ycAl 4y Village ,+A n IS 4T Owner �Ntc ih X. T,,'s,Aoa Address 4).T k_5 dye / •i�li S� 02b y� Telephone $D zfL� 37�� Permit Request l3 /7°ill Z 4� - Square feet: 1 st floor:existing proposed 2nd floor:existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes ❑No On Old King's Highway: ❑Yes ❑No Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing new Half:existing new Number of Bedrooms: existing new ., Total Room Count(not including baths):existing new First Floor Room Count i s Heat Type and Fuel: ❑Gas 0 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:0 existing ❑new size Shed:0 existing ❑new size Other: -- --Zoning-Board of Appeals Authorization -❑-yAppeal# — - -- -- - Recorded❑ ... Commercial ❑Yes ❑No If yes,site plan review# Current Use Proposed Use BUILDER INFORMATION V/Name r ��� I )Sa nO Telephone Number 33� �Z!! i n p 7 ddress Qn122,e � �f? l0 License# Home Improvement Contractor# Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO GNATURE6� - DAB 6M/07 FOR OFFICIAL USE ONLY x i . kF PERMIT NO. r DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER - r. DATE OF INSPECTION: FOUNDATION ® (o 3 FRAME 1 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL r GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. t r °FTME, y Town-of Barnstable Regulatory Services * ? Thomas F.Geller,Director 9 MASS. 039 a`� BuIl incr biv1S1UY1 rED MP'� b Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 509-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME MROVEMENT 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. Type of Work: RcTl 1?C lM 6 dell d7 Estimated Cost Address of Work: 7 hYl Owner's Name: Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 7Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORD DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SIGNED UNDER PENALTIES.OF PERJURY I hereby apply for a permit as the agent of the owner: Date Contractor Name Registration No. / !9 j to ORm Date Owner's Aame Q:foms:hcmeaffldav Town of Barnstable . o* Regulatory Services S Thomas F.Geiler,Director aswss. ' 9 16.19. �. Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstible.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION / Please Print DATE: /l9l b 7 /� " /� JOB LOCATION: A�NPN f-i�� A'f1/�I fiP'4k 7 number street village "HOMEOWNER": Ai li j k R56'to f - 5bf- Wb 379f name (� home phone# work phone# CURRENT MA J NG ADDRESS: 2-9- �'l fpws Ines mills AfA ®z 4 Ift city/town state zip code .The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as . supervisor. DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be,a one of two-family-dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building'Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and regArements. Signature o§Romeowner Approval of Building Official Note: Three-family dwellings containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section.127.0 Construction Control. . HOMEOWNER'S EXEMPTION The Code states that: "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community: Q:forms:homeexempt i The Commonwealth of Massachusetts Department of Industrial Accidents _ Office of Investigations d 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance.Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly. Name(Business/Orgauization/Individual): - p/II a �S eui0 Address: City/State/Zip: 14, 5mS A��5� /Y,4 Phone.#: 3DE V2_4 Are you an employer? Check the appropriate box: -Type of project(required):. 1.❑ 1 am a employer with 4. I am a general contractor and I 6. New construction . employees(full and/or part-time).* have hired the sub-contractors 2.❑ I am a'sole proprietor or partner- listed on the-attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have 8. Demolition workingfor me in an capacity. employees and have workers' Y P tY• $. 9. ❑Building addition [No workers' comp.insurance comp.insurance. required.] 5. We are a corporation and its ME]Electrical repairs or additions 3.I}Q 1 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself. [No workers' comp. right of exemption per MG 12.❑Roof repairs insurance required.]t c. 152, §1(4),and we have no employees. [No workers' 13.0 Other comp. insurance required.] . *Any applicant that checks box#1 must also fin 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. Iam an employer that is providing workers'compensation insurance for my employees. Below is.the policy and job site information. Insurance Company Name: Policy#or Self-ins.Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure-to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DU for insurance coverage verification. I do hereby ce!pXy under the pain enalties of perjury that the information provided above is true and correct Si afore: Date: / lb 7 _ Phone#• Official use only. Do not write in this area,to be completed by city or town ofjlciaf 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#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers'compensation for their employees. Pursuant to this statute,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 bean employer." MGL chapter 152, §25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to'operate a business or to construct buildings in the commonwealth for any applicant who has not produced-acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(71)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for.the performance of public work until acceptable evidence of compliance with the ins�ance requirements of this chapter have been presented'to the contracting authority." Applicants Please fill out the workers'compensation affidavit completely,by checking'the boxes that apply to your situation and,it necessary,supply sub-contiactor(s)name(s), address(es)and phone number(s) along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liability Partnerships(LLP)with no employees other than the members or partners, are not required to carry workers'compensation insurance. If an LLC or LLP does have, employees, a policy is required. Be advised that this affidavit may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and 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 call the Department at the number listed below. Self-insured companies should enter their self-insurance license number on the appropriate line. City or Town Officials 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 permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should writ6�%11 locations in. ' r (city-or town)."A copy of the affidavit that has been officially stamped or marked by the city,or town'may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a homeowner or citizen is obtaining a license or permit not related to any business%or`c'o'mmercial"venture (i.e. a dog license or permit to burn leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your 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 Investigations 600 Washington Street Boston, Bo .st MA 02111 Tel. #617-727-4900 ext 406 or 1-877-MASSAFE Revised 11-22-06 Fax##617-727-7749 www.mass-go-v/dia O �J OIJ� �' �� . a Imo , TOWN OF BARNSTABLE Building Application Ref: 200703480 BARNSTABLE, Issue Date: 06/18/07 Permit MASS. QDpr�639. A Applicant: GURNEY,RICHARD Permit Number: B 20071406 D Mf► Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/16/07 Location 7 HAVEN LANE Zoning District SPLTPermit Type: RESIDENTIAL ADDITION/A.LTERATIO Map Parcel 267104 Permit Fee$ 205.00 Contractor GURNEY,RICHARD Village HYANNIS App Fee$ 50.00 License Num 071114 Est Construction Cost$ 50,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ADDITION OF 12 X 24 SCREENED PORCH. REBUILD EXISTING MA TEFfHIS CARD MUST BE KEPT POSTED UNTIL FINAL BEDROOM AND ADDING A BATHROOM INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: PISANO, PHILIP A u NANCY M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 28 WATERS EDGE RD INSPECTION HAS BEEN MADE. MARSTONS MILLS,MA 02648 Application Entered by: PR Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY.. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED URER THE BUILDING CODE,MUST BE APPROVED BY.THE JURISDICTION. STREET OR ALLY.GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SE S MAY OBTAINED FROM THE DEPARTMENT OF PUBLIC WORKS., THE ISSUANCE OF,THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM T E CON IONS OF ANY APPLICABLE SUBDIVISION•RESTRICTIONS,. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONT RUC ON WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVE 0 FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETE RIOR TO RA INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READ T AT 5.INSULATION. 6.FINAL INSPECTION BEFORE CUPANCY. WHERE APPLICABLE,SEPARATE RMI S RE U D OR ELECTRIC P UMBING AND MEC NICAL INSTALLATIONS. WORK SHALL NO OCEED UNTIL H INSP CTO S APPROVED THE RI US STAGES OF C N TRUCTION. PERMIT WI BEC E NULL Vol F CONSTRUCTION NOT STA D W THIN SIX MONTHS OF DATE THE P7ACTING IT I ISSUED AS TED ABOVE. PERSONS CO WITH UNREGISTERED CONTRACTORS DO NO HA E ACCESS TO G TY FUND(as set forth in MGL.c.142A). a h ® ® ® ` o .