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Home My WebLink About0021 HAWES AVENUE r --- - � � I ___ - ._ _. _ _-_ ' J. 1 t, -�, � ��-� / .-- ��.�_._ I. i' ,� �' - i i i ,. i Via Town of Barnstable BuildIl �.. �,��. a n �Sr,A >f Post T his Card So That it"is V�si61e From"the Street Approved Plans Must beRetamed on Job and this Card Must`be Kept 1 `�$ Posted Until�Final Inspection Has Been Madeu _ .._� ,� �.,.�' ""m,s +„, �„�y >m�.,,^t�C �_ �.g�.�'; � .;�uT 'F :.z'�y ":... qr.i�,.�c�x, eh�:e, TM -re 0 • Where,a'Certificate of Occupancmit y is Required,such B.uildmg shall Not be Occupied until a'Final Inspection has been made Permit No. B-20-1966 Applicant Name: Ken Gallant Approvals Date Issued: 07/31/2020 Current Use: Structure Permit Type: Building-Siding/Windows/Roof/Doors Expiration Date: 01/31/2021 Foundation: Location: 21 BLDG A UNIT A2 HAWES AVENUE, HYANNIS Map/Lot: 323-002-OOB_ Zoning District: RB Sheathing: Owner on Record: FALLON, KAREN TR Contractor Name:--, Framing: 1 Address: 31 KNOWLES STREET Contractor License: 2 NEWTON CENTRE, MA 02459 i � Y Est. Prole:ct Cost: $7,000.00 Chimney: Y Description: Replace 3 windows and 1 sliding glass door. Permit F e: $35.70 J Insulation: Fee Paid:J $35.70 Project Review Req: GLAZING REPLACED IN HAZARDOUS LOCATIONS AS��EFINED IN 780 CMR MUST BE TEMPERED OR EQUAL. Date: 7/31/2020 final: J' wY � r Plumbing/Gas Rough Plumbing: Building Official This permit shall be deemed abandoned and invalid unless the work authorized by this permit is commenced within,six months aftertissuance. Final Plumbing: All work authorized by this permit shall conform to the approved application and the l pproved construction documents for which.this permit has been granted. Rough Gas: All construction,alterations and changes of use of any building and structures shall be in compliance with the local zo tying by-laws and codes. This permit shall be displayed in a location clearly visible from access street or road and shall be maintained open for public inspection for the entire duration of the Final Gas: work until the completion of the same. _ Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Minimum of Five Call Inspections Required for All Construction Work: Service: 1.Foundation or Footing, 2.Sheathing Inspection l Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed -- -- 4.Wiring&Plumbing Inspectionsto be completed priorto Frame Inspection Final: 5.Priorto Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Rough: 7.Final Inspection before Occupancy Low Voltage Final: 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. Health "Persons contracting with unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Final: Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: , Qn�4y,�E l ✓nASL-S ,.`� . � x ° Pnnted On6J9%2020 My gg S C Ri�;la�nt fall Report .$ 21 BLG ► UN1TA3 TA B AVE a all ._ Case#: C-20-197 Address: 21 BLDG A UNIT A3 HAWES Date: 6/8/2020 AVENUE, HYANNIS Owner Info: Property Info: MBL: Owner Notified?: Complaint Details: Type of Complaint Classification of Complaint Method of Complaint Building Code Medium Priority Phone Complaint Summary: Tenant Called with concerns about number of Egress doors Stated He knew it was against the law because he had sewed a previous landlord and won triple damages and that is what he wants this time. I scheduled a appointment with myself and Fire to inspect the Unit for code compliance. Action History: r gw t 9 •`. 3 $ it gam,_ ." THE TO � r, q` Pnnted On'6I9%2020 C,om�larnt CaII Report . BLDG,A lJ 1T4 AUV� S�i4 / NUB a j Case# C 201 Action Taken Date Description Fee Inspector Close Case 6/8/2020 Fire inspector and myself $0.00 bowerse arrived at property around 10 am on Friday June 5th 2020 Tenant stated again to myself and Fire official his objective is to sew the owner. The unit is located on the second floor of Building A it is the center unit. the entry has a landing on interior and exterior which leads to a set of stairs which serves the unit.We entered the unit into the Living/kitchen area the bedroom is off of the main room and has Two escape widows on the left and a slider leading to a deck on the other. The Deck is roughly 10 ft off grade. The unit also has a loft off the main room also. The tenant stated he did not really use the upstairs., This is a common design for townhouse style homes that were built around 1960. 1 did not observe any code violations during the inspection. This is a existing building allowed under 9th edition 780 CMR 2015.IEBC section 101.4.2 This complaint will be closed I g z za ar 4- �r. Application number..... "%. ...... � �.... DateIssued................................................................. gyp.p . o Building Inspectors Initials.. ... MAY 0 7 2018 Map/Parcel... ... ( .'.............. ............ �d TOWN O b.ARN6[ABLE TOWN OF BARNSTABLE EXPEDITED PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: p r l — �1) �l�ld�S�� f "l N r S NUMBER STREET V VILLAGE � I 4 f Owner's Name: /vCt�v� Y /-1, y��,�t la.�'-�N Phone Number S6 q yr— 2 6�� Email Address: Cell Phone Number SO r..3 Project cost $ �1700,0d Check one Residential J� Commercial OWNER'S AUTHORIZATION As owner of the above property I hereby authorize 1y09-e,1 Co X to make application for a building permit in accordance with 780 CMR Owner Signature: Date: TYPE OF WORK ED Siding Windows (no header change)#__L_0 Insulation/Weather zation 0 Doors (no header change)# Commercial Doors require an inspector's review 0 Roof(not applying more than 1 layer of shingles - Construction Debris will be going to �� CONTRACTOR'S INFORMATION Contractor's name POQ, c k Home Improvement Contractors Registration(if applicable) # /�� (attach copy) Construction Supervisor's License# G��9 /3 g � (attach copy) Email of Contractor I^o I co X �l 6AlC¢S-re-xe7Phone number �Og— '3 "L>SD ALL PROPERTIES THAT HA41E STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. APPLICATION NUMBER............................................................... *For Tents Only* Date Tent(s)will be erected Removed on number of tents total Does the tent have sides? Yes No (If yes please attach floor plan with exits marked) Dimensions of each Tent X , X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am-9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer# Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date All permit applications are subject to a building official's approvalprior to issuance. f �T The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations , 600 Washington-Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Auplicant Information Please Print Legibly Name(Business/Organizati--on/Individual): �-"' Address: /? J CiiV C, City/State/Zip: ��E4 �l S. hone#: Are.youan employer?Check the ap ropriate bog: Type of project(required): l,❑ I am a employer with 4. [] I am a general contractor and I 6. ❑New construction employees(fiill and/or part-time).* have hired the sub-contractors 2.A I am a sole proprietor or partner- listed on the attached sheet. 7. ❑Remodeling ship and have no employees These sub-contractors have g• Demolition working for me in any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]t c. 152,§1(4),and we have no 13 Olher Cyi i 4CP employees.[No workers' comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. $Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: 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 DIA for insurance coverage verification. I do hereby certi nder the pains and ties ofperjury that the information provided abo a is a and correct Signature: Date: 0 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 6.Other Contact Person: Phone#: r O 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 iri 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 coveragerequired." 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-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 permitMeense 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 (Le.a dog license or permit to bum 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 GommGmealth of MassachuseM Department of Industrial Accidents Office ofImvestigatims 600 Washington S =t BostoA. MA 02111 Tel.#617-727-4900 oxt 406 or 1-877-M"SAM Fax#617 727-7 T49 Revised 4-24-07 www mass.govldia Commonwealth of Massachusetts Division of PRegulationsssional Land Standards e Board of Building Constr44- n1$Q visor - res: 0311212020 E4p i CS-073885 ROGER T C6� 19 SOUTHEAST LAN C CENTERVILLE IVFA 02362,, � • rt'07�30 - Commissioner Construction Supervisor Unrestricted-Buildings of any use group which contain ' less than 35,000 cubic feet(991 cubic meters)of enclosed space. Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For information about this license Call(617)727-3200 or visit www.mass.gov/dpl ' �e tparrurrza�uuecaCl�i a�C/�aaJac`umetta Office of Consumer Affairs&Business Regulation ; HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only �Q TYPE:Individual before the expiration date. If found return to: .Registration Expiration Office of Consumer Affairs and Business Regulatioi 08/06/2019 10 Park.Plaza-.Suite 5170 r ate/_? Bostoh,MA 02116 WROERT.COX1"�,�, "4 l� 1 ROGER T.COX 19 SOUTHEAST LAN_E�.- _ Not valid without signature CENTERVILLE,MA 02632 Undersecretary j / �y �r f .; . °FZHE T Town of.Barnstable Building Department L4 Brian Florence,CBO pr z639• a`� Buildin Commissioner Ep�1 g 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.ns Office: 508-862-4038 Fax: 508-790-6230 Property ProP a Owner Must Complete and Sign This.Section If Using A Builder I Vv , as Owner of the subject property hereby authorize to act on my behalf; in all matters relative to work authorized by this building permit application for. rii,V / fiS iSs HA, , 0211701 (Address of Job) **Pool fences and alarms are the responsibility of the applicant Pools are not to be filled or utilized before fence is installed and all final inspections are performed and accepted. Signatur f ,Owner Signa : e of Applicant Print NAae. P ' ame Date QTORMS:OWNERPERMISSIONPOOLS Rev: 10/17 Juwll U1 j>d1-1tNLaVlC �oFtHe rq,�, Building Department Brian Florence CBO Building Commissioner v� MAS& ,�� 200 Main Street, Hyannis,MA 02601 1 AtEp 39. www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street village - "HOMEOWNER": pie home phone# work phone# CURRENT MAILING ADDRESS: 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. DE12MON 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 or 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"bomeowner"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 requirements. Signature of Homeowner 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 to amend and adopt such a form/certification for use in your community. r -C r 4r � 1 f f Co nkv,� : � y 1 — i I a�� jqtA TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map 33 Parcel- cat)2. Application Wol a Health^Division Date Issued O Conservation Division Application Fee f Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board �-� Historic - OKH _Preservation/ Hyannis Project Street Address A.t 4 A Lkivi► �' �� Village I' A 6-n V1 _S Owner 4'-k o G�.dl Gad +• Address 1 U H( AAA-I VII 6� •�i I �5��'�� Telephone () L1 U ()7AC� Permit Request rt!/J ICLC m Square feet: 1 st floor: existing proposed 2nd floor: existing proposed AJ L4 Total new Zoning District Flood Plain _Groundwater Overlay Project Valuation Construction Type 0-0 Lot Size Grandfathered: ❑Yes ❑'No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure M(P 6 Historic House: ❑Yes I�No On Old King's Highway: ❑Yes ❑ No Basement Type: dFull QCCrawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) 4.10 _ Basement Unfinished Area (sq.ft) Number of Baths: Full: existing i new ti Lbc Half: existing 1 4-new nd 4- Number of Bedrooms: Z- existing _new Total Room Count (not including baths): existing new First Floor Room Count 4 CD Heat Type and Fuel: �A Gas ❑ Oil ❑ Electric ❑ Other Qentral Air: 4Yes ❑ No Fireplaces: Existing New Existing wo6d'/9 oal stover ❑'.ids L)VNo s� Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: 0`"e isting O new:�asize_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _.. Other: ' 0� 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 ,coot %ldL 7v) Ll.,G Telephone Number L41 Address 1S C-001 ay_y,UV_l Sy• License #_ C- ^ y 3--7 3 U 5,U u cl Home Improvement Contractor# 14 3 5 Worker's Compensation # `L+ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE t; FOR OFFICIAL USE ONLY APPLICATION# a r DATE ISSUED MAR/PARCEL NO. r ADDRESS. VILLAGE OWNER �— DATE OF INSPECTION: x_-_FOUNDATION: FRAME r 'INSULATION , I FIREPLACE +±_ ` ELECTRICAL: ROUGH FINAL 4 i, PLUMBING: ROUGH FINAL Y. 1 GAS:-- ROUGH FINAL ._FINAL.,BUILDING p _ >_ DATE CLOSED OUT . ASSOCIATION PLAN NO. - '.The Comm"onwealth of Massachusetts Department of Industrial Accidents ► 1 ' Office of Investigations Eau ! 600 Washington Street Boston, M4.0211I r r www.rrcass.galJ/die . Workers Compensation Insurance Affelavit: Duilders/Contractors/EIectricia;Qs(Plumbers App$cant Information PIease Print Legibly kTame (Business/Drganization/fndividuaD: Cal I/J--WI c—U 1-1n-►C�y 101rl 5ALS LL(_, kd&ess: I.PJ►N1YY�rCI CU I- City/State/Zip: IMCdV 0"— VV14 Mb U Oi Phone `? L4 Are you an employer?Check the appropriate box: FD project(required): I.-O I am a employer%rith a 2-, i 4. ❑ lam a general contractor and I employes(full and/or part-time).* have hired the sub-contractorsEl construction 2. 01 am a sole proprietor or partner- 1 Iisted on`the attached sheet iemodelingship and have no employees ; These sub-contractors have molitionworking forme in any capacity, - workers' comp, insurance, ilding addition [No workers' comp, insurance 5 0 We are a corporation and its. ctrical repairs or additions required.] officers have exercised their3. ❑ Lam a horneowner doing all work right of exemption per MGL mbing repairs or additions myself. [No workers' comp. rc. 152, §1(4), and we have no f repairsinsurance required.] t employees. [TIo workers' er comp. insurance required,] *Any applicant that checks box#1 must also fill ouf the section below showing their workers'compensation policy information• tt,,Homtowners who submit this affidaYit•indicating they are doing all work and than hire outride contactors must submit a new.affidavit indicating such.•. 'LDntnatDrS that check this box must attached an'additional:shectshowing the name of the Sub{ontractDrs and their workers'comp,policy information: - firm an empLoyer that is providing workers',compensation insurance for my employees. Below is t1r e poficy aced Jab site uefarrnatzorr. - Insurdnce Company Name: r Policy#or Self-ins. Lic. M 00 54�� U � 1( Expiration Date: Job Site Address: �.� hUll l�t/� " City/State/Zip: hJ { 0�&(� py ' courpensation policy declaration page(showing the policy numb er and expiration date), ,g flee a co o t e workers' , � _ , Failure to"secure coverage as required under Section 25A of MGL c. I52 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 STDP WORK ORDER and a fine of.up•tb$25D:AO a day against the violator;`Be adyised that a copy of this statement may be forwarded to't e,Df5ry of Investigations of the DIA for insurance coverage verification I do hereby ce7 irfy un, ere tfze pahnsyand pemald&r ofperjury drat the information provided above is true and correct ' . . Sienature �: At_�C /; Date e- zz Phone#: -50 S �fftclid use only....Do not write in this area, to bey completed by ccly or town ofj Cc - City or Town: " 4 Perrnit/License# t' Issairzg Arrthoriiy'(circ}a one): 1. Board of�l ealth Z Buildiag Department 3 City/Town Clerk 4. Electrical InspeeEor 5, Plumber g Inspector 6. Other �x Client#:51439 CAPEENT ACORD. CERTIFICATE OF LIABILITY INSURANCE DATE(04/1 /3012612012 I' 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 WANED,subject to the terms and conditions of the policy,certain policies may require an endorsement.A statement on this certificate does not confer right,;to the certificate holder in lieu of such endomement(s). PRODUCER kcAcWcT Linda Taddia Rogers 8 Gray Ins. Kingston (4ZINrie Euc;508.746-3311 No):877-816-2156 63 Smiths Lane Eo aEss; Itaddia@rogersgray.com Kingston,MA 02364-3700 INSURERS AFFORDING COVERAGE NAtC# 308 746-0055 INSURER A:Arbella Protection Co 17000 INSURED INSURER B Capewide Enterprises LLC J.P.Macomber&Sons INSURERC: PO Box 763 INSURERD: Centerville,MA 02632 INSURERE: 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 CONTRACTOR 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. LTR TYPE OF INSURANCE ADOL UB POLICY NUMBER MMND EFF MP LWIDM LIMITS A GENERALLIABiL1TY CPP8500050813 4/30/2012 04/3012013 EACH OCCURRENCE $1 000 000 X COMMERCIAL GENERAL LIABILITY PREMISES a oowr ante $250 000 CLAIMS-MADE OCCUR MEDEXP(Any oneperson) $5 000 :PERSONAL&ADV INJURY $i,000,000 GENERAL AGGREGATE s2,000,000 GENL AGGREGATE'LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG s 2,000,000 POLICYF_j PRO LOC $ A AUTOMOBILE LIABILITY 58644400004 4/20/2012 04/20/201 COMBINED SINGLE 1,000,000 • en1 ANY AUTO BODILY INJURY(Per person) $ ALL OWNED X .SCHEDULED '.BODILY INJURY(Per accident) $ AUTOS AUTOS _ IX HIRED AUTOS X NON-OWNED PROPERTY DAMAGE AUTOS - Per eoddent $ A X UMBRELLA LIAR OCCUR 4600050814 4/30/2012 0413012013 EACH OCCURRENCE s5 000'000 EXCESS UAS HCLAIMS-MADE AGGREGATE $5 000 000 DEC) I X RETENTION$10000 $ A WORKERS COMPENSATION 005437041/ 4114/2012 04114/2013 1 MAT AT u OTH- AND EMPLOYERS'LtMUTY ANY.PROPRIETGRIPARTNER/EXECUTIVE Y/N E.L.EACH ACCIDENT $500 000 OFFICEWMEMBER EXCLUDED? N f A (Mandatory in NH) NO EXCLUSIONS E.L.DISEASE-EA EMPLOYEE $500 000 if yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $560 000 DESCRIPTION OF OPERATIONS/LOCATIONS/VEHICLES(Attach ACORD 101,Addidonal Remarks Schedule,If more space Is required) CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE 0 198 -2010 ACORD CORPORATION.All rights reserved. ACORD 25.