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0051A HAWES AVE
3�3 -- ®a`f Town of Barnstable Building .�: . .. a �. g :' Post Th�s.Card So That�rt`as Visible:From the Street=.A� rovedPlans Must be�Retamed on�Job and this Card Must be*Ke' t� Permit Where a Certificate�iof,Occu anc. s Re wired such Bw>Idin shall Not be Occupied until a�F�nat Inspection,ha�s been made Permit No. B-19-2153 Applicant Name: LIPPART,JACK D& DALE Approvals Date Issued: 07/03/2019 Current Use: Structure Permit Type: Building-Smoke Detector-Fire Alarm Dection Expiration Date: 01/03/2020 Foundation: System Map/Lot 323 004 Zoning District: RB Sheathing: 1 Location: 51 A HAWES AVENUE,HYANNIS � ContractorNarne Framing: 1 Owner on Record: LIPPART,JACK D& DALE Z Contractor,License e 2 Address: 734 14TH AVENUE - - —L. _ject Cost: $0.00 Chimney: PROSPECT PARK, PA 19075 Kermit F,.ee. $35.00 Description: up date smoke detectors Insulation: Fee Paid $35.00 Date 7/3/2019 Final: Project Review Req: Al a - ,.ter• C� Plumbing/Gas Rough Plumbing: _ . This permit shall be deemed abandoned and invalid unless the work authored b, tthis permit is commenced within six months�after issuance. Final Plumbing: nAll work authorized by this permit shall conform to the approved application adithe approved construction documents for which this permit has been granted. MW ` ' Rough Gas: All construction,alterations and changes of use of any building and structures shall pe in compliance with the local zoning by laws and codes. g This permit shall be displayed in a location clearly visible from access street or!�oad and shall be maintained open for public inspection for the entire duration of the work until the completion of the same. '; Final Gas: The Certificate of Occupancy will not be issued until all applicable signatures the Building andFireOfficials are provided on this permit. Electrical Minimum of Five Call Inspections Required for All Construction Work: ft 1.Foundation or Footing Service: { 2.SheathingInspection P Rough: 3.All Fireplaces must be inspected at the throat level before firest flue lrnin is installed -- I P P _. g 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Final: 5.Prior to 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: tc Building plans are to be available on site Fire Department All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Application Number.... ............ • BARNWABM PIP MAS& Permit Fee............... Other Fee,....................... 163 TotalFee Paid............................................................... ...... TO" OF BARNSTABLE Permit Approval by.......... .....".................7/77.. l BUILDING PERMIT Map..........�. .3.........Parcel........... APPLICATION Section 1 — Owner's information and Project Location Project Address _V �2 JbJ Village 32aXt?ke Owners Name. z Owners Legal Address City P1,71t State zip Owners Cell #-ka9 -4,6;?- E-mail ekl &N-9 Section 2 —Use of Structure Use Group_ ❑ Commercial Structure over 35,000 cubic feet ❑ Commercial Structure under 35,00*0 cubic feet R/m:gi)e/Two Family Dwelling Section 3 — Type of Permit F-1 New Construction ❑ Move/Relocate E] Accessory Structure E] Change of use El Demo/(entire structure) El Finish Basement El Family/Amnesty ❑ Fire Alarm Rebuild. El Deck Apartment ❑ Sprinkler System ❑ Addition ❑ Retaining wall Solar Nelkenovafion ❑ Pool 0 Insulation Other—Specify —A Section 4 - Work Description 'T rn -J ri Last undated: 11/15/2018 Application Number.................................................... Section 5-Detail Cost of Proposed Construction66 Square Footage of Project O66 Age of Structure �b� �/ Dig Safe Number # Of Bedrooms Existing Total#Of Bedrooms (proposed) 110 MPH Wind Zone Compliance Method MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics P e ❑ Wiring ❑ Oil Tank Storage Smoke Detectors p ❑ Plumbing ❑ Gas K F ❑ Fire Suppression ❑ Heating System ❑ Masonry Chimney ❑ Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal ❑ On Site Historic