� <a �., . BUILDING IN PECTION APP OVALS PLUMBING INSPECTION APPR L ELECTRICAL TSPE ON APPROVALS 2 2 2 3 1 1huting Ins ction Approvals Engineering Dept Fire Dept 2 Board of Health r �4 °FTNEl°� Town of Barnstable ti Regulatory Services sn MA �E MASS. Thomas F.Geiler,Director ss. ��'ArEDMA'lpe� Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 NOTICE TO THE BUILDING DIVISION OF CHANGE OF LICENSED CONSTRUCTION SUPERVISOR owner of property located at #W hereby certify that k) Gu R AJ is no longer Construction Supervisor listed on the application for the project under construction as authorized by building permit# -D L0 35GO'd , issued on 0 200_. I understand that the project under construction must cease until a successor licensed Construction Supervisor, is submitted on the records of the Building Division. PRdPERTY OWNER DATE q/forms/newcontr reference R-5 780 CMR rev:080102 TOWN OF BARNSTABLE �t�E� Building Application Ref: 200703480 • * BARNSTABLE, Issue Date: 06/18/07 Permit 9 MASS. �Ar16 ,39. A�� Applicant: PROPERTY OWNER Permit Number: B 20071406 Proposed Use: SINGLE FAMILY HOME Expiration Date: 12/16/07 Location 7 HAVEN LANE Zoning District SPLTPermit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 267104 Permit Fee$ 205.00 Contractor PROPERTY OWNER Village HYANNIS App Fee$ 50.00 License Num Est Construction Cost$ 50,000 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND ADDITION OF 12 X 24 SCREENED PORCH. REBUILD EXISTING MA TEFfIHS CARD MUST BE KEPT POSTED UNTIL.FINAL BEDROOM AND ADDING A BATHROOM-CHANGE CONTRACTOR 6 18/OINSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: PISANO,PHILIP A u NANCY M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 28 WATERS EDGE RD INSPECTION HAS BEEN MADE. MARSTONS MILLS,MA 02648 Application Entered by: PR Building Permit Issued By: _ 4j f"xA__ THIS PERMIT CONVEYS NO RIGHT TO"OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,EITHER TEMPORARILY OR PERMANENTLY: ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY:PERMITTED UNDER THE BUILDING CODE,MUST BE"APPROVED BY THEJURISDICTION. STREET OR ALLY,GRADES:AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAYBE OBTAINED"FROM THE DEPARTMENT OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WORK: 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFORE FIRST FLUE LINING IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO FRAME INSPECTION. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIRED FOR ELECTRICAL,PLUMBING AND MECHANICAL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTOR HAS APPROVED THE VARIOUS STAGES OF CONSTRUCTION. PERMIT WILL BECOME NULL AND VOID IF CONSTRUCTION WORK IS NOT STARTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED AS NOTED ABOVE. PERSONS CONTRACTING WITH UNREGISTERED CONTRACTORS DO NOT HAVE ACCESS TO GUARANTY FUND(as set forth in MGL c.142A). i1A . v z H� ' BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 Heating Inspection Approvals Engineering Dept Fire Dept 2 Board of Health Engineering Dept. (3rd floor) Map `� 7 Parcel 4 rJ-) Permit# �d House# PJJ, Date Issued h d2' J� '9 Board of Health(3rd floor)(8:15 -9:30/1:00-4:30) :L 7 Fee Conservation Office (4th floor)(8:30- 9:30/1:00-2:00) Planning Dept. (1st floor/School Admin. Bldg.) �QB. �' 1ME'b"� Definitive Plan Approved by Planning Board 19 M • �" OWN OF BARNSTABLE � Building Permit Application ��® . Project Street Address 7 11,4i1z=, 1 J,d, ( 'n LOT- - '�e�' AV4 Village Owner b-r jCrl19 I_&_r1?fll,-11rdf Address Telephone vim-r?7% '4l/d Permit Request !/11� /4"d � Lt/,b'rSf{ tom• �•�- �,E �� xl/i- s��'fi.t'r�'s /�1/ �s���r9 7�z'frr `� r�•yJ��%/�lr�eJ us'�`� �yE'�� First Floor /,Sd2' square feet Second Floor 11/Gll� square feet Construction Type Estimated Project Cost $ 4'LITV,©6 Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No Dwelling Type: Single Family r[� Two Family ❑ Multi-Family(#units) Age of Existing Structure Zt0 Historic House ❑Yes ff*90 On Old King's Highway ❑Yes ©-ISO Basement Type: ❑Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft)ep`!/ Number of Baths: Full: Existing New Half: Existing New No. of Bedrooms: Existing 3 New Total Room Count(not including baths): Existing New First Floor Room Count Heat Type and Fuel: 01 as ❑Oil ❑Electric ❑Other Central Air ❑Yes I N'o Fireplaces: Existing / New Existing wood/coal stove ❑Yes (Ergo Garage: ❑Detached(size) Other Detached Structures: ❑Pool(size) ❑Attached(size) ❑Barn(size) ❑None ❑Shed(size) ❑Other(size) Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use Builder Information Name Al/4, —4-1" Telephone Number SVoc G., 6dr' c/ Address oC'6 License# C/®C'y'7x- yfd�,ylS, v�l� Home Improvement Contractor# ll ,01 D 9 Worker's Compensation# 7 61,9 /f',9XS�,0 7Yl 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 W1t) 0 pr &4ti�S' 1& -J_71j-1eS,4/ SIGNATURE G, ( DATE o2 �� T BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: _ FOUNDATION FRAME INSULATION • A FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ".ROUGH FINAL GAS: - - WOU,GH FINAL FINAL BUILDIlNG DATE CLOSED OUT+ ASSOCIATION PLAN NO:.: Oil o� 0 The Conintonlvealth of Alassachusetts Departmew of ludustrial AccidentsA Me of 19MV92110fls - 600 N ashinrtun Street u` Boston, Ma.v.v. 02111 Workers' Compensation Insurance Affidavit applicant information: �Plcase PR11VTle;ilZ�_ name location: r cit"• Phone# 1 am a homeowner performing all work myself. I am a sole proprietor and have no one working to any capacity ... o...