(2010105) 1 of 1 The ACORD name and logo are registered marks of ACORD #S80369/M80368 CJF Town of Barnstable Regiilatory Services � ��,a,,a, d 1'homxa F.Geller,pirector Building Division sp Tom Yerry,$uildln(;Commie over 2oo Main Street Hyennie,MA 02601 ,WVVW.town.bsmsrabie.mAals Fax; 509-790-6230 Offi ee. 508-862-4038 Property Owner Must Complete and Sign This Section If UsinLy de . 191�c1 re W Gc)i 1-47 ftthe subject prvpctry Z, Ff✓ 5 r l�i�G�Iy�� l'1�1ete�G �as hereby authorize to act on my behalf, in d;mattarr relative to work auc orized byrhia building permit applvation for. 1C41 - a,, _ 4 Vl I S (AddtesS df Job) Sigttatu Owner --V Date /-�NF1.4 r Print Name Zt,Proper O�er-is applft forpermitplease complete the Homeowners License Exemption Form on the reverse side. Massachusetts - Department of Piihlir 5afetY v Board .�f Building Regulations and Standarcic ( m.rructil,n Sulx•t•1 iglu" �< License: CS-089273 gICI-IARD M CAPEN ' 122 WFITIWW1 RD. COTUIT WA 02635. s . Expiration Commissioner 11/27/2013 ........... e p��noncoea�l�i o'9C/ ,sacJwjeff License or registration valid for individul use only Office of Consumer Affairs&Business Regulation before the expiration date. If found return to: ulation OME IMPROVEMENT CONTRACTOR Type. Office of Consumer Affairs and Business Reg egistration: 143358 10 Park Plaza-Suite 5170 xpiration: .7/872:014 Ltd Liability Corpc: Boston,MA 02.116 lug CAPEWIDE ENTERR.I I.§:WS;L,-C:. RICHARD CAPEN 4507 R RTE 28 g�n`��--' � COTUIT,MA 02635 Undersecretary Not valid�withou�� TOWN OF BARNSTABLE BUILDING PERMIT,APPLICATION, _ � FS41 " I atidh_ k.� 'App ic Map Parcel Health"Division Date Issued -77 Conservation Division Applicatioh Fee Planning-Dept -Permit Fee; Date Definitive Plan Approved by Planning Board Historic - OKH Preservation Hyannis Project Street Address V\. S cS Atje_ Village Owners Address Telephone ?_0 w ovlv,� Permit Rbquest r"&, CX gt Square feet: 1 st floor: existing proposed 2nd floor: existing—proposed -Total new Zoning District: Flood Plain Groundwater Overlay Project Valuation 00 Construction Type Lot Size Grandfathered: U Yes Ll No If yes, attach supporting documentation. Dwelling Type: Single Family Ll Two Family Ll Multi-Family (# units) UAge of Existing Structure Historic House: L3 Yes Ll No On Old King's Highway: Ll Yes LJ No Basement Type: LJ Full LJ Crawl Ll Walkout Ll Other CBasement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) mber of Baths: Full: existing new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count9 AHeat Type and Fuel: LJ Gas L]Oil Ll Electric LJ Other Central Air: LJ Yes LJ No Fireplaces: Existing New Existing wood/coW stove ❑YeasLJ No Ll C) Detached garage: Ll existing L3 new size—Pool: Ll existing LJ new size Barn: L11 6x-isting ab.new_=:size_ ttached garage: Ll existing 0 new size —Shed: L1 existing L3 new size Other: a . Zoning Board of Appeals Authorization Ll Appeal # Recorded Ll Commercial Ll Yes LJ No If yes, site plan review# A urrent Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name -76—r�.1- Telephone Number Address i0 License # \4 Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 4 SIGNATURE DATE FOR OFFICIAL USE ONLY r `APPLICATION# DATE ISSUED' 1 MAP/PARCEL NO. . 5 ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME 11 INSULATION ; FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL -GAS: ROUGH FINAL FINAL BUILDING z DATE CLOSED OUT ASSOCIATION PLAN NO. r - , r I -- The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations ' 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): Eey,� j CIAC�t\r� Cam- „ Address: ( fir. . City/State/Zip: W► Phone.#: 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 employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7.. ❑Remodeling ship and have no employees These sub-contractors have g, ❑Demolition working for me in any capacity. mployees and have workers' 9. ❑Building addition [No workers'comp.insurance omp.insurance.# required.] 5. We are a corporation and its 10.0Electrical repairs or additions 3.❑ 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 MGL 12.❑Roof repairs insurance required.] t c. 152, §1(4),and we have no employees. [No workers' 13.❑Other r comp.insurance required.] ( Lc "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. xContractors 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'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 tip to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine. of up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct Signature: Date: 3 1 6-1 Phone* Official use.only. Do not write in this area,to be'completed by city or town offu iaL 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 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( )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-contractors)name(s),-address(es)andphone 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 then 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 permitAicense 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 bum 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,MA 02111 W. #617-727-49-00 ext 406 or 1-877-MASSAFE Fax# 617-727-7749 Revised 11-22-06 www.mass.gov/dta MRR. 5.E005 IE;OOPM BRRNSTRBLE BORRD OF HERLTH NO.E31 HE Twn of Barnstable Regulatory Services . R SAMSrARM ' Thomas It Geiler,Director Building NVISIOU Ton%Perry,Building Comnn saioner 200 Main Strcct,11yannis,MA 02661 wwvv.towa=barnstable.mams Office: 508.-$62-4038 Fax: 508-790-6230 property Cwrier Must . Complete and sign This Section If Usin A Builde C of�e subject, ro e as ��cz' } P P �y I , .t hereby anthotize to act oa my behalf, is�aI1.matters relative to work authorized by this buAdiag gerM t application for Y �'P CbAe��A'in�Aa!s L a ss of ob �J .3 q oq tore f barter Date Print a.rzle if p ro e Cromer Is applying for pew pleas a.cjimplete.the Homeowners License Exemption Form, on'the xev'erse Bide, Q:P O RM 5;O W TJ13F.�'�RM I5 5 C�71J (n w ns z t � yt ;,: +fi ► ..sue ' r r MLki,t t i t �7f ff inn • , _ . _ '� TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION P, 177 _ ' Map 30 3 Parcel OVZ Permit# 0144'S Health Division U o kk '�7 +w��tvv� Date,Issued_ ,�r ;-'®5 Conservation Division Fee lo�� x ��Ilector ' Treasurer Planning Dept. Che ACMINT 'Date Definitive Plan Approved by Planning Board Approved By' - Historic-OKH Preservation/Hyannis Project Street Address 4_v4f_ Villageid�N►S Owner J �' C�c s t!'C %rL,04 0 Address t em T 6:6- Telephone xno —!!/ti 3 — 7 s7xy I-f�e'�^•*� �� Permit Request ti7_t4U t_ owmL L— 1E CAd&4WAe ( IAV c -AD At T' Square feet: 1 st floor: existing proposed 2nd floor: existing da proposed Total new r. ,y Valuation J r 'OP 40 J0,0 Zoning District Flood Plain Groundwater Overlay Construction Type PM44 nOO-q- f SLot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation: Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) tn; Age of Existing Structure y� Historic House: ❑Yes C1 o On Old King's Highway: ❑:Yes Basement Type: 3full Cl 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 Z new Total Room Count(not including baths): existing y new First Floor Room Count —� Heat Type and Fuel: L Gaffs ❑Oil �E ectric ❑Other Central Air: . ❑Yes f�No Fireplaces: Existing New Existing wood/coal stove: ❑Yes Zrko 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 C] Appeal# Recorded❑ Commercial ❑Yes 5'6o If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name icl -�a^�� Telephone Number Address :21,1= All-+^- ° Sill" License# C7 G7 c93q 3 G 5W 4A+' 00-4�� Home Improvement Contractor# /3(9 Worker's Compensation# 4X-6- - 3 /5 - 3�f�_D3b� ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE 13&/6 FOR OFFICIAL USE ONLY 'HERMIT NO. , DATE ISSUED MAP/PARCEL-NO. ADDRESS VILLAGE A �' OWNER 1 DATE OF INSPECTION: FOUNDATION " i FRAME 0 ice- r�° '!. �r ._�r � liz . INSULATION S Pam- —... • is i FIREPLACE 1 1 ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH _ FINAL ' GAS: ROUGH W FINAL/ _ FINAL BUILDING ob DATE CLOSED OUT i ASSOCIATION PLAN NO. y ,v oFE Town of Barnstable Regulatory Services Thomas F.Geiler,Director 'OLEO NYP'� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-403 8 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. Type of Work: mtE Estimated Cost Address of Work: 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 ❑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 WORE;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. OR Date Owner's Name Q:forms:homeaffidav . , L RESIDENTIAL BUILDING PE RMIT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 Alterations/Renovations $50.00 •- Change of Contractor/Builder $25.0.0 FEE VALUE WORKSHEET -NEW LIVING SPACE square feet x$96/sq,foot= x.0041= plus from below(if applicable) ALTERATIONSMWOVATIONS OF EXISMG SPACE -------------------- y square feet x$64/sq,foot=_(��, �{UU x.0041= 2 S J . �`, plus from below(if applicable). GARAGES•(attached&detached) square feet x$32/sq.&= x A041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit square feet x$96/sq.foot= x,0041= STAND ALONE PERMITS Open Porch x$30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) Permit Fee of Town of Barnstable Regulatory Services Huss Thomas F.Geiler,Director �' Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize ✓ Y f-c-- to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) e of Owner Date Print Name Q:FORMS:OWNERPERMIS SION e d� }_-... �i f �arr�rrudruvea Bo,ard o,,I D ifI ing Regu,Taiions and Standards EMEN7 CONTRACTOR HOIWIIE IMI i0V e li:s�ratrb 32564 R _per 2007 p ,idual - • A� .� F.M6CHAEL D F.MJCHjAEL DW _ 772 MAI"+N ST. ` p,STERVIILLE %A 02F% Adrnuwstrator TWO NS E ��u Q�+pRQ Q� 'ulLl°?INCa'SUPE!F2VISOR CpNSTRuCT10'N License WOW N . Tr,no: 11833 I F MI .H°AFL pW l W 772 Mip1N ST MA o1f6 w Comrimrssioner pST�RV,IkI�, ' r Ao o cb o , w A N d P p 8 Ck CS fr- n • we o i Q o d ��s V. 3 "00 goo o'>L S :.l i I '5L671 .xOgm6AoK 8410SGeanS tBaTaeeuTSua edvo uMo(i aggVT,SMHVS XT aXVrT do KVga NOTIVI;TdjaoK ' Conc. Relo/n/n Wo// High _ Water Mork i Mean — — PROMENADE FOR MORE DETAILS AND DESCRIPTIONS OF THE UNITS HEREON SEE PLANS AND DEEDS ON FILE IN THE REGISTERED LAND SECT/ON OF•mr REo/STRY OF DEEDS AND NOTED ON THE MASTER CONDOMINIUM CERTIFICATE ISSUED REFERRING ro THIS PLAN. Modification of Lot 4 Shown on Plan 14934D Filed with Cert. of Title No. By the Court Registry District of Barnstable County I % Gopy or part of p/an —^--filed in -- . Re cord LAND REG/STRA nom OffICE ---- MAR. 22, 1976 ---- MAR. 22,_/,976_, Scale of this plan 40, feet to an inch R L.Woodbury, Engineer ror Court orm LCE-D-2. 2W-1.71 i T TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION, �� __=G Map 3 Parcel 004 OU H- Permit# 000 Health DiVision - fl f a � `` `�� x.,�,... Date Issued l Conservation Division I y r Zt( 't t�°= Application Fee eel Tax Collector } �' Permit Fer Treasurerom\A DIV&-� . Planning Dept. _�NNECTED SEWER ACCOUNT Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Village Owner S'FEa/w C: Ly Address I LA O« t4A Telephone 35SY &L. 0tX�Q '(7._ NV\A. a\`I3 O Permit Request D 4-T,,,T) L.G F Square feet: 1 st floor: existing /5 proposed 2nd floor: existing proposed 35-1 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 @lo On Old King's Highway: ❑Yes CA* o Basement Type: ©"Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) U 9# Basement Unfinished Area(sq.ft) ^��' °0c:11 ` . Number of Baths: Full: existing / new C> Half:existing o new o Number of Bedrooms: existing / new O Total Room Count(not including baths): existing Z' new Z fi�F%First Floor Room Count Z Heat Type and Fuel: ❑Gas ❑Oil Q Electric ❑Other Central Air: ❑Yes o Fireplaces: Existing tJ 0 New ® Existing wood/coal stove: ❑Yes GRINJo 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 Ao If yes, site plan review# Current Use Proposed Use BUILDER INFORMATION Name r M �c5+�uc-� 7�,,� �,� Telephone Number �� t4 Sslf�, Address -)1 L License# C S 07 6393 O5TE2O►LAX— yYW U a bSs Home Improvement Contractor# Worker's Compensation# &JC- ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED MAP/PARCEL NO'`-..�- ADDRESS - VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME t d' C ,: 'c INSULATION , /0 -• FIREPLACE ELECTRICAL: ROUGH FINAL' PLUMBING: ROUGH FINAL in GAS: ROUGH yyv FINAL t:I FINAL BUILDING i► `, , r DATE CLOSED,OUT , ASSOCIATION PLAN NO. Y : ,. .: . . :.. COMMERCIAL BUILDING PERMIT-FEES New Buildings,Additions _ .. . $150.00 Alterations/Renovations - _� Building Permit Amendment $50.00 FEE VALUE WORKSHEET NEW BUILDINGS square feet x$140.00/sq.foot= x.0081= ALTERATIONS/RENOVATIONS-OF MISTING SPACEfor ._. square feet X$96/sq.foot 0 fJ X.0081= b Q 7• �� STORAGE BUILDINGS ONLY -. square feet X$32.00/sq.foot= X.0081 Commprojcost Rev:063004 - ✓lze -C�om..na�zu� �� g 7 a B:OARD:OF B'UIL;DIiNG R€GAIJlLATI:O;NS License CONSTRUCTION SUPERVISOR Number �S 076393 I �. �tres 06 13/�ptl Tr.no- 14122 Resitrce Op i , F NI'ItCH EL DW fffi = F l PO B;©X 7©1 W NYAWNISPORT, Administrator 71. �omvrreo�zcueea c o� ac//ivaetxs Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR. Regii&%a on�; 32564 ?� e _=ltl?ividual R WCRAEL DWG' F.MICHAEL DWFt >--_- 772 MAIN ST. a � OSTERVILLE,MA 02655 Administrator The Commonwealth of Massachusetts Department of Industyial Accidents . < 600 Washington Street Boston,Mass. 02111 Workers Affidavit-'Com ensation Insurance A -General Businesses i Of address city ��,�.�Pil1,l.[�'� state:' /� mp' N6 a phone#��y/O 'S�J r work site location(full address), a4 1 d M14 5 � ►' le h1411 44/1 s 4 ❑ I am a sole proprietor and have no one Business Type. []Retail❑Restaurant/Bar/Eafmg Esmbhshmeat working in any capacity. ❑Office❑Sales(including Real Estate,.Autos etc.) ❑I am an em to erftrovida�, em 1 full& art time). ❑Other elI am an employe v=kers'compensation for my employees working on this job, cOnripEnvname (•`:T� u�t ' ..(ct"j1Y�i�; /�`�.' 'l�,r[j; :. :O `+ phone#• stiraace.Cbt• ( s • is rti,.w, all.•.# :: G. (�{ .i, ! I am a sole proprietor and have hired the independent contractors listed below who have the following workers' compensation polices: S-C)"any n'sme: eddy E§S: insurance co. - °h # con aadresss .Y • Z. cl�y- • phone#e - - - insurance, Failure to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to S1,500.00 and/or one years'imprisonment as wen as civil penalties in the form of a STOP WORK ORDER and a fine of$100.00 a day against me..I understand that p copy of this statement maybe forwarded to the Office of Investigations of the DIAfor coverage verification. I do hereby cerii the pains and penalties of perjury that the information provided above is true and correct Signature LtL-- Date --- r✓ Print name 1C. eA Phone# <y2 omcial use only do not write in this area to be completed by city or town ofilcial city or town: permitMeense# []Building Departjnt []Licensing Board ❑check if immediate response is required ❑Selectmen's Offi DRealthDepartme contact person: phone:.; ❑Other (mvaed Sept 2MB) .. ' °FIKKE Town of Barnstable Regulatory Services sn .MASS " Thomas F.Geiler,Director 9`b'0t 1�. A``� g Buildin Division ED MA'S Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: I—a~U., Estimated Cost ?5; am.