District ❑ Hyannis Historic District Old Kings Highway Debris Disposal Facility: I am using a crane ❑ Yes ❑ No Section 7=Flood Zone Flood Zone Designation Within or adjacent to' a wetland, coastal bank? Yes �No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq. Ft. Total Frontage Percentage of Lot Coverage # of Dwelling Units (on site) Setbacks Front Yard Required Proposed Rear Yard Required 'Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes . ❑ No Last updated: 11/15/2018 Application Number............................................. Section 9- Construction Supervisor Name �jQ�� er Telephone Number Address City State Zip � 6 License Number License Type Expiration Date Contractors Email � amn Cell # 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.Attach a copy of your license. Signature Date J-/- /Y Section 10—Home Improvement Contractor Name ! Telephone Number Address /�jo,c/ City % State,� Zip d m� Z / Registration Nu b�er Expiration Date I understand my responsibilities under the rules and regulations for Home Improvement Contractors 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.Attach a copy of your H.I.C... Signature Date Section 11 —Home Owners License Exemption Home Owners Name: Telephone Number _ � 7, 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 re uired by 780 CMR and the Town of Barnstable. Signature Date 4 APPLICANT SIGNATURE Signature Date Print Name 7l Telephone Number 6Q�- E-mail permit to: 4&2� Last updated: 11/15/2018 Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department ❑ Conservation ' ❑ Y For commercial work,please take your plans directly to the fire department for approval Section 13— Owner's Authorization I, , as Owner of the subject property hereby authorize - to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of job) Signature of Owner F 4 date Print Name + Y • Last updated: 11/15/2018 The Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations 600 Washington Street Boston,MA 02111 www.mass gov/dia Workers' Compensation Insurance Affidavift Bwlders/Contractors/Electricians/Plumbers Applicant Information Please Print Leiziibly Name(Business/Organizadon/Individual): 4J/4 L tL L 1 P PArl- Address: J� A AAw Ej A v.IZ City/State/Zip: 1 A"^/t.f, M-A 026a( Phone#: 5-at 7 7 Q� 7 6 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with- 4. ❑ I am a general contractor and I employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- listed on the attached sheet. 7. DIP modeling ship and have no employees These sub-contractors have S. ❑Demolition working for mein any capacity. employees and have workers' 9. ❑Building addition [No workers'comp.insurance comp.insurance.: required.] 5. ❑ We are a corporation and its 10.0 Electrical repairs or additions 3.Q I am a homeowner doing all work officers have exercised their 11.❑Plumbing repairs or additions myself[No workers'comp. right of exemption per MGL 12.❑Roof repair insurance required.]t c. 152,§1(4),and we have no employees.[No workers' 13.❑Other comp.insurance required-.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors mast submit a new affidavit indicating such. tContractors 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. 1 am an employer that is providing workers compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-ins.Lie.#: 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 certify under the p ' d�enaUles of p that formation provided above is true and correct. Si tore: Date: 0 7 0Z 20 r Phone#: S D G F 7 61 Ojjrcial 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.EIectrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone M 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." i 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 inchrding the legal representatives of a deceased employer,or the receiver or trustee of an individual,partnership,association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein,or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152,§25C(6)also