• - b.^.-.r...:, s^r.-:.-� .,r r�s+..zr'r...e+:car .. 378'?+7.. •rr....T4.a. ,.r�.. e... ...r.�w,rn.+........uw. •..,w� +,s.�+Mp-.+o..•.--.'.r..ar.��r........-•... L:...... ». .•. a.w. .. ..� ... ,r.. .. ►.i�T. �- I am an emplover providing workers' compensation for my employees w�forking on this job. com tanv name: e �'.yy t/6�--J 7 41 Z-1Es1- 19 address' V •���� �Ce i city: ' //�.ti�7 S' .�. Phone#: -Ter— 7 9a insurance co. UP�10/es policy# 71 y,3 IiT X e160;7,016 I am a sole proprietor. general contractor,or homeowner(circle one)and have hired the contractors listed below who have the followin; workers' compensation polices: comnam• name- address: city! phone#: insurg*nee co policy# f.. .� _.:. � � •:♦i J:•+_.. -�..-...� --may..;�.... ;... ...,,_•_. �+—1 C.�-•...;-��,^. ��f•J+:vtR.S�> ^_.T'R/_Y. mac.ct•'�✓ 't'_a.��..i __-___._ ..... ._.._ __.f._._..._. .I_C...S.�iiui,.:._.iw+._.i��..Jr+i:.�lr'.�n.a.J�.:Lf�.r.r ` -. : 1 4 ',1. .•:.•Y�. � L':.3JY.riY+•. •. •� company nime• address: city phone#: _ insurance co nolicy.# Attach addi i .^ ',.,.-"M' " �-•�-^—~ t final she if neccssa _ -r-•-�•.-I- � -„'"""'�.'.�..• •�, '� „ u'�»,.... .'���-�..,.�4':.a���ae�.,�`-i.:�•:.�r...�: Failure to secure coverage as required under Section 25A of AIGL 152 can lead to the imposition of criminal penalties of a line up to S1.500.00 andiur one cars' imprisonment as well as civil penalties in the form of a STOP NVORK ORDER and a fine of S100.00 a day against me. I understand that a cope of this statement ma% be forwarded to the Office of Investigations of the D1A for coverage verification. 1 do herehr certifj'tinder the pains and penalties ojperfnn•that the information provided above is true and correct. Sisnature Print name ��� '-sue Phone# ?�a� oj�—,el official use only do not write in this area to be completed by city or town official city or town: permit/license# rIBuilding Department OLicensing Board (]check if immediate response is required O5electmen's Office 011calth Department contact person: phone#: MOther _ (rnmed 3.";111A) Information and Instructions Massachusetts General Laws charter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the "lacy". an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An emhlo'rer is defined as an individual, partnership, association, corporation or other legal entity, or anv two or more of the foreuoin- engaued in a joint enterprise, and including; the le-al representatives of a deceased emplover, or the receiver or trustee of an individual , partnership• association or other legal entity, employing employees. However the owner of a dwellin`_ 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 ,rounds or building appurtenant thereto shall not because of such employment be deemed to be an emplover. MGL chapter 152 section 25 also states that every state or local licensing agency small withhold the issuance of- -al of a license or permit to operate a business or to construct buildincys in the commonwealth for anv applicant who has not produced acceptable evidence of compliance with the insurance coverage required. Additionally, neither the commonwealth nor any of its political subdivisions shall enter into any contrast for the performance of public work until acceptable evidence of compliance with the insurance requirements of this chapter have been presented to the contracting authority. Applicants Please fill in the workers* compensation affidavit completely, by checking the box that applies to your situation and supplyin`, company names. address and phone numbers as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sure to sign and date the affidavit. The affidavit sliould 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 call the Department at the number listed below. ..._._ __....,,w:,.,,_.,,�.... ..,..._ ..,. ..,a...:............._.._.:__....,..,...,...tea•.•—r.z�-,-...�. ---- - City or Towns Please be sure that the affidavit is complete and printed legibly. The Department Itas provided a space at tite bottom of the affidavit for you to fill out in the event the Office of Investigations ]tas to contact you regarding the applicant. Please be sure to fill in the permit/license number which will be used as a reference number. The affidavits may be returned to the Department by mail or FAX unless other arrangements have been made. 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. ,,..•.y,...-e-w..-...: ....-.......:-v.v.`. ,--.r..r:_+rr-r.r..::,..a.�.. -";-.+.....--•.....+_+ww-r7rnsw+•,r+o+,n.wR.slArw+u. .1+-�w—...nql�+.w.w'r ilsnll•T."'-.r.•v.v+.+•wa..wca..•.