-> Address of Work: I1 14&wVS AAJ9, HMAN-04\S Vylor VM'r Owner's Name: GJT�JtJi�� Q C,•[iHt�l Date of Application: y I hereby certify that: --- Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: 11- 11 -04 r-. ) 3a �y Date Contractor Name Registration No. OR Date Owner's Name Q:forms:homeaffidav Town of Barnstable Regulatory Services a" MAM Thomas F.Geiler,Director 039. ` Building Division Tom Perry, Building Commissioner 200 Main Street, Iiyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder R. �'� ,as Owner of the subject property hereby authorize r. IY1 c c �wy-e 2— to act on my behalf, in all matters relative to work authorized by this building permit application for. (Address of Job) VVN4 D o �3 Signature of Owner Dfate Print N e n•Fnu�rc•nunrRuvFuancernN ' I - Liberty Mutual Group Liberty PO Box 7202 Mutual. Portsmouth,NH 03802-7202 Telephone(800)653-7893 Fax(603)431-5693 October 22,2004 TOWN OF BARNSTABLE 200 MAIN ST HYANNIS,MA 02601- RE: Certificate of Workers Compensation Insurance Insured: F M DWYER CO LLC 772 MAIN ST OSTERVILLE,MA 02655 Policy Number: WC5-31S-324587-024 Effective: 2/10/2004 Expiration: 2/10/2005 Coverage afforded under Workers Compensation Law of the following state(s): MA Employers Liability: Bodily Injury By Accident: $ 100,000 Each Accident Bodily Injury by Disease: $ 10.0,000 Each Person Bodily Injury by Disease: $ 500,000 Policy Limits As of this date,the above-referenced policyholder is insured by LM Insurance Corporation under the policy listed above. The insurance afforded by the listed policy is subject to all the terms, exclusions and conditions. and is not altered by any requirement,term or condition of any or other documents with respect to which this certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you,the certificate holder. This certificate is not an insurance policy and does not amend, extend,or alter the coverage afforded by the policy listed above. t. If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. At REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY MUTL\L INSURANCE GROUP as aspects such insurance as is:dForded by those companies. cc: Insured: Producer of Record: F M DWYER CO LLC HORGAN-JAMES INS. AGENCY INC PO BOX 250 772 MAIN ST HYANNIS, MA 02601 OSTERVILLE, MA 02655 1r_Z 2txu ADDITIONAL DATA: Cn Li# FACTORS: F CD CM Ct CL CV Cfu Cr Cfrt Ci Fb'+ 2950 0.90 - 1.00 1.000 1.00 - 1.04 1.00 - 2 Fb'- 2950 1.15 - 1.00 0.984 1.00 - 1.04 1.00 - - Fv' 285 1.15 - 1.00 - - - - 1.00 - 1.00 2 Fcp' 750 - - 1.00 - - - - 1.00 E' 2.0 million - 1.00 - - - - 1.00 2 Bending(+): LC# 1 = D only, M = 95 lbs-ft Bending(-): LC# 2 = D+S, M = 27097 lbs-ft Shear : LC# 2 = D+S, V = 5877, V design = 5823 lbs Deflection: LC# 2 = D+S EI= 488.4le06 lb-in2/ply Bearing: Allowable bearing at an angle F'theta calculated for each support as per NDS 3.10.3 (D=dead L=live S=snow W=wind I=impact C=construction CLd=concentrated) (All LC's are listed in the Analysis output) (Load Pattern: s=S/2, X=L+S or L+C, _=no pattern load in this span) DESIGN NOTES: 1.Please verify that the default deflection limits are appropriate for your application. 2.SCL-BEAMS(Structural Composite Lumber):the attached SCL selection is for preliminary design only.For final member design contact your local SCL manufacturer. 3.Size factors vary from one manufacturer to another for SCL materials.They can be changed in the database editor. 4.BUILT-UP SCL-BEAMS:contact manufacturer for connection details when loads are not applied equally to all plys. 5.SLOPED BEAMS:level bearing is required for all sloped beams. 6.The critical deflection value has been determined using maximum back-span deflection.Cantilever deflections do not govern design. r I , COMPANY PROJECT Paul W.Swanson,P.E. ERT Architects,Inc. Swanson Structural,Inc. Geary Residence 116 Forest Street Ocean Gate Condominiums Franklin,MA 02038 Hyannis,MA Nov.8,2004 15:24:30 Beam3 Design Check Calculation Sheet Sizer 2004 LOADS: t lbs,psf,or plf) Load Type Distribution Magnitude Location [ftl Pattern Start End Start End Load? Loadl Dead Full Area 15.00 (1.33)* No Load2 Snow Full Area 25.00 (1.33)* No No Load3 Dead Point 976 12.00 Load4 Snow Point 1519 12.00 Yes Loads Dead Point 1604 12.00 No Load6 Snow jPoint 2519 12.00 Yes *Tributary Width (ft) MAXIMUM REACTIONS(lbs)and BEARING LENGTHS(in) : 8- 12' 0' 3898 Dead 5781 Live uplift 2124 9679 Total Bearing: 2 1 LC number 1 3027 2371 F'theta 928 1.0 0.0 Length 0.0 2.60 0.00 Cb 0.00 LVL n-ply,2.OE,2950Fb,1-3/4x11-7/8",3-Plys Slope:32.0 deg;Total length:14'-1.8';Self Weight of 17.97 plf automatically included in loads; Lateral support:top=full,bottom=at supports;Load combinations:[CC-IBC; SECTION vs.DESIGN CODE NDS-2001:(lbs,lbs-ft,or in) Criterion Anal sis Value Desi n Value Analysis/Design Shear fv = 140 Fb' = 328 fv/Fv' = 0.43 MqTE Bending(+) fb = 9 E°b' = 2764 fb/Fb' = 0.00 Bending(-) fb = 2635 F`b' = 3476 fb/Fb' = 0.76 Deflection: Interior Live 0.10 = <L/999 0.31 = L/360 0.33 Cantil. Live 0.43 = L/133 0.31 = L/180 1.35 PAUL W. •r C3 'R CTU fi L si; � 6 Q COMPANY PROJECT Paul W.Swanson,P.E. ERT Architects,Inc. Swanson Structural,Inc. Geary Residence 116 Forest Street Ocean Gate Condominiums Franklin,MA 02038 Hyannis,MA Nov.8,2004 15:20:48 Beam2 Design Check Calculation Sheet Sizer 2004 LOADS: (lbs,psf,or Of) Load I Tape Distribution Magnitude Location [ftI Pattern Start End Start End Load? Loadl Dead Full Area I 15.00(13.00)* Sno No Load2 w Full Area 25.00(13.00)* NO *Tributary Width (ft) MAXIMUM REACTIONS(lbs)and BEARING LENGTHS(in): 15'-6" 0' 1604 Dead 1604 2519 Live 2519 4123 Total 4123 Bearing: 2 LC number 2 1.6 Len th 1.6 LVL n-ply,2.OE,295OFb,1-3/4x11 7/8",2-Plys Self Weight of 11.98 plf automatically included in loads; Lateral support top=full,bottom=at supports;Load combinations:ICC-IBC; SECTION vs.DESIGN CODE NDS-2001:(lbs,Ibs-ft,or in) Criterion Analysis Value Desi n Value Anal sis/Desi n Shear fV = 130 Fv' = 328 fV/FV' = 0.40 Bending(+) fb = 2331 Fb' = 3396 fb/Fb' = 0.69 Live Defl'n 0.43 = L/430 1 0.52 = L/360 0.84 ADDITIONAL DATA: FACTORS: F CD CM Ct CL , CV Cfu Cr Cfrt Ci Cn LC# Fb'+ 2950 1.15 - 1.00 1.000 1.00 - 1.00 1.00 - - 2 Fv' 285 1.15 - 1.00 - - - - 1.00 - 1.00 2 Fcp' 750 - - 1.00 - - - - 1.00 - _ - E' 2.0 million - 1.00 - - - - 1.00 - 2 Bending(+): LC# 2 = D+S, M = 15976 lbs-ft Shear : LC# 2 = D+S, V = 4123, V design = 3596 lbs Deflection: LC# 2 = D+S EI= 488.41e06 lb-in2/ply (D=dead L=live S=snow W=wind I=impact C=construction CLd=concentrated) (All LC's are listed in the Analysis output) DESIGN NOTES: 1.Please verify that the default deflection limits are appropriate for your application. 2.SCL-BEAMS(Structural Composite Lumber):the attached SCL selection is for preliminary design only.For final member design contract your local SCL manufacturer. 3.Size factors vary from one.manufacturer to another for SCL materials.They can be changed in the database editor. 4.BUILT-UP SCL-BEAMS:contact manufacturer for connection details when loads are not applied equally to all plys. • ZH OF A�q�,cti O PAUL W. G SWANSON RUCTURAL v 3 O� Z'CIST Fss/ AL G\ l COMPANY PROJECT Paul W.Swanson,P.E. ERT Architects,Inc. Swanson Structural,Inc. Geary Residence 116 Forest Street Ocean Gate Condominiums Franklin,MA 02038 Hyannis,MA Nov.8,2004 15:20:10 Beam1 Design Check Calculation Sh eet Sizer 2004 LOADS: (lbs.psf,or plf) Load Type Distribution Magnitude Location Ift) Pattern Start End Start End Load? Loadl Dead Full Area 15.00 (9.00)* No Load2 Snow Full Area 25.00 (9.00)* No *Tributary width (ft) MAXIMUM REACTIONS(Ibs)and BEARING LENGTHS(in): --TItz-, 0, Dead 976 976 1519 Live 1519 2495 Total 2495 2495 Bearing: LC number 2 2 1.0 Len th 1.0 LVL n-ply,2.OE,295OFb,1-3/4x9412",2-Pays Self Weight of 9.58 ptf automatically included in loads; Lateral support:top=full,bottom=at supports;Load combinations:ICC-IBC; SECTION vs.DESIGN CODE NHS-2001:(lbs,Ibs-ft,or In) Criterion Analysis Value Desi n Value Anal sis/Desi n Shear fv = 99 Fv' = 328 fv/Fv' = 0.30 Bending(+) fb = 1919 Fb' = 3501 fb/Fb' = 0.55 Live Defl'n 0.34 = L/481 0.45 = L/360 0.75 ADDITIONAL DATA: FACTORS: F CD CM Ct CL CV Cfu Cr Cfrt Ci Cn LC# Fb-+ 2950 1.15 - 1.00 1.00,0 1.03 - 1.00 1.00 - - 2 Fv' 285 1.15 - 1.00 - - - - 1.00 - 1.00 2 Fcp' 750 - - 1.00 - - - 1.00 - - - E' 2.0 million - 1.00 - - - - 1.00 - - 2 Bending(+) : LC# 2 = D+S, M = 8420 lbs-ft Shear : LC# 2 = D+S, V = 2495, V design = 2202 lbs Deflection: LC# 2 = D+S EI= 250.06e06 lb-in2/ply (D=dead L=live S=snow W=wind I=impact C=construction CLd=concentrated) (All LC's are listed in the Analysis output) DESIGN NOTES: 1.Please verify that the default deflection limits are appropriate for your application. 2.SCL-SEAMS(Structural Composite Lumber):the attached SCL selection is for preliminary design only.For final member design contact your local SCL manufacturer. 3.Size factors vary from one manufacturer to another for SCL materials.They can be changed in the database editor. 4.BUILT-UP SCL-BEAMS:contact manufacturer for connection details when toads are not applied equally to all plys. OF 0-1 O� PAUL 01. JCyG SWANSON .o�G�AEG/STEA�G��c�� Fss/ NA(: i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION MapZ 3 a Parcel C�'L D Permit# Gi": BArr,KSTABLE Health Division v-30 i Date Issued Oszo- Conservation Division ' - Application Fee Tax Collector M L 64 Y 03 Permit Fee > Treasurer Planning Dept. Date Definitive Plan Approved by Planning Board C Ec�p PERMT OSEWER .ENGINEERING DMSION FRIOR TO Historic-OKH Preservation/Hyannis CONSTRUCTION Project Street Address -Z I A11�5 RA 013iq 2 VillageLtulxh p 5 Owner lu n Nrag's Address ZB09A%4L APf�Gts'i'u�,>�jct:� Telephone L�:;e2 °1l2.62Z-0 (1-7 • cl6q ,z43 3�a? �A Permit Request C.it E;XTCA)T°1 n� �ci'' �1� V 5T c)t>vi 1 Gi: T3�/ � I Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain. Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family(#units) Age of Existing Structure Historic House: ❑Yes O 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:Cl 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 1 BUILDER INFORMATION Name "V10�a>�1�4iJ J�� Km3wo<Dw Telephone Number S08 5 6 3.390 Address '235 M�tc-��'Ol.)1� ��rp License# (I) V oen-1 v:�AuApo-f d Home Improvement Contractor# 7— Worker's Compensation# C�_> 16,79q(0501 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOV SIGNATURE DATE ' 0 I f r FOR OFFICIAL USE ONLY � rr / PERMIT NO. DATE ISSUED J .i MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: r FOUNDATION ' FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH J FINAL f GAS: ROUGH FINAL FINAL BUILDING i DATE CLOSED OUT• ASSOCIATION PLAN NO. ' t O � 'V �' iY_ �`r',• �<)ti.,t ��'<t:�•y '3`: ;•f�' ,..k�:• ! �;:'•�: :rsY: •"r's• �n �•:o;;. .`.'k ..3,: :�k,? r:� F�i� +f •+:�s �� '►•� ►-� h•• [t tt . o '•i'•'� ..{ qyS. Y.' ,A: 'S}ryk:< ►'q •;r: r S:l: •c:,::. `Y'' :5.' F>.,.f}yl :2;rG•:: '.,:{4- q^ N3:F1': 1.�:�{:'a' •� 7rti i,, .4;f w rs,. :,• i 3# b ii �,••K'y{ :.;o-;ri; ••;{: t: � <�., t ;.,u,•,i E;:.'3, k'• ��#:'`f •I: i�i M p �• sF:: �:5,,.;: ::`s•#3•� < ,,.�` •• � w `•••• •..fy s. :�r«i::; .{:,� w w Pi >r; s>3: {{.: N.7 C: •%d"< , •:b•.1� 'F:`; i';'•s; •t• ,{rY:•, qr"' I :Flli s v.F: i•�� :4d''. 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MI—MI.: + G Y..�.•i ::Li /• F:x ';�,£.�•;,<;. -''3'.� {• {tip � � n:r::. 'i;.{ :'a,:"r-•F• >k•;� F - R ` �+'>.� � ,n�s j 'f>: sY•'•.;; }'Y;or :1k: +;x >F 'ram:v'.•.•:: r. q;Y•R;. ;xL, f. ••):.:$ •,.`:Y$;r..j :.'N,•<'if i.. .�t:3 vi,: rc;:4� s'•:!,;;{).• : {., )••#.:' ' '•'�.•;•F•$: '• \ �,s>s:•ors>;:: :%F.yrC, -.,'•,>�>;<SEit? `.'i}: '.a,.: v'•'}.::E ■ ::yl:;.:.;•<{:{kF: .�.i:..�5� s:;•:';::% 'Y.�C+l:'>+{i•,,.•r:: Y>:r,,. :;::'�? 1Cr ;n3:{:v::r :;:>?::` {f: :. !`• ;:{.; K•n r.L{F Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation forth.:r employees. As quoted from the-"law", an employee is defined as every person in the service of another under any Cain- of lure, express or implied. oinl or written. An employer is defined as an individual, partnership,association,iati corporation or other legal entity, or any two or more of the-foregoing enraged in a joint enterprise, and including the legal representatives of a deceased employer, orthe roc.-n'e:: trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house Having not more than three apartment and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance, CO�im or repair work oa su&dwelling house or on the grounds cr building appurtenant thereto shall not because of such employment be deemed to be as employer.. MGL chapter 152 section 25 also states that every state or local•licensing ageney.shan withhold.the issuance or renewai of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has the not produced acceptable evidence of compliance with the insurance coverage required. Addttronany,neztbcr cannnonwealth nor any of its political subdivisions shall enter into any ca=a,ct for the performance of public work until acceptable evidence of compliance with the insurance r1,qr1- moms of this chapter have been presented to the contracting authority.FINNI : %/%/// -Applicantssitnom and ; Please fill in the workers' campeaswina affidavit campleteiy,by cbxlangthe.boxthat applies to your address and phone m=b ors along with a ccaibe-of insurance as an aff davits may be surpplyiag comPaaY�� submitted to the Department of Industrial Accidcuis far afinsuramce coverage. Also be senor l sign and se date the affidavit. -The aff&vit should be.retied to the city ortownthat the appiicatica for the permit or ic. or is being requested,not the Deparrnt of Industrsal Acedertis. Should y?a bane any q=dans regarding the"law"or if you tat are required to obtain a wads'c�ensatioa police,Please call the Depa neat art the amber listed below. . City or Towns D ar=cnt has d Please be sure that the affidavit is complete and printed lcg�ly. The ep P� ed a sp�ace at the bottom Please� of the affidavit for yeti to fill Out is the evcat the Office of -has to contact you regarding applicant. be sure to fill inthe pciik icease mrmbci'whim wM be usod as a rt:fcreace a tuber. The affidavits maY be naanea to. the Department by man or FAX unless other artaag=ents have bees made. The Office of Invcstirat'mis would like to thank you in advance for you cooperation and should you have any questions. please do not hesitate to Sine us a cal 23221/0 The Department's address,telephone and fax number The Commonwealth Of Massachusetts Department of Industrial Accidents amce of Imtestioaticns 600 Washington street Boston,Ma. 02111 fax 9: (617) 77.7-7749 phone #: (617) 727-4900 exL 406, 409 or 375 Y � P�°Ft 'o`'ti Town of Barnstable Regulatory Services s" MASS.�' " Thomas F.Geiler,Director y MASS. $, � 039..,a`e Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Properly Owner Must Complete and Sign This Section If Using A Builder I, �JH�� 5 , as Owner of the subject property ` hereby authorize Jo1}1J,V.} Y\0k'6l Q C—TI C*� to act on my behalf, in all matters relative to work authorized IDythis building permit application for(address of job) ©cEAM 64% 60000s S' ature of OwneV Date D rev M ye-2 5 Print Name I ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MWDWYY) n 04/03/2003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Robert E. Bouehie Jr. ihsurance Agency, Inc. HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1352 Rt 28A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 400 INSURERS AFFORDING COVERAGE Cataumet, MA 02534-0400 INSURED John W.Konyn dba K Konstruction INSURER A: Zurich Ma and Casually Company 35 Millstone Street INSURER B: ' North Falmouth,MA 02556-3010 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH.RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR POLICY EFFECTIVE LTR TYPE OF INSURANCE POLICY NUMBER DATE DATE LIMITS A GENERAI-`Lm SCP 34482332 01/27/2003 01/27/2004 EACH OCCURRENCE $ 300,00C X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one tire) $ 300,000 CLAIMS MADE X❑OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 300.000 GENERAL AGGREGATE $ 600.000 GENL AGGREGATE UMIT APPLIES PER: PRODUCTS-COMPIOP AGG $ 600,00( POLICY ,ECT LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY (Per accident) $ NON-OWNED AUTOS PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-.EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ A EMPLOYERS'LIABILITY WORKERS COMPENSATION AMWC 3967996501 12/17/2002 12/17/2003 TnRv uMITS ER E.L.EACH ACCIDENT $ 100.00( E.L.DISEASE-EA EMPLOYEE $ 100,000 E.L DISEASE-POLICY LIMIT $ 500.000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEFICLESIE)(CLUSIONS ADDED BY ENDORSEMENTISPECIAL PROVISIONS CERTIFICATE HOLDER I jAwmoNALMURED-,INsURERLErrER:- CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Ocean Gate Condos NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 21 Hawes Ave IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis, MA REPRESENTATIVES. AUTHORIZED REPRESENTATIVE o .'S. ACORD 25-5(7197) a ACORD CORPORATION 198E ' t zbto 3 x l a #. O0 O , Z E � o.