states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced acceptable evidence of compliance with the insurance coverage required" Additionally,MGL chapter 152, §25C(7)states"Neither the commonwealth nor any of its political subdivisions shall enter into any contract for the performance of public work until acceptable evidence of 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 permit/license number which will be used as a reference number. In addition,an applicant that must submit multiple permit/license applications in any given year,need only submit one affidavit indicating current policy information(if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)."A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year.Where a home owner or citizen is obtaining a license or permit not related to any business or commercial venture (i.e.a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to.thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax numrber: The Commoawwth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Sheet Boston,MA 02111 Tel.#617 727-4900 ext 406 or 1-877-MASSAFE Revised 4-24-07 e Fax#617-727-7749 www.maw.gov/dia Town of Barnstable i 1 • �� �d�So � � � �� � �•` don Job and�t�his a d M t b�e� t "�-� . , A Post This Carte That rt is Visible From the Sheet Approved Plans Must be�Retame �C us � Kep v Posted Until,Final Inspection Has Been Made " r # . Where a;,Certificate of Occupancy,�s Required,'such Building shall Notybe Occupied untila Final Inspection hasbeen made �z Permit Permit No. B-18-3966 Applicant Name: Dale Lippart Approvals Date Issued: 12/27/2018 Current Use: Structure Permit Type: Building Addition/Alteration-Residential Expiration Date: 06/27/2019 Foundation: Location: 51 A HAWES AVENUE,HYANNIS Map/Lot. 323-004 Zoning District: RB Sheathing: Owner on Record: Dale Lippart Contractor Name Framing: 1 Z Address: 51 Hawes Ave. ` Contractors License: 2 Hyannis, MA 02601 =� Est Project Cost: $82,000.00 Chimney: s y: Description: Create vaulted ceiling in living room,remodel kitchen;relocate and PerrnitFee: $468.20 vW x " I Insulation: add roof over entry door,install new sliding glassdoor Fee Paid:`.' $468.20 g Project Review Req: Date 12/27/2018 Final: Plumbing/Gas Rough Plumbing: Y Building Official Final Plumbing: 1 Rough Gas: This permit shall be deemed abandoned and invalid unless the work authored by this permit is commenced within sizOn onths after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures°shall be in compliance with the local zoning 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 Electrical work until the completion of the same. - `f.S. Service: n°;hi permit. The Certificate of Occupancy will not be issued until all applicable signatures by the,8uildmg and Fire Officals are provided o,,t s Minimum of Five Call Inspections Required for All Construction Work: N Rough: P q t 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons contra ng with unregistered contractors do not have access to the guaranty fund" (asset forth in MGL c.142A). Fire Department Final: Building plans are to be available on site ` 'v 11 Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT `i 'a MEPUHD�B a� ASTATE LLCDN a CODE-E`=0--Z'=Ew�CoMl S ,ado OO NOT SCALE OPAW S OME—IS TAPER FRO-ODTSIDE FACE _STLOALouc EAT -LSANDTOCEMERLINEOF \ U s N Q b STUOS6 V C m L TOM ANVWORK�ACT.OR DESMIER�cNOR�10 THE CONTP u0F "LSDE \ \ mFw.uN.Ro� EE Q IVPL�p OTTw CITED iO"O AHA1SHO T"E�COMESWND "� xEw�R \ :f ,E LVL BEAU.SEE PUN `/�11 ��N BENmEArm ` wu o E H iOR SHAD LOCATE A OO-11E ALL NPUR WATER. PS IT B.B�IDABEL 11 TE�PPo �E ET 1 � � _ � N o .s E E DPAWwGSa o T RE a _ µE�D���PLDMRNGAI WDRASHALL COMPLY—ALL aPUCIBLE CODES RDLES—ETD-�Nfl FIRST FLOOR - _ -- FIRST BOOR S. NLIEaK COMRnCioR vepn iiOS"coST.POLCOORWNiED BY THE -0' — — .. EW WINDOW 2ET0 C I I s. :C-1HARDWARE ro I SELECTEDev OWNcP .: ',E>✓SIN6.. .... ... t.. iopcoomwnTE SCAID SYSTEM COM--LOC—S wl VIM r1 SECT10N1 �a .t a EMmxc C.'APAEY Gm $¢ — - NEWDEwNDu o.