-+.w.x Tile Department's address. telephone and fax number: The Commonwealth Of Massachusetts Department of Industrial Accidents Office of Investigations 600 R'ashington Street Boston,Ma. 02111 fax #: (617) 727-7749 phone #: (617) 727-4900 ext. 406, 409 or 375 4r ,, The Town of Barnstable 9Q, ab¢l ,0�' Department of Health Safety and Environmental Services '�Fbtt' Building Division 367 Main Street,Hyannis MA 02601 Office: 508-790-6227 Ralph Crossen Fax: 508-790-6230 Building Commissio: For office use only Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL,c. 142A requires that the "reconstruction, alterations, renovation, 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. Type of Work: Ol ppllqU-Poe— � �`��� � Est. Cost Address of Work: 7l�(/��tJ Owner's Name Date of Permit Application:��✓��97 I hereby certify that: Registration is not required for the following reason(s): Work excluded by law Job under S1,000. 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 apply for a permit as the agent of the owner. g/3/'e;�;,, . // Z- � ��-� ���� 09 Date C ntractor Name Registration No. OR S i � c e�.i o• No m R IL r ���; �;'.aC N 51 ate+ ; ' !R •+�.., ,pig'�. IX - CL cb ca � o +4' $...?• - jNr. 'fj3y« ,¢ gi�pp '`i1t }-`(( ( . I 4 Assessor's Office (1st floor) Map l0 Parcel 'le 7 Permit# // q 9 1 - rV ;, i Conservation Office(4th floor)(8:30= 9:30/1:00-2:00) - Date Issued , / .2 2 g6 Board of Health(3rd floor)(8:15 -9:30/1:00-4:45) I �S_E e5p 0 4 Fee Engineering Dept. (3rd floor) House# -�- g� f W�� DIME Planning Dept.(1st or/School Admin. Bldg.) = �; Definitive PI Appr ve y Planning Board �19 SEPTIC e v • `1� "' �� INSTALL PLIA►NCE TOWN OF BARNSTABL 'nTLF-3 NPMO`i6�ENTAL CODE' AND Building Permit Applications 7 Cv�+�6�' REGi.�LAT IC " Project Street 7 2!69 �/ Village y4!�.v��J�0�7 Owner 11{ ,Z,us Cif{/ A& Address 16> O�1Alri0.rf' Telephone 617- ;X 7- lJ//0 t ' pp Permit Request S �/�' 9`' �� /�iD Co. J:V P-,Rf First Floor /az 6'K square feet Second Floor square feet Estimated Project Cost $ /,5-0 d•Cj B Zoning District Flood Plain Water Protection Lot Size Grandfathered ? Zoning Board of Appeals Authorization Recorded t Current Use r;'w t f 4 -Ptv e Proposed Use Construction Type W 0 y-p r4d4---e Commercial Residential Dwelling Type: Single Family Two Family Multi-Family Age of Existing Structure Basement Type: Finished Historic House Unfinished Old King's Highway Number of Baths No.of Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel (W v&A s Central Air Fireplaces Garage: Detached Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name �/ r Lr� ("d,7 H L--c/ Telephone Number 7 g o s-y Address r'"1-k k14 e r License# 00 99 V_ 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 SIGNATURE "/1 c3 `' �-- DATE lL2,� j' BUILDING PERMIT dENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL'NO. ADDRESS VILLAGE _ OWNER - DATE OF INSPECTION: 3 r r ,k FOUNDATION FRAME' INSULATION FIREPLACE, ELECTRICAL: ROUGH •FINAL r PLUMBING: ROUGH FINAL - GAS: ROUGH) FINAL' - FINAL BUILDING f R DATE CLOSED OUT ASSOCIATION PLAN NO. •�Y The CotittnonIrealth of Massachusetts uci. Department of Industrial Accidents #NCO81111M Iff,71/ors 600 H u0ington Street X. Boston,Muss. 02111 Workers' Compensation Insurance Affttlayit Annitcant tnformation• Please PRINT name:_ �11 z=. 0AU7•1YeN locations j1honc# 7 26- ejLl l I am a homeowner performing all work myself. 011 am a sole proprietor and have no one working in any capacity TZAT- 1 am an employer providing workers' compensation for my employees working on this job. cornliany name: address: city: phone#• . insurance co. policy# , . .•.: -awl+.•.:,,a'!,„-•ems t�aA .:.. ., •.;r»...•.s....,.rwi. .,...,.�....,�.,. ��. I am a sole proprietor, general contractor,or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation polices: company name- address: city: phone#• insurance co. policy# L ...._,6 i..:�.j.c�,. 7 7- _ rir�n� rtwn-a.-ry^.'-;T°rR'ns;:,* •''r�r^�".:; _ - 'T.n:eP+?7R '. •3t:9�!'i f; R :?r.✓^�n+,.:•q r•.a+r•-+-?c* cmmnanv,name: address- city: phone#• insurance co. policy# .Attach additianal'sheet if necessa •.n?"�:Y r+r '�f;"c:.1f;N sF:Fr{c _`.:._:v?i:•,ia a�i•`=^,"';ss ._rY._`: ..- -- --- - F3Jilure to secure coverage as required under Sectionf'25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to 51.500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP WORK ORDER and a fine of S100.00 a day against me. 1 understand that a copy of this statement may be forwarded to the Officc of Investigations of the DIA for coverage verification. I do herebt•cerrifj-under the pains and pen,��al�`tiles of perjure•that the information provided above is true and correct. Signature A& � �r'G, Date l � Z� r , ,Print name �✓! 