•o,..� � o o. N� C to m a zl m � . a � • `�'�6'' fA i OceAO (WrC CW W 5 S62,779,/82o/do17 q(oR'�f3�z. Tgoc-Tlz>o 506, 1563 639ce TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �r Map 3.;t:?::. Parcel 0_0a 00// Permit# �03 e�67 Health Division f 0 �„ '`=t ,rbal; 'e t c L III-0 Date Issued Conservation Division , r L ``t j ' " Application Fee •�_ w�, pp. Tax Collector ld�� D Permit Fee 0 Treasurer /6 kizo v �s Planning Dept: CONNECTED SEINER ACCOUNT Date Definitive Plan Approved by Planning Board # Historic-OKH Preservation/Hyannis Project Street Address 1 1 k-/A..i Vim% Village '1 "� ►-�5 Owner _9-t—tuw Address 1`k 0d410•J 11-VL(Tt,0tAr%� S Telephone ,MBA- 0 1 ti 30 Permit Request_ QcKt u_- U;'t t le M ' Square feet: 1st floor: existing Sys proposed a 2nd floor: existing _� proposed 5IS 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)_ Y Age of Existing Structure Historic House: ❑Yes �o On Old King's Highway: El ►3 Yes No Basement Type: CA Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) n Basement Unfinished Area(sq.ft) x 1�� Number of Baths: Full: existing new y Half:existing C- new Number of Bedrooms: existing / new C) Total Room Count(not including baths): existing 'IQ new f i First Floor Room Count 02 Heat Type and Fuel: ❑Gas ❑Oil 4/Electric ❑Other Central Air: ❑Yes ®No Fireplaces: Existing I/a New Existing wood/coal stove: ❑Yes 2 <lo 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 O'klo If yes, site plan review# Current Use - Proposed Use BUILDER INFORMATION Name Telephone Number 55edg--yd s�•��c�cr;� Address License# AW 03-G Home Improvement Contractor# 1 51,y Worker's Compensation# ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO SIGNATURE DATE /oht)) 6 v FOR OFFICIAL USE ONLY PtRMIT NO. ( DATE-ISSUED 1 MAP PARCEL NO. r _ y ADDRESS " VILLAGE OWNER 7 i DATE OF INSPECTION: FOUNDATION FRAME ' INSULATION FIREPLACE ELECTRICAL: ROUGH Q _ FINAL P 1 PLUMBING: ROUGH m FINAL GAS: ROUGH M FINAL Y FINAL BUILDING T DATE CLOSED OUT y ASSOCIATION PLAN NO. f J ' The Commonwealth of Massachusetts • Department of Industrial Accidents t Wev of IAYV~M 600 JEashinaton Street Boston,Mass. 02111 Workers' Com ensation Insurance Affidavit-General Businesses name address `2 city i�rniQ(JL�'r.� state. work site location(full address): o? i 44,x ❑ I am a sole proprietor and have no one Business Type: ❑Retail❑Restaurant/Bar/Eatmg Establishment working in any capacity. ❑Office❑ Sales(including Real Estate,Autos etc.) ❑I am an/////em to er with eta to ees(full&part time). ❑Other %///// am an employer providing workers' compensation for my employees worldng on this job. company name: // W"�G� lj'aC�V►�I : /. � 1�� —! . ., . city O S\ �L .. . •.. .. . phone ��"6 insurance.cot•:L1 �1r�1(�f�'�%`''. C,) �] I am a sole proprietor and hsye hired the independent contractors listed below who have the following workers compensation polices: COMPS nam®� id,dress:.: ;. . #. city. UKobe - '.i 4 •. insurance co. . .' :., ..•... . .,. com-aii. name: - address . ' �. . .. phone#i •.. '. insurance co:.::'•:.•.•: Fan a to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STOP'WORK ORDER and a fine of$100.00 a day against me..I understand that g copy of this statement maybe forwarded to the Office of Investigations of the DIAfor coverage verification. I do hereby certi u thepains and penalties of perjury that the inform anon provided above is true and correct Signature I_ Date Print name ��N�� J/P-4e4 _Phone# official use only do not write in this area to be completed by city or town official city or town: permit(liceme# ❑Building Department OLicensing Board ❑check if immediate response is required ❑Selectmen's Office []Health Department g, contact person: phone#; ❑Other k(revised Sept 2003) Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their em3ployees. As'quoted from the"law",an employee is defined as every person in the service-of another under any contract of hire,express or implied, oral or written. An employer is defined as an individual,partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employdr. MGL chapter 152 section 25 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,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 fidavit completely,by checking the box that applies to your situation. Please Please fill in the workers' compensation af supply company name, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of industrial Accidents for confirmation of 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. % E//%%%///////%%//////////////////////////��O//%%��///��/�D//////////%O%%�/�%%��%%%///%��i,�////��/ City or Towns Please be sure that the affidavit is complete and printed legfoly. 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. 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. The Department's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents Offfee of Imsugations 600 Washington Street Boston,Ma. 02111 fax#: (617)727-7749 phone#: (617) 7274900 ext.406 Liberty Mutual Group Liberty PO Box 7202 Mutual. Portsmouth,NH 03802-7202 Telephone(800)653-7893 Fax(603)431-5693 October 22,2004 TOWN OF BARNSTABLE 200 MAIN ST HYANNIS,MA 02601- RE: Certificate of Workers Compensation Insurance Insured: F M DWYER CO LLC 772 MAIN ST OSTERVILLE,MA 02655 Policy Number: WC5-31S-324587-024 Effective: 2/10/2004 Expiration: 2/10/2005 Coverage afforded under Workers Compensation Law of the folloiving state(s): MA Emoloyers Liability: Bodily Injury By Accident: $ 100,000 Each Accident Bodily Injury by Disease: $ 100,000 Each Person Bodily Injury by Disease: $ 500,000 Policy Limits As of this date,the above-referenced policyholder is insured by LM Insurance Corporation under the policy listed above. The insurance afforded by the listed policy is subject to all the terms, exclusions and conditions,and is not altered by any requirement,term or condition of any or other documents%xith respect to which this certificate may be issued. This certificate is issued as a matter of information only and confers no right upon you,the certificate holder. This certificate is not an insurance policy and does not amend, extend,or alter the coverage afforded by the policy listed above. If this policy is cancelled before the stated expiration date,Liberty Mutual will endeavor to notify you of such cancellation. AUTHORIZED REPRESENTATIVE LIBERTY MUTUAL INSURANCE GROUP This Certificate is executed by LIBERTY rarrt!AL INSURANCE GROUP as aspects such insurance as is affurded by those companies. cc: liisured: Producer of Record: F M DWYER CO LLC HORGAN-JAMES INS. AGENCY INC PO BOX 250 772 MAIN ST HYANNIS. MA 02601 OSTERVILLE, MA 02655 i o•r_exu 780 CMR Appendix 1 Table JS.LIb(continued) prescriptive Paekages for One and Two-Family Residential Buildings Hated with Fossil Fueb MAXIMUM MINIMUM Glazing Glazing Ceiling Wall Floor Basement Slab Hesting/Cooling Area'(%) U-value' R-value R-value' R-valuuLJ Wall Perimeter Equipment Efficiency Package R-value° R-value' 5701 to 6500 Hating Degree Days Q 12% 0.40 38 13 19 10 6 Normal R 12% 0.52 30 19 19 10 6 Normal S 12% 0.50 38 13 19 10 6 85 AFUE T 15% 0.36 38 13 25 N/A N/A Normal U 15% 0.46 38 19 19 10 6 Normal V 15% 0.44 38 13 25 N/A N/A 85 AFUE W 15% 0.52 30 19 19 10 6 85 AFUE X 19% 0.32 38 13 25 N/A N/A Normal Y 18% 0.42 38 19 25 N/A N/A Normal Z 19% 0.42 38 13 1 19 10 6 90 AFUE AA 18% 0.50 30 19 1 19 10 6 90 AFUE 1. ADDRESS OF PROPERTY: 2. SQUARE FOOTAGE OF ALL EXTERIOR WALLS: 3. SQUARE FOOTAGE OF ALL GLAZING: 4. %GLAZING AREA(#3 DIVIDED BY#2): 5. SELECT PACKAGE(Q--AA-see chart above): NOTE: OTHER MORE INVOLVED METHODS OF DETERMINING ENERGY REQUIREMENTS ARE AVAILABLE. ASK US FOR THIS INFORMATION. BUILDING INSPECTOR APPROVAL: YES: NO: q-forms-f980303a 780 CMR Appendix J Footnotes to Table J5.2.1b: ' Glazing area is the ratio of the area of the glazing assemblies (including sliding-glass doors, skylights, and basement windows if located in walls that enclose conditioned space,but excluding opaque doors)to the gross wall area, expressed as a percentage. Up to 1%of the total glazing area may be excluded from the U-value requirement. For example,3 ft of decorative glass may be excluded from a building design with 300 ft of glazing area. Z After January 1, 1999, glazing U-values must be tested and documented by the manufacturer in accordance with the National Fenestration Rating Council (NFRC) test procedure, or taken from Table J1.5.3a. U-values are for whole units:center-of-glass U-values cannot be used. ' The ceiling.R-values do not assume a raised or oversized truss construction. If the insulation achieves the full insulation thickness over the exterior walls without compression, R-30 insulation may be substituted for R-38 insulation and R-38 insulation may be substituted for R-49 insulation. Ceiling R-values represent the sum of cavity insulation plus insulating sheathing (if used). For ventilated ceilings, insulating sheathing must be placed between the conditioned space and the ventilated portion of the roof. 'Wall R-values represent the sum.of the wall cavity insulation plus insulating sheathing (if used). Do not include exterior siding, structural sheathing,and interior drywall. For example, an R-19 requirement could be met EITHER by R-19 cavity insulation OR R-13 cavity insulation plus R-6 insulating sheathing. Wall requirements apply to wood-frarime or mass(concrete,masonry,log)wall constructions,but do not apply to metal-frame construction. 'The floor requirements apply to floors over unconditioned spaces(such as unconditioned crawlspaces, basements, or garages).Floors over outside air must meet the ceiling requirements. The entire opaque portion of any individual basement wall with an average depth less than 50%below grade must meet the same R-value requirement as above-grade walls. Windows and sliding glass doors of conditioned bL,_Iements must be included with the other glazing. Basement doors must meet the door U-value requirement d-scribed in Note b. 'The R-value requirements are for unheated slabs.Add an additional R-2 for heated slabs. a If the building utilizes electric resistance heating use compliance approach 3;4, or 5. If you plan to install more than one piece of heating equipment or more than one piece of cooling equipment, the equipment with the lowest efficiency must meet or exceed the efficiency required by the selected package. 'For Heating Degree Day requirements of the closest city or town see Table J5.2.1a NOTES: a)Glazing areas and U-values are maximum acceptable levels. Insulation R-values are minimum acceptable levels. R-value requirements are for insulation only and do not include structural components. b)Opaque doors in the building envelope must have a U-value no greater than 0.35. Door U-values must be tested and documented by the manufacturer in accordance with the NFRC test procedure or taken from the door U-value in Table J1.5.3b. If a door contains glass and an aggregate U-value rating for that door is not available, include the glass area of the door with your windows and use the opaque door U-value to determine compliance of the door. One door may be excluded from this requirement(i.e.,may have a U-value greater than 0.35). c)If a ceiling,wall, floor,basement wall,slab-edge,or crawl space wall component includes two or more areas with different insulation levels,the component complies if the area-weighted average R-value is greater-than or equal to the R-value requirement for that component. Glazing or door components comply if the area-weighted average U- value of all windows or doors is less than or equal to the U-value requirement(0.35 for doors). 43 RESIDENTIAL BUILDING PERINUT FEES APPLICATION FEE New Buildings $100.00 Residential Addition $50.00 as Alterations/Renovations $50.00 � 9� Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= x.0041= plus from below(if applicable) J ALTERATIONS/RENOVATIONS OF EXISTING SPACE square feet x$64/sq.foot= Q O O x.0041= O 0 plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq.ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit: square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x$30.00= t (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00= (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25.00 Relocation/Moving $150.00 (plus above if applicable) O 0 Permit Fee Projcost Rev:063004 �1HE Town of Barnstable Regulatory Services asl'E' i Thomas F.Geller,Director pjf1639. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable..ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, 5-m� & "yy , as Owner of the subject property hereby authorize r, rY1<cc �w�.e 2 to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) ,ivy P o a3 0 Signature of Owner Vate Sr�vEN eAAI A,) . n Pmt Name QTORMS:MW RPERMISSION CONDOMINIUM E-1 14-934 - 40DIFICATION PLAN OF LAND IN BARNSTABLE N Down Cape Engineering, Surveyors ; t November 1975. ; W Al HAWES ( 40.00 Wide 1 /?.C.CC S 7G° 00 00 E G 119.73 ' a - sl w 158 W o o O t y I ° 80 . o z . s m ZZ Q 15,E w c ti 6 �/ NX Cane.Reldlaffid Woll h d.h. 108.48 MeanHigh _ Water Mork ' PROMENADE./ tl� A/ Yid AIN/S HARBOR ��7 158 W 4 c U 00 CM b V- o . o 0 n1 0 o Z Z J q t 15, >a� o - Conc.Relolnln WaI!- s.h A / /08.48• ��J ' LHigh Water Mork• �)� 'f I PROMENADE) ''AILS AND DESCRIPTIONS OF THE UNITS . PLANS AND DEEDS ON F/LE IN THE LAND SECT/ON OF-THE REGISTRY OF DEEDS N THE MASTER CONDOMINIUM CERTIFICATE QRING TO THIS PLAN. Modification of Lot 4 Shown on Plan 14934D. Filed with Cert. of Title No. . . . .: . Registry District of Barnstable County Copy of part of plan fled h, Record LAND REGISTRATION Of'F'ICE MAR. 22, 1976 - 5ca/e of this plan 40 feet to an inch R.L.Woodbury,Engineer for Court ClYlYI%Yt¢'�ECIlBQ O ✓b(XIG l BOARD;OF BUIL�INt's REGULAl IONS I license. CQNSTRUCTIQMSUPERVSOR Number.;GS 076393 I i t i Empires 06lS3/2005 Tr.no: 14122 ROW,d ed ;QQ FA DW ,ER _ P,0 BOX,701 W HYANNIS.PpRT, MA-0 Administrator i ✓�e T�ornme�'rcu� `�' Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR RegISOA16h: 1,32564 Expiration: 2t27/2005 Typeq Individual F.MICHAEL DWYER F.MICHAEL DWYER. p 772 MAIN ST. 0MRVILLE,MA 02655 Administrator S e{ a I Town of Barnstable b Regulatory Services BARMAKS, Thomas F.Geller,Director MAsa. p 1639' p•� Building Division TED NIA' Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 508-790-6230 Office: 508-862-4038 Permit no- Date AFFIDAVIT HOME LyuROVEMENT 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 pie-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:l� i�� stimated Cost v Address of Work:� �� '�` yA'V-1 - Ovrner's Name: 7U w Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law ❑Job Under S 1,000 []Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: . . OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDERMGL c.142A. SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the owner: d Re stration No. Date Contractor Name OR Date Owner's Nam Q:fomis:homeaffidav TOWN OF BARNSTABLE � BUILDING PERMIT +— I PARCEL ID 323 002 OOB GEOBASE ID 23536 AL)DRESS 21 HAWES AVENUE PHONE I HYANNIS ZIP i ; (,f _° LOT UNIT A- BLOCK �L 612E i I DBA DEVELOPMENT DISTRICT .HY PERMIT 69301 DESCRIPTION EXTEND NEW DECK 2' X 13' 1PIEh' M,LT T Y TITLE BUILDING PERMIT ADD DECK PE B ADD•.0 CONTRACTORS: K. KONSTRUCTION ARCHITECTS: Department Of Regulatory Services TOTAL FEES: $30.00. BOND 1.00 �tME QONSTRUCTION COSTS $2,270.00 Q► 434 RESID ADD/ALT/CONY I PRIVATE c » ?