11 to Lf, 0 fl-U-rfY•L,,/ Phone 7)- %- nly do not write in this area to be completed by city or town official permittlicense# riBuilding Department Licensing Board 0 check if immediate response is required [3Seiectmen's Office [311ealth Department contact person: phone#; nOther - (revised 3,95 PJA) 3 � i jp f x ao m r m o� a z co -< r- �• m in m •iin x m rn Y -i s 9 D Z M. C- m ---1 S ►-. m f P m f v r z The Town of Barnstable - ,A $ Department of Health Safety and Environmental Services 63 `e Building Division 367 Main Street,Hyannis MA 02601 Ralph Crtlssea Office: 508?90-6ZZ7 Building Commissions F= 508-775-3344 For office use only Permit no. Date AFFIDAVIT HOME MOROVEMENT 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-adsting owner «=P red building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements Type of Work: J9 Est. Cost S C Address of Work: �� Owner.Name: Date of Permit Application: I hereby certify that: Registration is not required.for the following reason(s): _Work occluded by law Job under S1,000 Building not owner-occupied Owner pulling own permit Notice is hereby green that: CONTRACTORS OWNERS PULLING THEIR O N PERMIT IIvtOR DEALING WORK I NO'I H�►�LESS T'O THE FOR APPLICABLE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c 142A SIGNED UNDER PENALTIES OF PERJURY I hercby apply for a permit as the agent of the owner. �,f�t/�Y-, Date Co tractor name Regisuation No. OR ' Hare Owner's name MOOSE, Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Roof Beam\R1302 BC CALCO 9.5 Design Report-US 1 span I No cantilevers 0/12 slope Thursday,August 23, 2007 15:11 Build 91 �114 lv 1� ® File Name: BC CALC Project Job Name: PISANO RES Description: RB02 Address: 7 HAVEN LANE Specifier: City, State, Zip: W. HYANNISPORT, Designer: DAVID GREENLAW Customer: Company: BOTELLO LUMBER Code reports: ESR-1040 Misc: �o 12 4 m l V V V V ,.4.OEM Balk r BO B1 DL 1150 Ibs DL 1150 Ibs SL 2520 Ibs SL 2520 Ibs Total of Horizontal Design Spans=12-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area (psf) Left 00-00-00 12-00-00 15 35 12-00-00 Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 11010 ft-Ibs 45.0% 115% 3 1 - Internal be verified by anyone who would rely on End Shear 3020 Ibs 33.3% 115% 3 1 -Left output as evidence of suitability for Total Load Defl. U493(0.292") 36.5% 3 1 particular application.Output here based Live Load Defl. L/718(0.201") 33.4% 3 1 on building code-accepted design o properties and analysis methods. Max Defl. 0.292' 29.2 h 3 1 Installation of BOISE engineered wood Span/Depth 12.1 n/a 0 1 products must be in accordance with current Installation Guide and applicable Cautions building codes.To obtain Installation Guide 8 For roof members with slope(1/4)/12 or less final design must ensure that ponding instability ( ask questions,please call 88)234-0056 before installation. will not occur. For roof members with slope(1/2)/12 or less final design must account for Rain-on-Snow BC CALCO,BC FRAMER@,AJS-, surcharge load. ALLJOISTO,BC RIM BOARD-,BCIO, BOISE GLULAMM,SIMPLE FRAMING Notes SYSTEM@,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, Design meets Code minimum (U180)Total load deflection criteria. VERSA-STRAND@,VERSA-STUD&are Design meets Code minimum (U240) Live load deflection criteria. trademarks of Boise wood Products, Design meets arbitrary(1") Maximum load deflection criteria. L.L.C. Minimum bearing length for BO is 1-1/2". Minimum bearing length for B1 is 1-1/2". Entered/Displayed Horizontal Span Length(s) = Clear Span + 1/2 min. end bearing + 1/2 intermediate bearing Member Slope= 0, consider drainage. Connection Diagram �b d a _ c •L • a minimum=2" c= 7-7/8" b minimum = 3" d = 12" Member has no side loads. Connectors are: 16d Common Nails Page 1 of 1 i t BOESE- Single 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100,SP Roof,Beam\R1301 BC CALCO 9.5 Design Report-US 1 span I No cantilevers 10/12 slope Thursday, August 23, 2007 15:11 Build 91 File Name: BC CALC Project Job Name: PISANO RES V, Description: RB01 Address: 7 HAVEN LANE Specifier: City, State, Zip:W. HYANNISPORT, Designer: DAVID GREENLAW Customer: Company: BOTELLO LUMBER Code reports: ESR-1040 Misc: �o 12 4 V m m l m V v ) 12-00-00 _ BO B1 DL 1115 Ibs DL 1115 Ibs SL 2520 Ibs SL 2520 Ibs Total of Horizontal Design Spans=12-00-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf. Area (pso Left 00-00-00 12-00-00 15 35 12-00-00 Load Disclosure Controls Summary Value %Allowable Duration Case Span Location Completeness and accuracy of input must Pos. Moment 10905 ft-Ibs 89.1% 115% 3 1 -Internal be verified by anyone who would rely on End Shear 2991 Ibs 65.9% 115% 3 1 -Left output as evidence of suitability for Total Load Defl. U249(0.579") 72.3% 3 1 particular application.Output here based Live Load Defl. U359(0.401") 66.9% 3 1 on building code-accepted design u properties and analysis methods. Max Defl. 0.579 57.9/0 3 1 Installation of BOISE engineered wood Span/Depth 12.1 n/a 0 1 products must be in accordance with current Installation Guide and applicable Cautions building codes.To obtain Installation Guide 8 For roof members with slope(1/4)/12 or less final design must ensure that ponding instability ( ask questions,please call 88)234-0056 before installation. will not occur. For roof members with slope(1/2)/12 or less final design must account for Rain-on-Snow BC CALCO,BC FRAMERS,AJS-, surcharge load. ALLJOISTO,BC RIM BOARD- BCIO, BOISE GLULAMTm,SIMPLE FRAMING Notes SYSTEMO,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIM@, Design meets Code minimum (U180)Total load deflection criteria. VERSA-STRAND@,VERSA-STUDO are Design meets Code minimum (U240) Live load deflection criteria. trademarks of Boise wood Products, Design meets arbitrary(1") Maximum load deflection criteria. L.L.C. Minimum bearing length for BO is 2-3/4". Minimum bearing length for B1 is 2-3/4". Entered/Displayed Horizontal Span Length(s)= Clear Span+ 1/2 min. end bearing+ 1/2 intermediate bearing Member Slope= 0, consider drainage. Page 1 of 1 Assessor's map and lot number .......................................... Sewage Permit number ........../'/ " 9��.t i - / �: - THE r TOWN OF BARNSTABLE Z BAHBSTODLE, i AIM BUILDING INSPECTOR APPLICATION FOR PERMIT TO ...................�'.m tc�r��r.t adtl i t i on t o dr.,r.7.?�: : i ..... .............. . .......... .. ....... ..... .... ..... . ... TYPE OF CONSTRUCTION .............................In..:`�..."ra :.................................................................................. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .................l ;'avin Ln. Hyannis .................................................................................................................... Proposed Use ..................`+I n o}F' f-iml v hnTe ........................................................................................................................................................... Zoning District ...R�'.R i r1pnrp-r Fire District ...Hvanni`.,s Part .................................. .................................................................. Name of Owner .'.ar...i,n .�hi.�vn...................................Address .43...BailY...�t.:....0orcheStc�l....................... ' mill Crosson ,fox 138 Csterville Nameof Builder ....................................................................Address .................................................................................... Nameof Architect ri'�a ........................Address........................................... .................................................................................... Number of Rooms B." COnC. e.t.e . lOC1L Foundation ............. ........................................................... Exierior 1 -11 shoati 'n ............Roofng -cinhalt Si;nF?_es .............................................. ................................................................... } 1Y1 % Viral file Floors .........................Interior .................................................................................... ............................................................. Heatingr►r •�.rt nt...y'.T.........................................Plumbing ..................r%i......................................................... Fireplace �n .........................Approximate Cost +t^i1 Definitive Plan Approved by Planning Board -----------_-------------------19_______. Area .13'' r': ! t .............. Diagram of Lot and Building with Dimensions Fee 7+ A2 SUBJECT TO APPROVAL OF BOARD OF HEALTH / :2 _ l f c Id I 4 ti I hereby agree to conform to all the Rules and Regulations of the Town'of Barnstable regarding the above construction. Name .........:. '*J ...:....: ':.... r..::................................ �7� ' No —��----.. Permit for ......add...to.--.—.. t ___..� ..................... -----_ ,.. � ( ' / ' Location ............I'��a.vees...Lae*e------'' . � ^ on/� � � --------''*��a«s�u�o�� —'------'' ` Owner ........... �a-t... "oa-eh^ -----^'- / | � Type of Construction ..............fraxue............... � / . ' . ' .' 78 ' ' . Date Completed . .............. N..............19 PE T REFUSED .......... .... .6A ' . . ' ^ ' ' ^ ` ' ................................ ' .' ..... ............ , ........................ ,..,^........ , Approved ---------------- lA w ' ............................................ . -------------~^'-------^—^^^^ Assessor's map and lot`number ...........................:.............. SEPTIC SYSTEM MUST BE INSTr, LLED IN COMPLIANCE Sewage Permit,number ........: . ,�z .., �1 . .......� �yyL WITH ARTICLE II STATE SANITARY CODE AND TOWN 0F THE T TOWN OF BARN9TTfftE Z BARNSTABLE, i r "6 : 1.111.DJNG INSPECTOR am APPLICATION FOR PERMIT TO ...+...............Conste.ruct,,,add tiOR,-to c we;ll ns....................... ... ..... .. TYPE OF CONSTRUCTION .........................Wood....Frame. ..... .... .. ...................................................................................... �px.