� +► BARNSTABLE, MASS. i6 3a Al D _ IIAP► BUILDI} G D ISION BY fl ,DATE ISSUED 06/05/2003 EXPIRATION .DATR iv cU THIS PERMIT CONVEYS NO"RIGHT TO OCCUPY ANY STREET,ALLEY OR SIDEWALK OR ANY PART THEREOF,.EITHER TEMPORARILY OR.PERMANENTLY.EN- ` CROACHMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE,MUST BE APPROVED BY:THE JURISDICTION.STREET OR ALLEY GRADESAS WELLAS'DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAINED FROMTHE DEPARTMENTOF PUBLIC WORKS.THE ISSUANCE OFTHIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF ANY APPLICABLE SUBDIVISION RESTRICTIONS. MINIMUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONSTRUCTION WORK: APPROVED PLANS MUST BE RETAINED ON JOB AND WHERE APPLICABLE, SEPARATE 1.FOUNDATIONS OR FOOTINGS THIS CARD KEPT POSTED UNTIL FINAL INSPECTION PERMITS ARE REQUIRED -FOR 2. PRIOR TO COVERING STRUCTURAL MEMBERS HAS BEEN MADE.WHERE A CERTIFICATE OF OCCU- ELECTRICAL,PLUMBING AND MECH- (READY TO LATH). PANCY IS REQUIRED, SUCH BUILDING SHALL NOT BE ANICAL INSTALLATIONS. 3.INSULATION. OCCUPIED UNTIL FINAL INSPECTION HAS BEEN MADE. 4.FINAL INSPECTION BEFORE OCCUPANCY. i BUILDING INSPECTION APPROVALS PLUMBING INSPECTION APPROVALS ELECTRICAL INSPECTION APPROVALS 1 1 • 1 2 2 2 3 1 HEATING INSPECTION APPROVALS ENGINEERING DEPARTMENT 4� 2 BOARD OF HEALTH OTHER: SITE PLAN REVIEW APPROVAL WORK SHALL NOT PROCEED UNTIL PERMIT WILL BECOME NULL AND VOID IF CON- INSPECTIONS INDICATED ON THIS THE INSPECTOR HAS APPROVED THE STRUCTION WORK IS NOT STARTED WITHIN SIX CARD CAN BE ARRANGED FOR BY VARIOUS STAGES OF CONSTRUC- MONTHS OF DATE THE PERMIT IS ISSUED AS TELEPHONE OR WRITTEN NOTIFICA- TION. NOTED ABOVE. TION. t S � w u)1 1 h 1 c �' +MIS �'� ��' •'t`t� �= 1 �Y• Y'��l4�� 1 q ! . fie �omnaovzuiea�i a�✓�aaaac�iueeCta ?.' BOARD OF BUILDING RE.GULATI'.0'NS License CONSTRUCTION SUPERVISOR i Nimm'ber;uCS ; 076393 I I Epices 06t1312005 Tr.no: 14122 Re.sMete 0�0 F MI;CHAEL DWYE W HYANNISPORT MA 02672'/ Administrator s i Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registcahon 432564 �xprra{$bn 005 Type individual F.MICHAEL DIN�'ER{ F.MI:CHAEL DW1*ER 772 MAIN ST. 5,.... :... � OSTERVILLE,MA 02655 Administrator Al y r , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION �- Map ' Z'�� Parc 1 002.-� OC'�_'� Faf�iti�a$Ti\BLE Permit# � 7 1 Health Division 330 e/v 6� Date Issued dele 3 { Conservation Division ®3 _ ki'1 �� Z t3 Application Fee o Tax Collector Permit Fee Treasurer Y..._. ,7,1,10F4 �6r + Planning Dept. D CA ONE'pER B TAINA W ENIMEERING DI MION PRIOR TO Date Definitive Plan Approved by Planning Board ;ONMUCTIOY Historic-OKH Preservation/Hyannis Project Street Address Village a Owner 1 - Address z$D I LL,►51D1?'fBi�Ej N M' Telephone NOBS ME I M r-5yy( flILL)_A& 0-24LI Permit Request RG Ntn:t= '0. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation g' �� 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 *o 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 4 Total Room Count(not including baths): existing new First Floor Room Count .Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other 'ICentral Air: ❑Yes I]No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:O existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:O existing ❑new size Shed:D existing ❑new size Other:r �� xl�41P Zoning Board of Appeals Authorization D Appeal# Recorded D Commercial ❑Yes ❑ No If yes,site plan review# Current Use Proposed Use e BUILDER INFORMATION Name J v) . /k- u Telephone Number Address LL nh2e— License# 03 ��Q!T� �Aia Home Improvement Contractor# a o Worker's Compensation# q 7a (0J`-01 ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO ?DO SIGNATURE k.. DATE _�� - 3 FOR OFFICIAL USE ONLY PERMIT NO. ,DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: r i FOUNDATION FRAME .9 2 /-v-3 o INSULATION `r + FIREPLACE ELECTRICAL: ROUGH FINAL ,t ' PLUMBING: ROUGH FINAL r GAS: ROUGH �,-FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. J 'The Commonwealth of Massachusetts Department of Industrial Accidents office of/Byes//9at/oas 600 Washington Street Boston,Mass. 02111 Workers' Compensation.Insurance Affidavit name: to W location: U— city phone.# ',7�6 [] I am a homeowner performing all work myself. ' I am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job -' t5;-��$t W,. hPt .3' .:,,-h e{''�yT xr t tlk•i! t a. i s.r y kp{ t, ,a Yyl z 4� t } 2 4{-k� r',•u.k''i; �x � 4^ t p I1 C d�t F'{'�Sr r s g P �J3, v"+6Y"' ��' ff� ..• ' .t ¢t .a ? -:k � -F i;,-SSL, :.s§�1R `�'r t,$2M an Jname y � ^'.d. i 4- t Yy :R 'ti 7h+-t• �'""w1rL-t 'N'S� Fbr1� ."�93•�.��r� �:Fi w 3.ittik.,' �2u• .s:•: 7� r u i# �� ,.�Y{�4 rc�, �d.. wt d;}iz j.s,k-.-fi9 t"u '�""F � +ii AT'tr^.�; r.t '4-crr:.. e�S't X '1` f addre s 1m A C' n 1 y� .'•r�" fi RCI ylI ,,h + 7 do `7.'3.kZ. `r36,� v A r '+. r � �'ny na r yr 1 ['�„ 7 K+t�'JTyw�.y 1.•F� �^a .�f �'+1, $^P,M„ly 3c.yr"`�k, " tF..6 C7' /I'^ 1�;: '' h.�'r'{T' J UJ i 'S. r $ c' F k3 .'t ?`qC i�"ayU.t'i'Ir`_ P�,Yy�`?u:;�,1�" ;�Jn't" '�a } . L'� - 4 ' �(tfiy:�r" ..��',Zt..:-__..: u�'Fi IA.. ' rl' '{- 611C:•{��`'i... _t .it.. ..1. >��.k�+c�.�ty'.T.v�'`.:�..4; (] 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 G.va Y> r Svt � n *+F*�``8x_W kC r*w i'a tJ,}4.,L",�.., T �.er'te} z 3z Ly "h'�,� T4 �x, hJe y v f'�i r'itM1 !?' z._ y! to .?r.�ylO�rFdja' �+�s*, r:ti. ! il�+�.t- ,. ,,,.:,,a,3 "" h4'`t..," .�4"my „y a aT - ;• r t 5C t. Y z. ' { ! Y tG''+. .IDS. F V" F 'Y. 't' 1.it r.4 L 3 r E J -kr 4 1 t + Y'j7al..M:-N �:- XG: a>r name v r r R kix r ? ? �t y �vyra+ s45 r i ti . :r J k P -3 rp�+i4S,F J £, /'S fd-y ';.2}tf I+ "` ' ' r ti�' W .�'t �5n .y n 5xx1'3H>.w �"15.'� "i''`1k;5'y,?sip{ "' F F. w+ Y S r 4�F .y.,{ry4. r ".��c$ry•� r!1y..i^ + t •lndj alil aadre�ss c=py cc r9 i,., �7 �4„�,�. iqb ..0 L Nyru,,�;1 L •L .. }Y''i�w lc�Aey+ ,� �M a at n y �s v , r ET�j ` s rFC 3 �i c a t •_ i r. r r '"y � i v J :f>• > r 4<�+"'r^F '� r�=1 o-gr i e..,(t .,e ,yM a.3: S�,J�}�.,y' s',ff��d Jn ..$..r�.-.� c•'y� ..r+r° ::sY ' c..,y 4 F ,n'i cµM�ij ,, rY i� r} � _L:^�.fi x y�+.%, �,. 'T�Ss'}'.= �r��i."�.i'[f latii">;• +-.• .E 1,�(:'IrF ^�Y�:F" „i � ' 1J 3 sF a s / 4. `k• T f (1,f�' yam, .:Y T L �4t3 _J.,A, F N -� "}14�Y .Lip 4 ' ini ..r ri 1 r }SF - , rr y3 -1 a t•,.�r z >~k e vti `Y a h ,t^{ S�>., ;9.. :h `,ram., +s.8 ,�r;;I aJ..'•- .�y8 t� :.d' 3.,rr''1�y<k iXi:.�h I y :.h�c�.: ;xh r-.c:�r>a i ja'SS n :7}��"c riz- ,t� 1 r Ea �i�'.+, �w �'n`'�"1��g�.+%'�4 }l��.ti� ter. rCOm fin name r ¢�`�;.ntJ� � tti 3 sue' cK•r re S s � ..r� s e+"�c �r a,. »='�`:: :'4�t tv j:k -y_4.x•. , a G n'7'fit ��`.. N 'a !FZ�. v � z ,air z f✓ r w y:,J n k y7 4- b k r,:� �a a} e�d] t t aff,+ +3r ti r? s 4!n? �..{ixv�i a - �' ''� �'r .. i m 7 � r 'k a vc � r�i-.p � sz}2. � x• i �; y a vs"� '& ' #eb'bra y.,^+.sa r it A xw..Y+a'� '�l :..,+. 'C + 5. Y .7.+ i+s c ,�j 1tr 1: '� �S .:{.( 15^ 'tY•"?:f t�Ah(GFT ^A a 2" i'w.7 RRNR#Rid S. xa'd l �Yt 75�+ ct ! 1 J k. 4< +u,'+r'.,5 .:,yy£ t�nE-i. .s. •C � 1 4 a'+. a'J sJ�, �, � � G r 7a r�'.x y�� r.. -+y, 7. ... . :... ,ry.. .,i:Ftz.3»rtliST'rr. �,p011C�#' >.S� ..�the imposition of criminal penalties of a fine up to$1,500.00 and/or one years'imprisonment as well as civil penalties in the form of a STORDER and a fine of$100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certify u the pans a enalties of perjury that the information provided above is true and correct. � 3>,,.,... ��- Date Signature Print name 'v , Phone# g " 3q� official use only do not write in this area to be completed by city or town official city or town: permit/license# FIBuilding Department []Licensing Board check if immediate response is required []Selectmen's Office []Health Department contact person: phone#; (—Other (revised 9195 PJA) t Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for their employees. As quoted from the"law", an employee is defined as every person in the service of another under any contract of hire, express or implied, oral or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more of the foregoing engaged in a joint enterprise, and including the legal representatives of a deceased employer, or the receiver or trustee of an individual, partnership, association or other legal entity, employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on.the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local licensing agency shall withhold the 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, 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. 12 Emil '11;11111 Applicants Please fill in the workers' compensation affidavit completely, by checking the box that applies to your situation and supplying company names, address and phone numbers along with a certificate of insurance as all affidavits may be submitted to the Department of Industrial Accidents for confirmation of 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. City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a space at the bottom of the affidavit for you to fill out-in the event-the Office of Investigations has to contact you regarding the applicant. Please be sure to fill in the 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. 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 fax#: (617) 727-7749 phone#: (617) 727-4900 ext. 406 ZHE Town of Barnstable Regulatory Services Thomas F.Geiler,Director NAM 9�?T 039. 0� Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. Type.of Work t<9G &t Estimated CostA T0 Address of Work: 1 A w_ YE • OqAPPIS. AA 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 []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 f r a nermit as tth�\agent of the owner: o4o Date ontractor Name Registration No. OR Date Owner's Name I �OFZHE Toy, Town of Barnstable Regulatory Services + BARNSfABLE, = Thomas F.Geiler�Director y MASS. � E16�. 0. Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must.Complete and Sign This Section If Using A Builder I, Gl 16 V\J �t' 0 A , as Owner of the subject property hereby authorize 3 Q� u- 1eO LW to act on my behalf, in all matters relative to work authorized y this building permit application for(address of job) Q � o nLMLSly Signature of Owner Date Print Name i ACORD CERTIFICATE OF LIABILITY INSURANCEF04/03/2(MM[DD/YY)D �TM 003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Robert E. Bouchie Jr. Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1352 Rt 28A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 400 INSURERS AFFORDING COVERAGE Cataumet, MA 02534-0400 INSURED John W.Konyn dba K Konstruction INSURER A: Zurich Maryland Casually Company 35 Millstone Street INSURER B: North Falmouth, MA 02556-3010 INSURER C: INSURER D: INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY 13E ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER DATE MMIDD DA,E(CY-M WDD� LIMITS A GENERAL LIABILITY SCP 34482332 01/27/2003 01/27/2004 EACH OCCURRENCE $ 300,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Any one tire) $ 300,000 CLAIMS MADE 191 OCCUR MED EXP(Any one person) $ 10,000 PERSONAL&ADV INJURY $ 300,000 GENERAL AGGREGATE $ 600,000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $ 600,000 POLICY JER4 LOC AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT ANY AUTO (Ea accident) $ ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS (Per accident) $ PROPERTY DAMAGE $ (Per accident) GAR AGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR El CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ WORKERS A EMPLOYERS'LIABILITY ON AND WC 3967996501 12/17/2002 12/17/2003 TORY LIMITS ER E.L.EACH ACCIDENT $ 100,000 E.L.DISEASE-EA EMPLOYEE $ 100,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONS(LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY ENDORSEMENT/SPECIAL PROVISIONS CERTIFICATE HOLDER ADDITIONAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Town of Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Iyonough Way IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis, MA REPRESENTATIVES. ' AUTHORIZED REPRESENTATIVE ACORD 25-S(7/97) O ACORD CORPORATION 1988 IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder, nor does it affirmatively or negatively amend, extend or alter the coverage afforded by the policies listed thereon. ..�� •M w� �� + 'moo ACORD 25-S(7/97) co— t Ln 7 o ai o 4It0 0 o 11 a m I a o m 1*--z>cj(-1S0b i(r�Zz= l=aX1S�10L^t VkAWAC- 25�6"' ,vz `�L-151 S— �r /G" � 2 '56ql 1 'A W' 51R)PC9pp, -z"KIZO T1 17 14900 GP,►TE:rz �oAuw Kov 6-1�3 TOWN W F r,. O N O BARNSTABLE BUILDING PERMIT APPLICATION t �µ •6 i% I Map 2 Parcel OQZ—O Permit# ' -33Dt Tps�}N �:ai� B+�RNSTABLE Health Division y '? 0 3 Date Issued 3 Conservation Division 114 3 n _� � Application Fee a '^ Tax Collector Permit Feea. Treasurer -- _MV131014 Planning Dept. A 'RWOKAIXASEWER CONNEDate Definitive Plan Approved by Planning Board NG1NE,ERIGNG DIMIION F$doR TO CONBTTUmON. Historic-OKH Preservation/Hyannis Project Street Address OC z, IS 94 _b L TD 1?0- Village Owner JAMES (Li v 1 bo Address I�A Telephone Sag-7 q?)^Oa9 Zee sc,G, (w4mD ),mi-Air Permit Request R�k nxlr- � KIP/A MA 6VLI J i61 �Q Square feet: 1st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. 2 Dwelling Type: Single Family 0 Two Family 0 Multi-Family('IS Age of Existing Structure Historic House: ❑Yes No On Old King's Highway: ❑Yes No Basement Type: ❑ Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) _ Number of Baths: Full: existing new Half: existing new Number of Bedrooms: existing new p Total Room Count(not including baths): existing new First Floor Room Count 2 Heat Type and Fuel: ❑Gas ❑Oil ❑ Electric ❑Other Central Air: ❑Yes 0 No Fireplaces: Existing New Existing wood/coal stove: 0 Yes ❑No Detached garage:O existing ❑new size Pool: 0 existing ❑new size Barn:0 existing' 0 new size Attached garage:O existing ❑new size Shed:0 existing ❑new size Other: `IaEXV5P)3 Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ❑No If yes, site plan review# Current Use Proposed Use �a BUILDER INFORMATION Name o S6(XJ00 Telephone Number _S-0 X 5 In3,3 R Address License# Coo \ot2:W ind WAA D2 5�, Home Improvement Contractor# 1 Z_54 3Z Worker's Compensation# 3%79�C,5t l ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 15D 0kI J SIGNATURE DATE �`�(° �� FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED _ MAP/PARCEL NO. ADDRESS VILLAGE ' OWNER t F r � 1 DATE OF INSPECTION: FOUNDATION Q �C / . �� '7 FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH 'FINAL^ PLUMBING: ROUGH FINAL GAS: ROUGH FINAL ' } f FINAL BUILDING DATE CLOSED OUT r j ASSOCIATION PLAN NO. ,.; :}a fr'� ;?S:•x ''•ti:.•: ti � }�!' {�• e� : � >.2. ;:•},k$;Q j'.N o�y';r,::t �❑ 1,4 :4•&•'• `�xt:': :�'?'#;'• :�is: %z•F.:• f+`y '#: f s�?:; f� H 1••t I? n � �:.k::t;' »"f F:4S �': •f € �?y{:> :`fij�:k<,: a �.} :•.{:.; O :f•:"??: .:�`' •7�y:,^.,: ?k/.•:" bf q4:•..i-,}�• :i.+,... }:.,i,'ifk: ''f4: q a ,� .3 �'?c;3i'.>:'.'': �- ':�:�?:•: S.?::ir Is � c;?•: z:f•.%�<f %?:;:# �<��f'>' � � � 11' :�I�i w �>.r � ��,.).t :x:' ':,a,•fp{ %tf:' '.c�-r�.•'••'.'' :•;u Cy r?>:z;: `C>:A :: yF3•`Q3 ?�:;E•>:. �.:c::'::;: �:1 •� 17 � O �.-�<-y :3{f:3,•: •3,.}�:2 R� �.; 'fix::. 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M Q ::>jti i'q :j i.�:v:: v:{•;;%'�J: {ifs}. 4;• •:�:�,},.:J r.t JY,•. ,•.`•{"'4.,' ' :'r. :��'> '•' �S'' :.':`7*• r.k4 �� n:f•4,� ':i�.:,kr• w.'..G '.< tl:::;"�"'• fl :.4i:::• •.$$� ::.min' �:}:• �•}'{.f p ?};}:;:y3 ,< Sy tv 0 p y •:ye v{Y�S:# `r#?• ;2k•.�>••{�f'; _y, �' Y'c:. M1ht�x<• '^•M",. •. ; � D <F'� F�.'�•'`�'•�. %:f ''•>iG'xP:4. w, w� � ti w� lit!• sgOR; fit• `•, r4 ■ rii:: k.• : . Y tom, _ rr r }. :.X.�,x � . . �•k�:: s��4 a O. �QnpCf !�• ~ }%S y,{Y:$: S ':i ' �f '.fF} i,S.h:>'' •?;:;?,{$•': CY -00000 En S. �SF;F :{,�c`,4 Sr :��1 •'"J��: �SS�% ;�Firi,:;: F:' {S:t}�' .•,:j:;:::?: }Yg� s ,r:}>ii. �'�;•4. fA :� x �::,.. ,,.f'r./• ��' �3:R; •r:tLti•:. 2y`$>R 'k•S.:f: >. i';'{rr,':3: '9'•.�i,%'i: ^H 5.. •''?i•^>tY. .} {r. :yi,;::.. •,. :�;: fy: a1x,Ya'l ON .}.�•�$p Rill 34> 9,•5:.+'�V''•' ;yfF$;i#<. '#i:., Y,.i rr;f'i .'•3::?f;?•h:4::, It :;k•: ::L'•:>: :.f:. :f:Y. ;:•r,.•}: 8 •kti,:}. a:<;: `Si$i!�: ��: tt S� aifi Vi%• f 1 Information and Instructions Massachusetts General Laws chapter 152 section 25 requires all employers to provide workers' compensation for th= emplovees. As quoted from the "law";an employee is defined as every persari in the service of another under any cozy of hire, express or implied, oi-al or written. An employer is defined as an individual, partnership, association, corporation or other legal entity, or any two or more or the'foregoing engaged is a joint enterprise, and including the legal rzprese=ztives of a deed emplover, or the reserver o. truster of an individual,partnership, association or other legal e=ty, employing employees. However the owners a dwelling house having not more than three apartm and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintena , nstruction or.repair wozk on such dwelling house or as the arrnmri c cr nce co building appurteaa=thezt:to shall not because of such cmpioymeat be deemed to be an employer. MGL chapter 152 section 25 also states that every state or local.licensing agenep shall witlzhold.the issuance or renewal of a license or permit to operate a business or to construct buildings is the commonwealth for any applicant who has not produced acceptable evidence of compliance with the isurance coverage required• Additionally, ncid=the commonwealth nor any of its political subdivisions shall enter into any contract for performance of public work uaml acceptable evidence of compliance with the ins tuaace requires of this ehV=bave been presented to the coats _ authority. Applicants Please fill is the workers' competuatioa affidavit completely,by cher3aag the.box that applies to pour supplying cemp=Y names,address and phone m=bers along with a cetiificzw-afhmnaace as an affidavits maybe 3 submitted to the Department of Industrial Accidents far man afinsivaace coverage. Also be sere to sign and date the affidavit. The affidavit should be.returned to the city ortownthat tine application for the permit or iic�se is being request not the Deparmirnt of Industrial Accidents. ShnuId Yfla have any questions regarding the"law"or if you are required to obtain a workers' campeusatioa policy,please call the Department atthe=amber listed below• City or Towns Please be sure that the affidavit is complete and printed legibly. The Department has provided a spate at the both of the affidavit for you to fm cat in the event the Office of Investigations has to ca=ctyou,regarding the applicant. Please be sure to fill in the peimrtlIicease number which wdl be used as a refzreacx nrital;er. The affidavits maybe rc=m L a"te the Department by mail or FAX unless other aaangcmcnts have been made. The Off cc of Investigations would like to thank you is advance for you cooperating and should you have any questions. please do not hesitate to give us a call. The Deparanent's address,telephone and fax number. The Commonwealth Of Massachusetts Department of Industrial Accidents otflce of lavesduatiods 600 Washington street Boston,Ma. 02111 fax#: (617) 77.7-7749 - phone #: (617) 727-4900 exL 406, 409 or 375 I °F�► r°,,� Town of Barnstable Regulatory Services ` s^ MASS.�e. ` Thomas F.Geiler,Director y MASS. � � E%6 p.,1% Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize J O V '14131 to act on my behalf, in all matters relative to work authorizid Vythis building permit application for(address of job gl�E K `Rk--M0AU4VSo u' Aa I�Z) ,ignature of Owner Date Print Name f �Op[HE'Owti Town of Barnstable Regulatory Services Bnxxsxr+s�. ;MASS Thomas F.Geiler,Director �`6pr16;9;. N Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization, conversion, improvement,removal, demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type.of Work: _Cm_c—,L Estimated Cost n 4Address of Work: -Z I fA��i U PDX 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 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 EYIPROVEMENT 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 a agent f e owner: Date Contractor ame Registration No. OR Date Owner's Name F ' ACORD CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDWY) n 04/03/2003 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Robert E.,Bouchie Jr. Insurance Agency, Inc. ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR 1352 Rt 28A ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 400 INSURERS AFFORDING COVERAGE Cataumet, MA 02534-0400 INSURED John W.Konyn dba K KonstTUCtion INSURER A: Zurich Ma and Casuafty Company 35 Millstone Street INSURER B. North Falmouth,MA 02556-3010 INSURER C: INSURER D: INSURER E- COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR TYPE OF INSURANCE POLICY NUMBER DATE DATE MID LIMITS A GENES LIABILITY SCP 34482332 01/27/2003 01/27/2004 EACH OCCURRENCE $ 300,000 X COMMERCIAL GENERAL LIABILITY FIRE DAMAGE(Arty one fire) $ 300,000 CLAIMS MADE a OCCUR MED EXP(Argr one Person) $ 10,000 PERSONAL&ADV INJURY $ 300,000 GENERAL AGGREGATE $ 600,000 GEN'L AGGREGATE LIMIT APPLIES PER PRODUCTS-COMP/OP AGG $ 600,000 POLICY jEc LoC AUTOMOBILE UABU17Y COMBINED SINGLE LIMIT ANY AUTO (Ea aodderd) $ ALLOWNED AUTOS BODILY INJURY (Per Person) g SCHEDULED AUTOS HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTOONLY: AGG $ EXCESS LIABILITY EACH OCCURRENCE $ OCCUR CLAIMS MADE AGGREGATE $ DEDUCTIBLE' ' A $ RETENTION $ $ TAY sco�Pan°"Ar® LIMITS ERAEMPLO � � WC 3967996501 12/17/2002 12/17/2003 E.L.EACH ACCIDENT $ 100.000 E.L.DISEASE-EA EMPLOYEE $ 100,000 E.L.DISEASE-POLICY LIMIT $ 500,000 OTHER DESCRIPTION OF OPERATIONSILOCATIONWVMCLEWUCUSION S ADDED BY ENDORSEMENTISPECULL PROVISIONS a - 4, CERTIFICATE HOLDER AwmoNAL INSURED;INSURER LETTER: CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN Town of Barnstable NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL Iyonough Way IMPOSE No OBLIGATION OR LIABILITY of ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis, MA REPRESENTATIVES. AUTHORUM REPRESENTATIVE ACORD 25-S(7/97), ._ ®ACORD CORPORATION 19N IMPORTANT If the certificate holder is an ADDITIONAL INSURED, the policy(ies) must be endorsed. A statement _ on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). 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). DISCLAIMER r , The Certificate of Insurance on the reverse side of this form does not constitute a contract between the issuing insurer(s), authorized representative or producer, and the certificate holder,' nor does it ` affirmatively or negatively amend, extend or alter.the coverage afforded by the policies listed thereon. • t i I O a 1 P —--7` 14�l !_c� 2i `S 10 5E TPE5 0f,E 1k-prl zat�� Exl.3( 0-1 KaV C�C�°�b5f-,> !' Engineering Dept. (3rd floor) Map Parcel 60 R 6n Al Permit# 3 M House# ' _ �' Date Issued -! ' of 3 1191 .,- 10� r; Board of Health(3rd floor)(8:15`-9:30/31:00- Y Fee ` Conservation Office(4th floor)(00- 9:30/1:00-2:06) Planning Dept.(1st floor/School Admin. Bldg.) - i THE ra, ` Definitive Plan Approve lanning Board 19 _ BARNSTABLE, 19- TOWN OYBARNSTABLE+ "rEc Building Permit Application Project Street Address " (\P/ Village Owner n � . �JQ°y�� /�() Address Telephone W VShl " Permit Request 'First Floor 'Q square feet Second Floor square feet I Construction Type Estimated Project Cost $ Zoning District Flood Plain Water Protection Lot Size Grandfathered ❑Yes ❑No 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 No.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 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 Telephone Number Address License# Q .lp � Home Improvement Contractor# 7 Worker's Compensation#U — 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 SIGNATUR DATE BUILD LOWING REASON(S) a�le�c L I' r FOR OFFICIAL USE ONLY { PERMIT NO. DATE ISSUED _ - MAP/PARCEL NO. ADDRESS - - VILLAGE OWNER : [ -�. _ � t ; • . . t DATE OF-INSPECTION: FOUNDATION- t FRAME 4 INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL - i GAS: j ROUGH FINAL - + FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. •. The Town of tarnstable um �$ Department of Se3lth Safety and Environmental Services Building Division 367 Main Satan;Hyannis MA 02601 Raiph Cross= Off 308-790.0= Building C gfflmissi": Fax: J08-790-6Z30 For ofIIce use only Permit na_ Da:e AFFIDAVIT ROME IlffROVEMENT•CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL a 142A ret} wires that the "reconstruction, alterations, renovation, repair, moderni=dan. conversion, improvement, removal, demolition, or construction of as addition to any pre-existing owner occupied building containing at least one but not more than four dwelling raet units s Or to tu strucres which are adf scent to such residence or building be done by registered ma certain c=ptions.along with other requirements. od Type of Work: Est.Cost Q • Address of work: ' Owner's Name Date of Permit Appileation• I hereby certify that: Registration is not required for the following reason(s): Work excluded by law _ _ ob under SIAL _Building not owner-occupied Owner pulUag own permit Notice is hereby given that: OWN PERMIT OR DEALING WITH UNREGI:TERED WNER OS PULLING 'ITiEIR _ _ w CONTRACTORS FOR I�TIONPROGRAM OR GUARANTY FUND UNDER MGL I42A � ACCESS TO TSE AR$ %G,-1M UNDER PENALTIES OF PERJURY apply for a pe_ it as the agent the owner: i Elm Contra r Mame Registratio IVa OR Owners Name Date Thc• Cunrnron wealth (f:1 tassac 11 usctty Dc part»tutt of Industrial Accidents JgMCe o1lnYesUgattans Ir I:�'` 600 ll'ashin •ton Street .. ` Boston. A1uu. 02111 Workers' Compensation Insurance Affidavit Avvlic:inQ.nr,o,r*ma!i6n:' PI PRINT m Vt4 QLao - ,4— 3--9! (� ,/ Incation �/ Woww /Q M1-C citx- X-tia"i'l,ja g�nL rihone H I am a homeowner perfor in_ all work yself. I am a sole proprietor and have no one working in any capacity • �w,.'.��.•_ _�P-'.w.. �:,MM..•iR�fw4T"��'1T!+I�.f��'....�..,w..,F'T��/�r.+'iw_.�ww�.w•n.w.�..rw...�nww•Y..�w.. ❑ I am an emplover providin_ workers' compensation for my employees working on this job. con) )any name: 1?e;}b?� J ae�B6-1-,It- —Sens Reefjj•!q address: P n Rnx 9i(l city: Marston Mills MA 02648 nhnne0- 428 1177 _ in-mrancecn rregit- GPnPrt-i_Ing r'n 00lict•# SWC 17005900 [I I am a sole proprietor, bencral contractor, or homeowner(circle ale) and have hired the contractors listed below who have the following workers' compensation polices: cornrinn • name: address: city. phone#• insurnncc ro. nnlicv# .-..__._.... .._ ...�__....... _I.♦ �a..__._.r.wr.rr..Jwr....Jrti�trrr- -_.\ii�."l��w.st. ��.:•_.:•. ... �i i , Comn:'lnv nnmr: address: tiny. nhone# insurnncc co. policy# Attach additional sheet if necessary >-• + -�� ~=�TM`�� +�+.. T ��'..��r+.t..:r.....�..:i. ^..e_Si• �.�' :_.�- �.......... ...�y__'.:.�....._..r'W��i�—'-_.i._.-c .�•.�1�.�..J:vit..wa::«is. F:IIIIJfC to securl'cnt•Cr:lCe as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties ol•a line up to 51.500.0 andiur unc 1 cars' imprisonment as 11cll as civil penalties in the form of a STOP NVORN ORDER and a fine of S100.00 a day against me. 1 understand that a coPy of this statcmem mac be fornarded to the Office of Investigations of the D1A for coverage verification. 1 do hereby cerrij•ruirler the prtin itd penalties of perjun•that the information provided above is true and correct. Si^oat Daic ` Print namc ., E-aa;e et u, Phone>* 42S-1 1 77 -cinl use only do not is rite in this area to be completed by cityor town official city or town: prrmit/license# rnBuildin^Department Licensing Board C] check if immediate response is required C3Seicetmen's Office C3llc2lth Department phone#: nUtht r contact person:Y ,. AC CERTIFICATE OF LIABILITY INSURANC4SR DR DATE(MM/DD/YY) AULJ 2. 09/01/98 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Drake,Swan & Crocker Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE Agency, Inc. HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR 14 Lot's Hollow Rd. ,PO Box 429 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. Orleans MA 02653-0429 COMPANIES AFFORDING COVERAGE David D Rust COMPANY Phone No. 508-255-3212 Fax No. A Assurance Co. of America INSURED COMPANY B Credit General Insurance Co. Paul J. Cazeault etal DBA Paul COMPANY J. Cazeault & Sons Roofing C COMPANY D COVERAGES 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MMIDDIYY) DATE(MM/DDIYY) GENERAL LIABILITY GENERAL AGGREGATE $ 1000000 A X COMMERCIAL GENERAL LIABILITY CFP25552812 05/01/98 05/01/99 PRODUCTS-COMP/OPAGG $ 1000000 CLAIMS MADE OCCUR PERSONAL 8 ADV INJURY $ 500000 OWNER'S&CONTRACTOR'S PROT EACH OCCURRENCE $ 500000 FIRE DAMAGE(Any one fire) $300000 MED EXP(Any one person) $ 10000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT $ ANY AUTO ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per person) $ HIRED AUTOS BODILY INJURY NON-OWNED AUTOS $ (Per accident) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM $ WC STATU- OTH- .. WORKERS COMPENSATION AND I X TORY LIMITS_"__ ER_ _ —, EMPLOYERS'LIABILITY EL EACH ACCIDENT $ 100000 THE PROPRIETOR/ $ INCL SWC17005902 08/09/98 08/09/99 EL DISEASE-POLICY LIMIT $ 500000 PARTNERS/EXECUTIVE — OFFICERS ARE: EXCL EL DISEASE-EA EMPLOYEE $ 100000 OTHER DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES/SPECIAL ITEMS Roofing CERTIFICATE HOLDER CANCELLATION TI _ SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,THE ISSUING COMPANY WILL ENDEAVOR TO MAIL 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND ON Tj1E COMPANY,ITS AGENTS OR DEPRESENTATIVES. AUTHORIZE EP ATIVE ACORD 25-5(1/95) ©ACORD CORPORATION 1988 �HOIME rI . PRO?VEMENTCONTRACTOR}SRE(3IS1'RAF7`ION ,I t� r �Boa�d Hof Buldi{ing�Regulata.ons "aintl� tandaY•cls i, � �- One A ' hbu ito Place � I � i.iOME ,�IM Ol VEM NT CONTRAC OR ' � x s ` I M ° e�porwnraeall.� .✓�aaeaa�uaelA'" A,RNERSHIP s OME YtfPRO EMET CON AT6R �� v� � � ,~ `' � " ;��;•� ;��.' '� ,; �° - Regrstrat�on f 3,,t, z... CA--- -- �T & ONS OOFItV:G Type��PART ERS IP x � w A yi Ezpra iona 704/00 fr AgCazYeault 22�6"Vad '. Rd rf? Q.< $ox 2781 e�ans�MA� ' �' ��4 1 J t�•k �'� �. � PAUL t CAIEA.�Cr � ON ROOF�I -��,� � � � � ;'W`..� �� ' eh. •�. I�T..�„��6.� iddialtRd� PF.'0� Bo.z;�18 9Xe eowzwwmv" , o .�;� ,� �°� ( � �.�� I AOMiNisrpaio� �Orleans.MA 02653 ,_,.— ..—_.—_—.—�`'is�,a. � -�� ,�5��_�hs� x...a .�,_. - Imo- a - ��1` .._. .�•_ .�� °�,�..',—._�._.._. t 3 � 0Ff)ARI"MENT OF P(JRI_IC AFETY 1.36726 ONI=_ I',SH0tJRTON F'LAC:F, RM 1:30:1 L30S1"O.NeMA fb21.�18"-1.61.8 CONSTRUCI"ION S(JPE W 01R L:f-t:r AISi' Number: F:xpi.res : Restricted To: 00 t d � � tAn44 ¢ °• tz f'AUL. J UST' RVILLi�, MA 02655 �4 •1 � _ __._...-.._...._._..__-- _..._.__..__._...._.._..-..".-...____..__.---_._. ._ .-.�_..___... Kpep tap for, r-ec<eipt. and change Gf acicll-e:ss notification. 7 _=___1 - -:°gk,�lie �o�tvrtzonurealb��a��aaaae�ivaelta� ' ' OEPARTkjNT OF PUBLIC SAFETY I. CONSTRUV OtF SUPERVISOR LICENSE i 4 Nu�ar" Expires: RestaJt 0B CIAU.IT 1585 MpINWSt.. I �" OSTERVILtE, NA 02655 RE-ROOFING �I 1�AwU ❑ If located in OKH or Hyannis Historic District-Certificate of Appropriateness required unless same color/same materials specified on application Map/parcel number Sign-offs from: Tax Collector Treasurer ®#'of squares of shingles or square footage of roof to be shingled pecify stripping old shingles or going over old roof. If going over []how many roof layers existing now ❑what size are rafters? What is span? Complete dwelling information for the Assessor's Dept. - if known ❑ Workman's Comp. form Home Improvement Contractor Affidavit(RESIDENTIAL ONLY Home Improvement Contractor's License OR ❑ Homeowner's License Exemption(RESIDENTIAL ONLY Check expiration date on license COMMERCIAL WORK-No License is required. ❑ Fee q-fortis-PERMITS 1 Rev 6/2/98 Assessor's Office(1st floor) Map Parcel e t# �J 7 9: Conservation Office(4th floor)(8:30-9:30/1:00-2:00 Date Issued /Z - Boa h(3rd floor)(8:15 -9:30/1:00-4:45) 330 r% #5 d-; rd Z h Engineering Dept. (3rd floor) House e;. j FJS, CONvi,aD R'�►�'t . ` BARNSTABLE. D19 MASS 2 9P A• . ED MAr t 0 TOWN OF BARNSTABLE f Building Permit Application ; Project t ess `� l (-{ G,wt c- �s Village ( a I S rh 4'- Owner it h�9(�1<,�t C, bf T e- L„- Address Telephone 3<O x! 5'2-7 �° Y Permit Request E 61 S G / O p e-, T� ,;First Floor -- / square feet econd Floor ° square feet stimated Project Cost $ ba b C:! Zoning District R is Flood Plain Water Protection Lot Size �: Al`{$ k p Grandfathered ? Zoning Board of Appeals Authorization Recorded Current Use . C, Mn o D Proposed Use -P- r Construction Type 1 Z1i ►)D fG,ry, 2 Commercial Residential Dwelling Type: Single Family l ��.t }'2`o�,1f Two Family Multi-Family 71,J/d- Age of Existing Structure '?, 13 i/rk Basement Type: Finished Historic House 14/p Unfinished Old King's Highway 'All D Number of Baths ( No.of.Bedrooms Total Room Count(not including baths) First Floor Heat Type and Fuel ' -61 Central Air Ai p Fireplaces Al Garage: Detached A/'D Other Detached Structures: Pool A- Attached y/b Barn /1/� t None 11/I) Sheds A/� Other Builder Information Name /1 ' T Telephone Number Address '�'�J �-V 41��► License# `� �:✓'�, fi vT h T- A A 7S Home Improvement Contractor# (� Worker's Compensation# , dAj C:,9 i 01S 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, l�1>,sj _ DATE BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) FOR OFFICIAL USE ONLY PERMIT NO. M ' DATE ISSUED q + f MAP/PARCEL NO.11 ADDRESS VILLAGE n } i OWNER ' 7 ION: •OF INSPECT DATE " FOUNDATION < FRAME, i 3 IZ INSULATION FIREPLACE ; ELECTRIF�rL ; ROUGH FINALZWAt- _ r PLUMBINQ:0�cvROUGH FINAL GAS: ROUGH FINAL + - " , FINAL BUILD' c1' - 4 v�k�Cam•.