&fir 4........................19..� TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .....................T .Havin Ln• Hyannis................................................................:.....................:............................. ............................. .. ProposedUse .................. ........... ......................................................... ................I................... Zoning District .................. 1'�. azna� 8 Port- Fire District ......Y....................................................................... Name of Owner Eat...L05.91?1. .Y.Q...................................Address 43 Ball St o Dorchester: ................................. ......................... Name of Builder 4.1...1..1. Cro.st�On........................... .,........Address Bo ...1.3.8...0sterville........................................... ..... .. ........ . .......... .... .... Nameof Architect F'I:a .....Address.......................... . .............................. ..............................................................:...................... Number of Rooms 2 Foundation ...........8." Concrete. ...$lock. ...........,........... .......... .......... .............. Exierior .teXtured....T.-.11...sheating............... ...Roofing Asphalt ShinB,Ies ... Floors 12x12 Vinal Tile eetrock Interior ............... ... ................................................................ ...........:...............................................:. HeatingFQr.�e. ...............................................................I Plumbing ..................n Ak........................................................ Fireplace n/. ..................................Approximate Cost ................. Definitive Plan Approved by Planning Board -------------------_-----------19_______. Area 3 $'..Sq. e Diagram of Lot and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH 3 2 a r 32 f I l � f — I 11 r 6 .� Ll 2 1 hereby agree to conform to all the Rules and Regulations of the Town .of Barnstable regarding the above construction. x� Name .... ....... ......... ........................................ r � 1 Los .hiavo Pat s, o .....207 ermit for .......a.dd....t.o .............. - . dwe 1..i ....... n..................................................... _ f" Location ..........S xI Y ......Z... AYQ1 .111. t r ' ....................Hxann. .S p.9x ............................:. �y Owner .......Pa.t..:Los.��ig.Y.4.......... ......... C .� Type of Construction ..................E.x amp............ ............................................................................ Plot ............................ Lot ................................ i r C iii Permit Granted ...........AP.r1.1...5..........19 78 -Date of Inspection ..' .l.!.�.6...:;s.....:::19 'Date Completed ...........................n ........19 /O PERMIT REFUSED -, i ....................................................... ........ 19 Y. r � ........................................................`.. ................... f, '' n- .w �` �-• _ ' ............................................................ ............. Y 1•- .......................................................:. .................... a 1. t•', r , � Approved ................................................ 19 1 r, f ............................................................................... ............................................................................... f 1 l R c�•'12 �CAUE�i— •,5 /o Ixa y' Po�c 4 - 5 3 Y' SCALE:,Y�i o�. APPROVED BY: DRAWN 6Y� DATE1 REVISED B N S If A-9t+J /u�4-tO�E SUrJN��tl 77P'lolo7�/ pRAWINO Num- ,3�L n�sT, Door- NSW L C y/ A AcOM t-'D Zoo 6 o6p ;r�L 009 77L u5k cdl K0,1.5E - JAV.LY 541DiEk 6Qsn,j` YX,& P-1 D&C - 1b EXLST ry...(o... BrR /7Sv�s�nonl WtFTO2f jvonl> - _ sa"IF/t?N Kale P - VIA) L' JID1ANG L[' `r.Tu7, A5 H T' /200 T/(offT$D J .4 WALL-- P.-T-. i GDves S - 3 a"x3 .. Vinlyt G0D`y x- /cat C��iER 5l�/EcD��'u� fFiV�U.. J Nrc� $D-FF-/rs .4,C Y �- P°,STJ _^ o�X/'O le t!7�i E'._ '`. - L U N2 7/,I M co U-{r F A-(-4 i P) 1� 01�8' PA-7: � �. /6. 6C 10001), t GULUM A,f Ou) 'k LONTi�o�S �-ax8 a.Xb. . COIL?,N� .SOI'7 D-SY-7'"R. uJRAN O,C i A�uM , M• ^ HAD�2 P.l /t fDP /6 OC . V/(/L �.VTT�Yit t 5 Po u i 5 (i ? Ix 8 Fs}5C/A- .vV""P .V-LA17--D �t'D='�-iT, - _ - - NE7bu 60(.A 5LIatR FIST• + ' A)O 7/C/cZ, - T,2/M 0.�[�/ /X$ /X3 RAKE=- WRA-P - 'v w SX 34' P_T• DE:GP- I� EXIST• V �LDOK �/y4� - r-rC.�L•c L'�n�J,-�, L i,npC X G � to a-ax y e /&'vc MVP •n 4Xv PT , nv�r[N x x G0NT,,u0v5 ra'` V P-I I•�ck,,J6 �At,,.� n C, �x .TT @-/b° G .SUE .•D Q:. -�! X a FS 6':T I I �O L7 /, f�D i/j � - U til o N - /°.� D P.T. 6OX 3 4 -0 q a�SoaA'S PPokT.Scft �/o..SD,�,,� 1 O� ! P7.. DuR-42ocrc Ok tA-nlCF- 7)3-ELOtJ iCJ,N Do-K0-t. 'y-TFR IQ/Z POOR. JI_-� ('°Xb$ 50PpC.e 3 — --- — ' Vj V/ PAbig a o� (