`+ DATE CLOSED OUT ASSOCIATION PLAN NO. I y' ,< l ' lk� r b : t• r �. � ` � � , �•� () ;{ � ro\�J In � � � r U► C IS, U.414 r,Al E4l4/.4c.L "�-+•-� Sa�l.�+, X ( . ] l i � " �•k:L.:f''' ��S'7Z'LVE.V1dc.�UgC�� /3p•LGVG �' ..r• - �/ "ram I � � ft �` `l / ypf tME taw TOWN OF BARNSTABLE B MB. Office of the Building Inspector 1639 i639' � o Date June 7, 1995 Fee $50.00 Permit No. #104 PERMIT TO ERECT SIGN IS HEREBY GRANTED TO Ocean Gate Condo Assoc. Trust r D1131A SiRnworks LOCATION 21 Hawes Avenue, Rvannis, MA 02601 ANY VIOLATION OF THE SIGN LAW WILL CAUSE IMMEDIATE REVOCATION OF THIS PERMIT Building Inspector The Town of Barnstable pern it no:'LO4 •;� Department of Health, Safety and Environmental Services ss r Building Division date 4, 7-9S �`� 367 Main Street,Hyannis MA 02601 oo- fee__�o Application for Sign Permit Applicant: P_�C &�s aA G ftu--� Assessor's no. S 13. 00 _ y0A Doing Business As: P6 l3 W 0 VU LK, Telephone Sign Location street/road: 2 L t*AW 6:OC— M r Zoning District f Old King's Highway District? yes no Propert Owner Name: C&W GMt WQbo c, ,!P elephone _0Q- Address: S 2- f A ES Village (� Sign Contractor Name: P-Q-"9t Ilk, a6k D E2lOkDUC41S Telephone Address:-'9 g( 7�LQ140 0f Village Y v` Description Diagram of lot showing location of buildings and existing signs with dimensions, location and size of the new sign to be drawn on the reverse side of this application. Is the sign to be electrified? yes no (Note: if yes, a wiring permit is required) I hereby certify that I am the owner or that I have the authority of the owner to make application, that the information is correct and that the use and construction shall conform to the provisions of Section 4-3 of the Town of Barnstable Zoning Ordinances. Date Signa re o Owner/Authorized Agent Size (sq. ft.) Permit Fee lj_2� Sign Permit was approved: v disapproved: Date Signature of&6ilding Official AL2V��j ZIAAx Co Co t2.5 : I?Lju C°oc��-� wEE t cE —6b 0, 1- G��G� IiZ The Commonwealth of Afassachmats Dcpartittent nj Industrial Accidents Mee ollosest/gat/oos 600 Washhggwn Street 1A. Burton.Alass. (12111 Workers' Compensation Insurance AMdavit Apttlreant mfnrmati6n• Please PRi1VT 1�Ly name: 4/1 location. d (J 1/11 t 7 YR a cin, U D1 L-�,t v 1 Li y K i ;�JP /)' 7 phone# I am a homeowner performing all work myself. 0 1 am a sole proprietor and have no one working in any capacity r�f17.L��±y„+ 'tg7C'!1!R.••.�T�Zt'..Y._;-L..ti .. .. '..,:=...._:.: :.w�u...�: '..a.._- ..bn_.R .._._.... .:4.. '•y+.�saRr I am an employer providing workers' compensation for my employees working on this job. contpa•}•name! CAli L"l 10 n, .7 e...'Y'S-d✓1 Vdi` %_rd GG address: I e- T 4 1/I cites•_ Gd✓+ s1n /7 7i zn ®1r T �yA�s° �r nhnne#: insurance co. / � i T- u �! !r j`yC1 police# 12 /Ag—•- 0 1� 1 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: aii d ress• city: phone#! insurnnee co. policy# _ —..:e^t: .. :�:."�t::� - —'..• ..sn�.Y;r.T...:Tt�va—sir,�^:';:TRt;N — .� �. -----�r!"TSe!r_•ay,,.. '*9!�s'A".'�":��5 ctimpam•name: address: city: phone#• insurance co. policy# .Attach additional'sheet if riecessa c vs7 'Y,,•i.^?ter-`�t'q:.Hr's •e� e..�.�.:.. :.�v:it•[,.•. ,:u ;.��.�.. - ."fr • "' �"'LfJG 1RL.`i:ui: Fuilurc to secure coverage as required under Section 25A of MGL 152 can lead to the imposition of criminal penalties 0172 fine up to 51.500.00 and/or one years'imprisonment a•well as civil Penalties in the form of a STOP WORK ORDER and a fine of 5100.00 a day against me. I understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. I do hereby certifj•roofer the pains and penalties of perjuq that lite information provided above is true and correct � ' Signature / l^y',44 _ Date I ; Print name,�/9 \ 4,,vu `1� � �_T�L'�- Phone# omcial use only do not write in this area to be completed by city or town official city or town: permit/license# nBuilding Department Licensing Board D check if immediate response is required ❑Selectmen's Once (311ealth Department F ' contact person: phone#;. nOther_„ mooed 3.175 P1A) The Town of Barnstable 9,$ Department of Health Safety and Environmental Services Building Division 367 Main Street,Hyanais MA 02601 Ralph Crossen Office: 508 790-6227 Building Commissions Far 508-775 33" 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,oonvers M improvement,.remo%al, demolition. or construction of an addition to any pre- occupiedt building containing at least one but not more than four dwelling units or to to such residence or building be done by registered contractors,with certain exceptions, along with other requirements. Type of Work: (L L<P i(� Fst-Cost Address of Work: 6 lA tiv-e Var��t )y1 ' r " , 0%ner.Name: 4 'o'u 1 6,� Date of Permit Application:, I hereby certify that: 1`D Registration is not required for the following neason(s): _Work excluded by law Job under SI.000 __Building not owner-occupled Owner pulling own permit Notice is hereby given that: CONTRACTORS OWNERS PULLING THEIR OWN PERMIT ORWORKG WrM DO NOT HAG ACCESS TO THE FOR APPLICABLE HOME ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c I42A SIGNED UNDER PENALTIES OF PERJURY I hereby apply for a permit as the agent of the o%'nw.. U No. ' Date Contractor name non OR ' �� ...:�elura fo poesses a aarrant COMMONWEALTH DEPARTMENT OF PUBLIC SAFETY ;%,� 48118 gtamsewiNA OF 1 ONE ASHBORTUN PLACE )8dalaaamatwnwoosew MA8SACHUSETTS BOSTON,MA02108 �tt1l�fIrM11� LICE4Sjj CAUTION co"STRe- SUP VISOR EXPIRATION DATE FOR PROTECTION AGAINST 0111611996 EFFECTIVE DATE LIC-NO. THEFT, PUT RIGHT THUMB RESTRICTIONS ab/3p/1993 OL��2S .� PRINT IN APPROPRIATE NONE BOX ON LICENSE. 6iILLIAM T . FEI TON >121 SET.UCKET,;ROAD . BLASTING OPERATORS Y,ARMOUTHPOR'T '10 02675 MUST INCLUDE PHOTO. . GAGEDIN TNISOCCUPA710N \ HOME IMPROVEMEN T CONTRACTOR Registration 105836 Type - INDIVIDUAL Expiration 07/21/96 William T. Fenton 421 Setucket Road ADM INISTRAMIR yarmouthport MA 02675 I to - Assessor's map and lot number 3 � ........� dl/rJ i• //u G DOGE-�' Sewage Permit number �12..... ....... ......., fT"ET°� - TOWN OF • BARNSTABLE Z BARNSTAIILE, • 9 NAM 039 .B RI L D I•NS I N S P E C T,0 R DNA a' `APPLICATION FOR PERMIT TO N.L. SC .........,'G.I`:......!........�*re1�e� .........f�..:G '.....�..... a TYPE OF CONSTRUCTION .........:.�.t'U '!Q. —.............v1 ?.`;...................................... ........................... . ... ... .........l....................19......) TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location .... 'C?NC�GL+e._........CoNdO M I N(l.(. .....v...� .'..:k.........`.-!.. r. ProposedUse ...........................................................1 ........................................................................................................ ...... ZoningDistrict .....(R.9, ........................�...............................Fire District .....................................................................•......... Name of Owner ....!. �Y f� .Y... ........1N1!l)f✓..... .r:. :Address ..... �:....!:`.....Wes' V<.�. .....1 Nameof Builder .......................................................... .........Address ..................................................................................... ............................Address ................................................ Name. of Architect ...................................... .................................... Numberof Rooms ..................................................................Foundation ................................:............................................. Exierior ...............:....................................................................Roofing .................................................................................... Floors .Interior Heating. ...........................:......................................................Plumbing ....................................:............................................. Fireplace ..................................................Approximate Cost ............. Definitive Plan Approved by Planning Board _____ _________________________19________. Area .......................................... ith Dimensions Fee ..... ............ Diagram of Lot and Building w SUBJECT TO APPROVAL OF BOARD OF HEALTH a , I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. / ,/ • Name .........../!..��,�! ,i�G�.,,...... ��.. ... Miller, Harry B. Jr. 18/30 ' - enclose No --..--- Permkfpr --___--.��.. —.---.—.. � . ` . &� . ` t �h\ ==°�~ ��- ` Location —�k-y��.. .m..^wne��a------.. -..-------�y pi�-------....---- ° . .. . . Owner ---- �m ............ Type of Construction ----.z��p�.—^----. ' -----..------.—.-----,�--.�---.. ^ ' . . Plot ----..�-..�--. Lot ----------.. ' dctmbar 12 78 Permit Granted. ---..�.�-----'--.]V ` ~ Dote of Inspection .. � -----.l9. . . ` / Do�a Como�fe6 --..�—..�.lg ` PERMIT REFUSED ` . . . ..----_—z--..—.------- lV - -_ .......................... ...........�..................��.----.— , .~--.---.._---.------,-------. ^ ' ................................ . . Q . -------`-''.i-----^^'—^---~'—^~'''' . Approved ' lQ ------------~...—.. , � -----------,--.------.—..�—..—. ' ! ` ` -. -----'---------------.—.�--.. ' . CONDOMINIUM UM E-1 14934 MODIFICATION PLAN OF LAND IN BARNSTABLE N Down Cape Engineering, Surveyors i - j November 1975 I � , i W 1 `YHAWES ( 40.00 wide I AVE. G6 c`' i7.C.CC' I 3 700 CC 00 E G. i lEOC% 119. 73 Q 158 ti 3 Q � • i i 8 Q, 4 A j QQ a o �V �y a 153 /i Cont. Retolning Warr d h. 108.48 _= =W --- Meon t High Woter Mork ) I l., PROMENADE/ FOR MORE DETA/LS AND DESCRIPTIONS OF THE UNITS HEREON SEE PLANS AND DEEDS ON FILE /N THE REGISTERED LAND SECTION OF rHE REGISTRr OF DEEDS AND NOTED ON THE MASTER CONDOMINIUM CERTIFICATE ISSUED REFERRING TO THIS PLAN. Modification of Lot 4 Shown on Plan 14934D Filed with Cert. of Title No. By the Court Registry District of Barnstable County Copy of part of plan / Record LAND REGISTRATION OFFICE MAR. 22, /976 Scale of this plan 40 feet to an inch MAR. 21/976__ R.L.Woodbury,Engineer for Court Form LCE-D-2. 2500.1.71 CONDOMINIUM E-1 14934 I MODIFICATION PLAN OF LAND IN BARNSTABLE N Down Cape Engineering, Surveyors i November 1975 i W I 0 ti �.. ; � -THAVVES ( 40.00 Wide ) AVE. i2CCc. S 7r° CC 00 E �. I y 160.C,6 119. 73 G� i n n � ,,- 158 Q o a, ` ® 4A q, 153 Cont. Retolning W011 1 ,\ d h 108.48 Mean High Wojer Mork PROMENADE/ i H YAIVNIS HARBOR I I FOR MORE DETAILS AND DESCRIPTIONS OF THE UNITS HEREON SEE PLANS AND DEEDS ON FILE IN THE REGISTERED LAND SECTION OF THE REGISTRY OF DEEDS AND NOTED ON THE MASTER CONDOMINIUM CERTIFICATE ISSUED REFERRING TO THIS PLAN. Modification of Lot 4 Shown on Plan 14934D Filed with Cert. of Title No. By the Court Registry District of Barnstable County Copy of part of plan _ 2�. 7A-o—j filed in / Record LAND REGISTRATION OFFICE 1976 Scale of this plan a0 feet to an inch MAR. 2�/976_ _ R.L.bYoodbury, Engineer for Court N Form LCE-D-2. 2500-1-71 i CONDOMINIUM E-1 - 14934 MODIFICATION PLAN OF LAND IN BARNSTABLE N Down Cape Engineering, Surveyors i i November 1975. i E . 0. YHA I/YES ( 40.00 wide I AVE. ``�. 7G o GOB 00 E lEG.GG 119. 73 �C W � Q 158 o ro� I j 0 4A L ! o o o M o al i ci �i153 pjy Conc. Re/olnin Wo// �1 108.48 / r _ —=i✓== -0"=-= Me— an _ —�LHigh water/Mark PROMENADE—' H ) A IVAIIS HARBOR i i FOR MORE DETAILS AND DESCRIPTIONS OF THE UNITS HEREON SEE PLANS AND DEEDS ON FILE IN THE REGISTERED LAND SECTION OF THE REGISTRY OF DEEDS AND NOTED ON THE MASTER CONDOMINIUM CERTIFICATE ISSUED REFERRING TO THIS PLAN. Modification of Lot 4 Shown on Plan 14934D Filed with Cert. of Title No. By the Court Registry District of Barnstable County / Copy of part of plan in Record LAND REGISTRATION OFFICE / MAR. 22, 1976 Scale of this plan 40 feet to an inch MAR. 22/976__ R L.Woodbury, Engineer for Court I Form LCE•D-2. 2500.1-71 CONDOMINIUM E-1 14934 MODIFICATION PLAN OF LAND IN BARNSTABLE N Down Cape Engineering, Surveyors j November 1975. i ,• -rHAWES AVE. ( 40.00 Wide ) G c, :_ ipc- c S 7G I '71 1 ' 160.6� G�: 119. 73 w 158 . O V I 4A j 0 zz s �A 0 f^ •:� .;ci /53 __ Jc� c ` It Cone. Refolning Wall 108.48.. 1,r -- �- -OU==00 — Meon High IWate Mork ! PROMENADE i I II1 i I I FOR MORE DETAILS AND DESCRIPTIONS OF THE UNITS HEREON SEE PLANS AND DEEDS ON FILE IN THE REGISTERED LAND SECTION OF THE REGISTRY OF DEEDS AND NOTED ON THE MASTER CONDOMINIUM CERTIFICATE ISSUED REFERRING TO THIS PLAN. Modification of Lot 4 Shown on Plan 14934D Filed with Cert. of Title No. By the Court Registry District of Barnstable County Copy of part of plan / Record LAND REG/STRAT/ON omcr — MAR. 22, 1976 Scale of this Plan 40 feet to an inch MAR. 22/976__ AL.Woodbury;Engineer for Court , a , Form LCE-D-2. 2500-1-71 --. - --• ---.-.�--•-�_ •-- `_ g f. NOTES: ERT 1.\ALL EXTERIOR WALLS SHALL.BE ZX4 O'16"O.C.UNLESS OTHERWISE NOTFD. ' 2.ALLwTER10R watts SHALL BE 2x4 ARCHITECTS,INC. O 16"O.C.UNLESS OTHERWISE NOTED. 3.CONTRACTOR SHALL VERIFY ALL W 1400W ROUGH OPENINGS PRIOR TO ORDERING WINDOWS. ANCHITECLTINE PIAN'NENG CONSTRUCTION 4.CONTRACTOR SHALL VERIFY ALL DIMENSIONS PRIOR TO CONSTRUCTION. CONTRACTOR ASSUMES RESPONSIBILITY FOR ANY MISSING OR INCORRECT DIMENSIONS NOT BROUGHT TO THE ATTENTION OF THE DESIGNER. n PO BOX 343 YARMOUTHPORT, MA 02675 (508) 362-8883 i 2'-11" 5'_2 -4" 2-10" r<' RENOV.A11ONS LINE OF WP.U.BELOW RELOCATE EXIST. WINDOW;. AS SHOWN FOR: THE GEARY ss , I RESIDENCE o IGH COUNTER o n 9 XT I OCEAN GATE CONDOMINIUMS o I KIT.,' I'— ,/2 HYANNIS, MA LIVING AREA -- _ I:� n -- "------- --'-SK • HTS MATCH yyLL�� TO -XiSTG SIZES ON ROOF LOT- M R2'-S' am HALL 1 a } : �� p M _ NEW SPIRAL STAIRCASE _UP;, -- ----'' _ IZj ON ROOF Sg yy��, ___.. ON i EXISTC SS____-.ATCH o � I. 4 SHELVEI _ _ __ _ _.._ o RELOCATE EXISTING DOOR k WALL TO ALIGN W/EXISTING STAIRWELL, AS SHOWN. rv —/ i ' 3'-8" oWINDO TO—" LINE OF EXISTING EXTERIOR WALLS CENERINN E �L3" j 3° --- --' ------ - f- 10'- SLIDER li;---- -- T. T. T. ------------------ ------------------ 1B210 42210 18210 BDROO�it EXISIIN O THESE PUNS ARE c t0 BE USPD DECK '; ip +,SIT-Ctff. : FOR PES U LE S CONSTRUCTION PURPOSES UNLESS STAMPED B SIDNED TS WITH AN ORIGINAL ARCHITECTS C STAMP AND SIGNA'NRE. � i' i I i < I i I : EXS7ING WINDOWS DATE ISSUED: NOTE: NEW DOORS TO MATCH EXISTING REVISIONS: �201 3/4" X 9 1/2"L DOOR HEIGHTS. - HEADER OVER WINDOWS RS. DASHED LINES INDICATE EXISTING CONDITIONS TO BE REMOVED/ALTERED. SPIRAL STAIR DESIGN BY OTHERS. A B /A B 3 �. ,3 PERMIT SET ' PROGRESS SET PRICING SET PROGRESS SET D7?Am}C. SECOND FLOORPLAN LOFT FLOOR PLAN ORT�1, 1- Y -�* TYPICAL NOTES: /p 7 REGISTRATION SIREVNC RAMINGS COMPLETEGNANND AIORRTO ENCLOSURE BY PINNTTERIOR WALL PLASTER BOARD/FINISH. s CONTRACTOR SHALL SCHEDULE AND PROTECT FORM WEATHER ALL \• AND CONHOUSE RUUCCT TEMPORARY STRUCNRES%ENRS CLOSURES AS MAY BE SCALE: 1/4'=1'-0 NECESSARY TO INSURE SUCH PROTECTION. CONTRACTOR SHALL SITE INSPECT ALL EXISTING VS.PROPOSED 0 i 2 4 CONDITIONS PRIOR TO AND DURING CONSTRUCTION AND NOTIFY DESIGNER 8 OF ANY DESCREPANCIES,AND/OR CHANCES THAT MAY BE ENCOUNTERED. CONTRACTOR SHALL CONSTRUCT AND MAINTAIN TEMPORARY WALLS/ SHORING ETC.TO MAINTAIN/PROTECT EXISTING HOUSE AND STRUCTURAL INTEGRITY OF EXISTING HOUSE. SHEET N0. CONTRACTOR SHALL SITE INSPECT/VERIFY ALL EXISTING A PROPOSED - CONDITIONS PRIOR TO AND DURCM CONSTRUCTION AND MAKE ADJUSTMENTS nn'� AS NECESSARY TO INSURE COMPUARCIE WITH DESIGN PARAMETERS AS SECOND WORK PROGRESSES. HATCHED AREAS INDICATE EXISTING CONOITIONS. LOFT FLOORPLANS _ DASHFD LINES INDICATED EXISTING CONDITIONS TO BE REMOVED/ALTERED. TOTAL NUMBER : SHEETS AS USED IN THESE DOCUMENTS,'PROVIDE'MEANS"FURNISH AND INSTALL:' 1 ' IN SET: WHERE AN ITEM IS REFERRED TO IN SINGULAR NUMBER IN THE CONTRACT DOCUMENTS,PROVIDE AS MANY SUCH ITEMS AS ARE NECESSARY TO COMPLETE 4 THE WORK. DRAWINGS AND SPECIPCATIONS SMALL BE TAKEN TOGETHER;PROVIDE WORK SPECIFIED AND NOT SHOWN AND WORK SHOWN AND NOT SPECIFIED AS THOUGH lNVALJD REQUIRED E%PRESSLY BY BOTH.ALTHOUGH SUCH WORK IS NOT SPEOFlCALLY THIS SHEET SHOWN EN NCES.DE PROVIDE MATERIALS INCIDENTAL E OR MTO OR NE ES ITEMS CONSTRUCTION SET 11 . 11 - 0 4 APPURTENANCES,DEVICES OR MATERIALS NNCRY ORL IS OR NECESSARY F'OR UNLESS ACCOMPANIED BY SOUND,SECURE AND COMPLETE INSTALLATION. A COMPLETE SET OF WORKING DRAWINGS 1 TYPICAL NOTES B� O I6"O.C.UNLESS OTHERWISE NOTED. A 1.NOTES. EXTERIOR WALLS SHALL BE 2X4 /O 2.ALL INTERIOR WALLS SHALL BE 2X4 ERT WHLNCFRAMINGONIS CO�MVLE SIGNER P OR RTO ENCLOSURE BY NTERIOORR O T6"O.C.UNLESS OTHERWISE NOTED. .�.VALi PLASTER BOARD/FINISH. CONTRACTOR SHALL SCHEDULE AN PROTECT FORM WEATHER ALL ROUGH OPENINGS PRIOR TO ORDERING WINDOW OWS. ARCIiITECTS,INC. EXISTING HOUSE COMPONENTS ANO INTERIORS DURING CONSTRUCTION 3.CONTRACTOR SHALL VERIFY ALL WINDOW AND CONSTRUCT TEMPORARY STRUCTURES/ENCLOSURES AS MAY BE NEW SKYLIGHTS TO MATCH EXISTING NECESSARY TO INSURE SUCH PROTECTI SIZES. MIRROR LOCATION OVER 4.CONTRACTOR SHALL YERIFY ALL DIMENSION ANCRI'FF.(:ITIBR PLANN'NQ COWFRUCTION MAIN FRONT DOOR, AS SHOWN. PRIOR TO CONSTRUCTION. CONTRACTOR CONTRACTOR SHALL STE INSPECT ALL'Qp/NXISTING VS.PROPOSED RAISE EXISYG ASSUMES RESPONSIBIUTY FOR ANY MISSING OR CONDITIONS PRIOR TO AND DURING CONE TRUCnON AND NOTIFY DESIGNER PLATE HEIGHT, INCORRECT DIMENSIONS NOT BROUGHT TO OF ANY DESCREPANCIES ANf/OR CHANGE',THAT MAY BE ENCOUNTERED. THIS SIDE ONLY.CONTRACTOR ME ATTENTION OF THE DESIGNER. PO BOX 43 SHORING ITY OF SHALL MAINTAIN AI HOUSE`T AND MAINTAIN TEMPORARY WALLS _ -__ YARMOUTHPORT,3MA 02675 SHORING ETC.TO MAIHTAIN/PROTECT E%ISIING HOUSE AND STRUC RAL St CONTRACTOR SHALL SITE INSPECTeC/y/CFERRIFY11pRALL EXISTING VS.PROPOSED ASNDITIO NECESSARY TOO ANDURE CUMPI.JANCONE T%UCYONDESI AND MAKETADJUERS AS EN (508) 362-8883 WORK PROGRESSES. '— HATCHED AREAS INDICATE EXISTING CONDITIONS. DASHED LINES INDICATED EXISTING CONDITIONS TO BE REMOT'EO/ALTERED. - AS USED IN THESE DOCUMENTS,"PROM MEANS"FURNISH AND INSIALI" J,1t h:EYb EX:ST'C: .Y.IjT'G WHERE AN ITEM IS REFERRED TO IN SNGULAR NUMBER IN THE CONTRACT . L' ,'•�•l- tLL��JJJ DOCUMENTS,PROVIDE AS MANY SUCH ITEMS AS ARE NECESSARY TO COMPLETE n RENOVATIONS THE WORK. I 4 21'1 ' r LOFT SUBFLOOR m LOFT SUBFLOOR --- - - ------- --- - -'------- V DRAWINGS AND SPEOFICATIONS STALL BE TAKEN TOGETHER•PROVIDE WORK -` -''Zr*- -------" FOR SPECIFIED AND NOT SHOWN AND RK SHOWN AND NOT SPECIFIED AS THOUGH .-.-.--._-- -.-.-.- - _ --- ---- - _- ----__--- - --- _ ......- _.._ ..-...... _ - REQUIRED EXPRESSLY BY BOTH.A TMWGH SUCH WORK IS NOT SPECIFICALLY -- -�_ - -.-.----- ----- (-�.�T �'r I'�"T J�J F _-_lytp _ -. �. SHOWN OR SPECIFIED,PROVIDE SUPPLEMENTARY OR MISCELLANEOUS ITEMS CEILING CEILING p APPURTENANCES,DEVICES OR MATERIALS INCIDENTAL TO OR NECESSARY ROR (�__ SOUND,SECURE AND COMPLETE INST0.LLARON. �' _f Y t 1 r x I THE GEARY Iff, 1 1Y-tr7� y I � - i c �� YItiJ�l RESIDENCE ,-�i �C j t 1J kI r f ,t] -0� II y47T `T rr OCEAN GATE CONDOMINIUMS SECUNO FLOOR -LIJ I I� ,�� ---__.-,_-_ SECOND fL00R �.-.-.-.-.-._.--.-----.---- - -- t r� 4 S + - -.-'--.-. HYANNIS. MA 7.LLL 'J .f I'l.rr L 4 J Li +f 7 J Tyr rTr r r �4r71 S a T' ,1. L�, J.LT I �qST ELEVATION NO ES: B A ALC EXTERIOR TRIM, SIDING, &ROOFING DETAILS TO MATCH EXISTING. A. THESE PLANS ARE NOT TO BE USED FOR PERMITTING OR CO.—UCRON PURPOSES UNLESS STAMPED A SIGNED WITH AN MUNAL ARCHITECTS STAMP AND SIGNATURE. DATE ISSUED: REVISIONS: NEW ROOF T'' t-T1 p,Elg FRAMING TO MATCH EXIST'G PITCH. r .Lr... _ 1 __ I EXISTING WINDOWS, NEW LOCATIONS LOFT SUBFLOOR _ '. 11J'III TI 1T f �J I� PERMIT SET �.-. PROGRESS E7 CEILING hh PRICING SET nCEiLIN_G�' .... ;x ^ , ` PROGRESS SET V - _ ], _. ,...�� iT _ �, � �•1� 4'',--;��-I '1�-r- i I I _ P__(t - ..__.. .. __._ 4" _ It71J ''r"X i r✓� - '} ��,� �.4' 1 J., f ,r ,.>r i'r"rl.�T�r� 11:-Jt I.I� ��rr'_"�1 [�.�YY >j,f) H rl - - __ ;�`'9•oa�RTr�'i1 'J 1 ,•-J i �, r.J.TT_f'CT;i•.. i t,rF'l. S1. LJ1.�tX.i,-."I T:-. L.,!Lr. ?-rl_i1f 1.:1 LOOK 7rJ N FLOOR .•., ,S.,CI.�._�T -T.... r. �[T'. -�--�r�In' �� , ,� I ._ _ SECOND --°d'2 f. ..14 .L ,�, .-.-..-__'-. ,,T,I L:. .. :'i. '. YL T7� '�r' r.-. `7- v 7' `;,151�,-.'-i` .�i.'rr� .r,T-u', _._V tI+oRT. W 4� - }}-�� r �.-.-.-.-.-.-. t t1 ' 1 ,�]' i. T,.:)'i r..,I r.L L' r-.-J-T•,L•-r'ZYT'.r-,•-r-t: �I `,., I'�l' Tl J_ -.-L .l t,_ .4- u-T. SECOND F � �� :T7'"�{ 'I - ,..,�.iJ�;.�, :�" t I1' :•T----•��{[y L�, -.,• Tl..r C,s-.L'�I`- -� �'r � j Tr if`n 1.' - �.1 - - �i •1�� 'T'' r t�.i_ L�f��_.i'" rr :..1"Tr ��. ;T L r��-r�` Tr�T-`H ,,., '.;n H 7 j rZL,r•� ;. 4 'TL[i 'Ttl, y-� L. _, _ r �,'r 1 r :z T� I -Tr�TJ' rJ 1'i,:.:.+7'"'_ REGISTR P.TION ZI ti. i+t' ''�•:1-•I YET.� 7 �L1TrrCCF'�L �-(L ��II�,��i r' r'y'f L5L� -- � � !'� - �ILIr CT�L�I,rT�' I' 44 -1 �r„yn- 1.] i Jar. Yf.yrLW.� r�'t L.Sj rl.=r -l �u -y 1.C4J:1 SHALL: Ti T TI �I �. t,j,. I . = v_. Lr� a'r _. Li: _i - - U 1 2 B i[.�r,J ,-Jt rr r _L7.-L,�� 1 L'I'.- '1��1,... ..1. ..t.. .-..47,-J._ �•=lI'- SHEET NOL SOUTH ELEVATION WEST ELEVATION A.2 0ELE VA"f I ON S NOTES: NOTES ALL EXTERIOR TRIM, SIDING, &ROOFING DETAILS ALL EXTERIOR TRIM, SIDING, &ROOFING DETAILS TOTAL NUMBER OF SHEETS 70 MATCH EXISTING. ' TO MATCH EXISTING. IN SET: J 4 SET 1 1 1 /^, THIS SHEET INVALID CONSTRUCTION S E I 1 1 , 1 1 , O T UNLESS COMPLETE P ETEOF - WORKING DRAWINGS ERT -2X12 F�AFTER .A 6-10d TO RAFTER I ARCHITECTS,FNC. ANCII,'I'NCI URR PI.A•NNING C(MSTRfIClIfIN PO BOX 343 YARMOUTHPORT, MA 02675 2 ROW. 10d 0 6 (508) 362-8883 r� BREAK PLYWOOD®2X4 TIE. ,-. 2%10 J0157 I S70P PLYWOOD AT RAFTER 7.5+/-r,.",p;:� i -BREAK PLYWOOD®2X4 T.E. BREAK PLYWOOD®20 TIE. 6-10d TO JOIST �1-L RENOVATIONS STOP PLYWOOD AT RAFTS 8 / ? 8 t.p,\ 5 STOP PLYWOOD AT RAFTER 12 �;>a". FOR: CONNECTION W/ TIES - 7.5 LOFT 3 U K,.� LOFT a THE GEARY e I 2X4 TIES 2X4 TIES- ram! '! 1 LOFT SU6FLOOR (i 2X4 TIE LOFT SUBFLOOR n ------.-'-'-'-'� RESIDENCE———— — E 1 2X10®16'O.C. _ _ NEW 2X10016O.C. CEILING ——— CEILING —'—"— J, 5-0 1/2' g - OCEAN GATE CONDOMINIUMS HYANNIS, MA " MAIN FLOOR MAIN FLOOR -- - SECOND FLOOR.SUBFLOOR� - _ SECOND FLOOR R JOISTS SUBFLOOR n XISTING FLO EXISTING FLO R JOISTS V A SECTION Q LOFT/RAISED PLATE HEIGHT o RPf� B SECTION @ SPIRAL STAIRCASE TO LOFT 1/2"GAP JOIST 4-SIMPSON SDS 1/4 X 3 THESE PLANS ARE NOT TO 9E USED FOR PERMITTiNO OR CONSTRU-M PURPOSES UNLESS STAMPED k SIGNED MM AN ORIGMAL ARCHITECTS STAMP AND SRNATURF_ RAFTER TO JOIST CONNECTION — DATE ISSUED: REVISIONS: ASPHALT ROOF SHINGLES ASPHALT RIDGE CAP ROLL VENT ix II' ( f., I I VI. ,•) ( ) 'I ,X SIDING(SEE ELVS.) I II AAA NNN RIDGE BOARD SI �:� '1 Ali 'TYVEK"HOUSEWRAP �Y (STRUCTURAL SIZES BLOCKING )� ,/` •\ \ PERMIT SETSET MAY VARY) �'' I1I 1/2"CD%PLYWOOD �Y1i II 2X4®16"O.C. ASPHALT ROOF SHINGLES IJ ' "� ,: u�.,�- PRICING SET ' 2X4 0 16"O.C. ">� PROGRESS SET 15Q FELT PAPER �, ��- R-13 FIBERGLASS INSUL. 5/8-CDX PLYWOOD 6 MIL. POLY VAPOR BARRIER 1/2-G.W.B. RAFTER VENTLi \ _� F � 1/2" G.W.B. J G TYP.WALL NOTES-- YAES HI BATTY INSUL ` TN O.^N�s 2X12 RAFTERS REGISTRATION SCALE: 1/A•=,'-0• h� TYPICAL INTERIOR STUD WALL RIDGE VENT DETAIL TYPICAL EXTERIOR STUD WALL4 1 CALE,-1/1•-,'-0• TYP. RAKE DETAIL 3 SCALE,-,/�•-,•-0• SCALE,-,/:-m,-0- 0 , 4 R S L s AUE,-,/Y-_,•_D• . SHEET NO. A.3 SECTIONS/ DETAILS TOTAL NUMBER OF SHEETS IN SET: 4 THIS SHEET INVALID C O N S T FI_\' �J C T I O N SET 11 . 11 . 0 4 UNAESS COMPLETE SETEOF Y WORKING DRAWINGS 1. tr X.. I K TYPICAL LVL/GMIULn 1LAM /4-BEAMS NAILING ERT ARCHITECTS,INC. nxcDrLT;cruxr, rWNnTNO coNsrammoN _ 2 PEWS 0-4' 2 ROWS OP 16D NALS W 12'O.c n _ _ . I 22 PO BOX 343 YARMOUTHPORT, MA 02675 -- (508) 362-8883 I ]PEfYS D-1' 2 ROWS Q 1/2'OLW EIOL15 O iL'O.G p RENOVATIONS FOR: THE GEA,,RY RESIDENCE OCEAN GATE CONDOMINIUMS NOTE: HYAINNIS, MA FRAYING PLANS ARE CONCEPTIIAL. IT IS THE RESPONSIBILITY OF THE CONTRACTOR DOUBLE RAFTERS TO TO ENSURE THAT RNAL STRUCTURAL DESIGN AND CONSTRUCTION ADDRESSES ALL LOADS AND IS iN COMPLIANCE WM ME MASSACHUSETTS STATE BUILDING CODE. CATCH DOUBLE JOISTS BELOW ------------- ._�- .N_••s.. ..—.___ _ ......... ._.._..___.. -.__.-...__............. .......... _ ___ _ _ - _ _ _ __ __ _ _-_ __ _ __ _ _ _ ' I (1 0 _ , I ' I 2X4 VERTICAL TIES SEE SECTION �. . ..I . �I ti III i C I 7 2X1 ®16 O.0 m Igo ' l ' < E I o 2 Xt FP n N vN I V /4X 1 7 8 L 2 3 4X9 1/2 LVL I •'-, THESE PLANS ARE NOT TO BE USED N ' .`� FOR SE UNLESS OR CONSTRUCTIONSIGN 2 12 8"O C. I I I I PURPOSES UNLESS STAMPED R SIGNED 335 / WIM AN ORIGINALAND ARCHNECT5 STAMP AND SlfiIANRE R111I N , 2X1 ' _- _ I o �__..._____..._ _ _._....._... / %9 II DATE ISSUED: $ I 2013 X9 1/2 LVL I 13 4 1/ L x I. I i I II cI r r I REVISIONS: ,. I; 5! N MI i •,I �, I -- --- 2X4 VERTICAL TIES li I! I! •- --:_-_i SEE SECTION 5' P, ill ------------------------ - - 4-SIMPSON LSTA 24 --- --_ - ----- STRAPS BEHIND CORNER BOARDS, PERMIT SET PROGRESS SET ALL POSTS SHALL BE PRICING SET SOLID 04 UNLESS OTHERWISE NOTED. ALL EXfERIUR//pDO//Ofj 8 WINDOW HEADERS SHALL PROGRESS SET OTHERWISE Nl)1E15.2 FLITCH PLATE BETWEEN UNLESS "Ey!C y'Ya A B 2 jP POPS3 �3s Y JF NA'S'r�J 2®1 3/4 X it 7/8"LVL - � FACE MOUNI'HANGER REGISTRATION LOFT FLOOR FRAMING ROOF FRAMING -- -- >� 3.1 3/4 X 11 7/8"LVL SCALE: 1/4"=I'—O• ] I 2 4 9 C RIDGE TO RAFTER CONNECTION SHEET N0. A.4 FRAMING PLANS -TOTAL NUMBER OF SHEETS IN SET: -THIS SHEET INVALID CONSTRUCTI 0 N SET 11 . 11 , 0 4 UNAESS COMPLETTE SETLOFBY WORKING DRAWINGS � CONDOMINIUM . 14-934 , MODIFICATION PLAN OF LAND IN BARNSTABLE N ; Down Cape Engineering, Surveyors i November 1975. • � �. .1 S�,,o sr •� I 1311. HAWES ( 40.06 wide ) AVE. . 700 00# 00" E G� 160 119. 73 z • el158 4A O Cone. R0o101. WV11' ' eh. I,OB.48' qO Meon High Woter Mork PROMENADE I f I FOR MOREDETA/LS AND DESCRIPTIONS OF THE UNITS HEREON SEE PLANS AND DEEDS ON FILE IN THE REGISTERED LAND SECTION OF.THE REGISTRY OF DEEDS AND NOTED ON THE MASTER CONDOMINIUM CERTIFICATE ISSUED REFERRING TO THIS PLAN. Modification of Lot 4 Shown on Plan 14934D n, Filed with Cert. of Title No. By the Court Registry District of Barnstable County / Copy of art of P/an • LAND R GE ISTRAUON OFFICE Record - MAR. 22, 1976 Scale of this plan 40 feet to an inch MAR. 22i/976_+ R.L.Woo dbury, h7giaeer for Court rm LCE•D•2. 25M-1•71 . NOTES: ERT I. ALL EXTERIOR WALLS SHALL BE 2X4 <^ O I6"O.C.UNLESS OTHERWISE NOTED. II 2.ALL INTERIOR WALLS SHALL BE 2X4 O 1E'O.C.UNLESS OTHERWISE NOTED. ARCHITECTS,INC. 3.CONTRACTOR SHALL VERIFY ALL WINDOW ROUGH OPENINGS PRIOR TO ORDERING WINDOWS. ! 4.CONTRACTOR SHALL VERIFY ALL DIMENSIONS * ARCRITgCTURF. CONSTRUCTION' PRIOR LNTERIOR9 PLANNING TO CONSTRUCTION. CONTRACTOR �' ASSUMES CORRECT DIMENSIONS NOT BROUGHTSTO G OR 939 MAIN STREET, D1 THE ATTENTION OF THE DESIGNER. I PO BOX 343 YARMOUTHPORT, MA 02675 tel (508) 362-8883 , fax (508) 362-4883 1tlM.ERTARODIFC1SGp1 ADDITIONS&RENOVATIONS w . _ FOR: THE CONRAD RESIDENCE 21'-2• 6 6 ---'—' '-- 21 HAWES AVENUE UNIT 4A LINE OF WALL BELOW i I OCEAN GATE CONDOMINIUMS ------------------------------- ----------------� -------------------..-----------_...---------- .....__....__...---- ------------ -------------------------- •fiYANNIS,MA O O o HIGH COUNTER 0.30 M D 3 BATH ......_ /2- o KIT. SH ER LIVING AREA ------ 2668 FOR PERMITTING OR CONSTRUCTION 4----�-NEW SKYLIGHT THFs PLANS ARc NOT TO BE u4D PURPOSES UNLESS STAMPED R�m o R2'-5• Q0 HALL _ ....... WITH AN tM N. 1E .� STAMP AND SICNATDRE, D_ NEW SPIRAL STAIRCASE DN OPT�EN ON LOFT x BEIOWu, 4 SHELVE tj, o / \ o RELOCATE EXISTING DOOR&WALL DATE ISSUED: TO ALIGN W/EXISTING STAIRWELL, AS SHOWN. H i` A.. I , \ � REVISIONS: H i 3'-8• WINDOW TO. --_--- 3 LINE OF EXISTING EXTERIOR WALLS CENTER UNDER , RIDGE LINE _______________ __________________: NEW SKYLIGHT :7r F , I ' o B DROO�A :2 lilji i3.1 I PERMIT SET UTILITIES PROGRESS SET PRICING SET PROGRESS SET ------- ' EXISTING WINDOWS 1 f SECOND FLOORPLAN LOFT FLOOR PLAN TYPICAL NOTES: _, , REGISTRATION STRUCTURAL ENGINEER/DESIGNER TO PEREORM MAIMING INSPSECTION WALL LL PLASTER BOARD 7P�1 S AND PRIOR TO ENCLOSURE BY INTERIOR CONTRACTOR SHALL SCHEOUIE AND PROLE T FORM WEATHER ALL EXISTING OR SE COMPONENTS AND INTERIO S DURING CONSTRUCTION SCALE 1/6"=1'-0' NECESSARY TIO IN91 RICH PROTECCTIC RES"EST AS MAY BE 0 1 2 4 g CONTRACTOR SHALL RTE INSPECT ALL EXISTING Y$,PROPOSED CONDITIONS PRIOR TO AND DU RIND CONSTRUCT AND-NOTIFY DERGNER 1. OF ANY DESCREPANGES AND/OR CHAN��GgqESS TKA MAY BE ENCOUNTERED. 5�y{aFRNCT Tf7C SHALL TO MAFOTAINRUROI ERISTUY6:H EOUSE TEMPORARY STR ICSIURAL INTEGRITY OF E%ISTNC MO�SE ra SHEET NO. CONTRACTOR SHAH SITE:MISPECT/VERIFY ldl�S11NC VS,'.PROPOSED, CONDITIONS.PRIOR TO ANp;OURIHNCC 000NNSTRU A?7D NA ARS AS ENT$ .. ' AS NECESSARY 0-INSURE OOMPLT(NCE NR,1� MA@,ARS AS . 'ty SECOND & WORK PROGRESSES -'l p. HATCHED lftEns INDIQ�TE_E%ISTNG GDNId1T+QN$. .� ' i � 7 �,.I LOFT FLOORPLANS. DASH�y(NcINrnSATj<D'gnsTNwebppalwtl .7RF�sfONED/ALTFREfj:� I TOTAL SHEETS F AS USED D�"Tfb!§E 90E%1!"f(•:NTS PaOYNE,(�(�'AN$ ll(NkSHrAND INSYALl:j¢ _ l NUMBER OF IN SET: ; aplk SIC 4 :.. ! , tl}_ :'.. -. s s .. -,:- �:E'tA N•. 4 •+PaOViDE.. THIS SHEET INVALID y� sPFrIE NL CCOMPANIED Y .SNPa:.e-........I•.. :.. .. ...:... a, ,.- .tl `,r -a.. 5' T� .. A COMPLETE.�.,.5 ...-d -. ,k.•:_.. �._ SET OFB YR _ WSTf�2LI'll� 0 N� T 0 9 . 16 . 0 5 WORK LNG DRAWING SE g: T ' i 5 ;N L ._.. .-, _ Y TYPICAL NOTES t NOTES: - ERT 1. ALL EXTERIOR WALLS SHALL BE 2X4 { _a STRUCTURAL ENG11,111 F=1ER TO PERFORM FRAMING INSPSECTION •AL O.C.UNLESS OTHERWISE NOTED. WHEN FRAMING IS COMPPLETE AND PRIOR TO ENCLOSURE BY INTERIOR - WALL PLASTER BOARD/FINISH. 2.ALL INTERIOR WALLS SHALL BE 2X4 O 16"O.C.UNLESS OTHERWISE NOTED. CONTRACTOR SHALL SCHEDULE AND PROTECT FORM WEATHER ALL - EXINT HOUSE COMPONENTS AND INTERIORS DURING CONSTRUCTION J.CONTRACTOR SHALL VERIFY ALL WINDOW ARCHITECTS INC. M RARY TR OSURES W MAY 8E f ROUGH OPENINGS PRIOR 7D ORDERING WINDOWS. j` U T TE PO S UCIURES NCL !I,f- AND CONSTR C /E 4.CONTRACTOR SHALL VERIFY ALL DIMENSIONS ARf,WTECTUftf[ CtNRSryOCTtOtl {{{ NECESSARY TO INSURE SUCH PROTECTION. NEW SKYLIGHTS TO MATCH EXISTING PRIOR TO CONSTRUCTION, CONTRACTOR CONTRACTOR SHALL SITE INSPECT ALL E%ISTING V5.PROPOSED SIZES. MIRROR LOCATION OVER P CONDITONS PRIOR TO AND DURING CONSTRUCTION AND NOTIFY DESIGNER MAIN FRONT DOOR, AS SHOWN. OR RESPON98NS N FOR ANY T TO OR LN773IttORR W1RNB:G OF ANY DESCREPANCIES AN0/OR CHANGES 1HAT MAY 8E ENCWNTERED. INCORRECT DIMENSIONS NOT BROUGHT TO THE ATTENTION of THE DESIGNER. 939 MAIN STREET, D1 3 CONTRACTOR SHALL CONSTRR/UUpRCRT AND MAINTAIN TEMPORARY WALLS/ INiECRITYEOF E%OISM I NOUSE.OTECT EXISTING HOUSE AND STRUCTURAL PO'.BOX 343 ' YARMOUTHPORT, MA 02675 CONTRACTOR SHALL SITE INSPECT/VERIFY ALL EXISTING VS.PROPOSED CONDITIONS PRIOR TO AND DURING CONSTRUCTION AND MAKE ADJUSTMENTS CAS ORK PROGNESSES,INSURE COMPLIANCE YATF1 DESIGN PARAMETERS AS .- tel (5O6) 362-6683 HATCHED AREAS INDICATE EXISTING CONDITIONS. fax (506) 362ILOW DASHED LINES INDICATED EXISTING CONDITIONS TO BE REMOVED/ALTERED. ./,Sr„ WW'WIATARQHIECT5.001 AS USED IN THESE DOCUMENTS,"PROVIDE"MEANS'4URMSH AND INSTALL" . 0 0_ WHERE AN ITEM IS REFERRED TO IN SINGULAR NUMBER IN THE CONTRACT I _ DOCUMENTS,PROVIDE AS MANY SUCH ITEMS AS ARE NECESSARY TO COMPLETE THE WORK. LOFT SUBFLOOR _ .__._-- --- ----------'--- -'--- ------ ----------- �l SPECIFIED AND NOT SHOVM AND WORK SHOWN AND NOT SPECIFIED AS THOUGH 0 -.--.---:-,---- REOUIRED EXPRESSLY BY BOTH.ALTHOUGH SUCH WORK IS NOT SPECIFICALLY .-..-.-.__. _.-.-- _- -------'-- - '--------'- ----�-�- --- -- -- --_ ADDITION SHOWN OR SPECIFIED.PROVIDE SUPPLEMENTARY OR MISCELLANEOUS ITEMS _ \ APPURTENANCES DEVICES OR MATERIALS INCIDENTAL TO OR NECESSARY FOR ry CEILING�' 1. -,--," 1 - I; - -1 I I [ :.� T 1,.is II CEILING FOR: SOUND,SECURE AND COMPLETE INSTALLATION. P : - 7 4 l- I t;` C _ _ J - 41 , HT I — I [] I---- - I I � , 1 t f1_11 I f ` 1 THE CONRAD - -- f t T'*D.r I BIZ i L r,•L I-'� h ij -7-..I 11-;.Al .. f LI L fIr _ _ . I it-- .-rT- JY7I I 1, RESIDENCE SECOND FLOOR , ...__.-.-.--.-.-.-.-.- Y T. .- ,'-Fr-�i L , 4' 'r? Lt-u2' .i 1'' f-.,p Y i :# ' ----.--- SECOND FLOOR Y I-f'i J r'- Lf __.-.-.-.-.- -.-._. -�I` A F 1: �_�:- - � W _ -- 21 HAWES AVENUE . 101 r ",11 1 '� �` ��1 i UNIT 4A Pp . r 'C { x-1 L � - L f.'' �.. i u �'T 7*'r^ fi't l I f" tl ° l��,17 J -r '� _.. -,.l r - >r`:. �� ` t'7 fI,I_, ':_ �� >� .1 T r,, I-. ' tL--5t Ci: j C)cEAN GATE CONDOMINIUMS -----._..--.-.-.-.-,-.-.-.-._-. ,�''` L�.-' r - f� :k a.�. -�-x,-_'- i ,r,*''-Er-1� =t`,�rT--- _ u�11 'ry.-.L 1 "'r,3 ice, iF,< ,7 {:�L7r ;"t, ,'f, -nL ty T_r, i - ._. HYANNIS,MA li� EAST ELES/A<'fl-ON . ----aF afiEXTERLOR'TRIE SIDING. &:1jQOFB#$ ?ALs: 7i1 hS'A�TCk EXISTTN6. t T .. - - I F THESE PLANS ARE NOT TO BE USED FOR PERMITTING OR CONSTRUCTION k:". } *, T - d *'" Nt AN ORIGIN SS STAMARCNITECTS r . < rlal ANP AN SIGNATURE _.. fi 1 k ST D TUPE r Ir�,t y / 5, _ I r j t �' y rr rtJJ,, ri,-t ltr. �L r r ,_.,.,. ., r. ,. - _ REVISIONS: DATE ISSUED- a R S I. i s11 6 I 1.: "T t .. 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