� a, AM a c u'Y" xEw CA— O tR x LVWNEAOEA Tvr R FIRST ROOR_ f _— e �qRST F ODR_ _ A , • x . .. ATOgEarrw suDE .. . B W ES _ - REVISIONS- n D NEw wuL II BEDROOM BEDROOMS II EMSDNO—TOREMM. O EXISOMOWUL II _� CL if ......_xs0 --�......_...... :._......_.-: :: I.� T��I flan LNDRY CL DWG.INFO. / AN DATF. 11/X✓IB 6 AMLL mDM von $ FULL BATH BATH SCALE uAL DRAW\ JDH A,Ili� ,.;. O �1 .�...._.............._: ........ IA DU POST CIIKD ® O E%iENi OR ENBTTNI'i -- CFBWG PEMo"AL I:i._......:�d_ ... _. T ___ is ��66 DVING ROOM _ III II T � I L_ IiA ///L�n!,LTE a DDER,ND� SiIL ��// !";I � KRCHEN BEDROOMS �' .T _ 19 txe HEADER MORE a, CL .: SHEET TITLE: _ � m:x.Po uEw sowroff wwoow FLOOR @DEMO D's ED-PErr q.OPEN-TTo EE—LED m tx.POsr PLANS,SECTIONS MS IOIE T.PE—EEICAP SINS Ep DDTTR INs,M�iTms Ev TT TTM s ocEl li Na vAr.cFmeRET«+woTE @F.EEVATIONS ovEE SPmcwwOTw.PREPOPENmOFSR PEP rOnuEw�UL-T'� SHEET@IOB p: AlO A101 n DEMO PIAN 1:.1 FIRST FLOOR Town of BarnstableBuilding 4 P st This Card So That itas.U�s�bleFrom the Street, Approvetl;Plans Must be Retained on Job and this Card Must be Kept MAW Permit Posted Until Fingal Inspection Has Been Matle a . '�.., .' : 39" p64, Where a Certificate,,gf Occupancy-is Regw�red;such Bwildmg"shall Not pe�Occupied until,•a Final Inspection,has been made ... Permit No. B-19-620 Applicant Name: Rodney Tavano Approvals Date Issued: 03/07/2019 Current Use: Structure Permit Type: Building-Sheet Metal-Residential Expiration Date: 09/07/2019 Foundation: Location: 51 A HAWES AVENUE,HYANNIS Map/Lot 323 004 Zoning District: RB Sheathing: Owner on Record: LIPPART,JACK D&DALE Contractor Narne r RODNEY N TAVANO Framing: 1 Address: 73414TH AVENUE Contractor License ``�34'49 2 ff PROSPECT PARK, PA 19076 Est': Project Cost: $5,000.00 Chimney: $85.00 Description: Installing(1) new hydro air hvac system "� Perm�tSFee: Insulation: Fee Paid $85.00 Project Review Req: 3 7 2019 Final: / / (- Plumbing/Gas Rough Plumbing: { ' ; Building Official a- Final Plumbing: i mmenced within s�z"months af[er';issuance. This permit shall be deemed abandoned and invalid unless the work author¢edby this permit s co granted. Rou h Gas: n �f' r_which.this ermit has been • vconstruction docume is og All work authorized by this permit shall conform to the approved application andthe approve p All construction,alterations and changes of use of any building and structures shhall be in compliance with the local zoning by laws and codes. I Final Gas: 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 work until the completion of the same. z J � Electrical The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on th��is permit. PEI Service: Minimum of Five Call Inspections Required for All Construction Work: g � 1.Foundation or Footing a� � ROu h: 2.Sheathing Inspection . �,. g 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Final: 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Low Voltage Rough: 6.Insulation 7.Final Inspection before Occupancy Low Voltage Final: Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Health Work shall not proceed until the Inspector has approved the various stages of construction. Final: "Persons contracting with unregistered contractors do not have access to the guaranty fund"(as set forth in MGL c.142A). Fire Department F� Building plans are to be available on site - All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT Final: Town of Barnstable iin g iP"Ist"This Card So That rt is Visible:From the Street A roved.;Plans�Must be Retamed.on Job and;this Card;Must be Kept 16z� Posted Unt11 Final InspecL�onHas BeenzMade Q Permt 1 ° Wherea Certificateiof Occupancy isRequ ed,such`Buildmg shall Nofbe Occupied until a F nal Inspectwn hasbeen made. Permit No. B-18-3966 Applicant Name: Dale Lippart Approvals Date Issued: 01/02/2019 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 07/02/2019 Foundation: Location: 51 A HAWES AVENUE, HYANNIS Map/Lot 323-004 Zoning District: RB Sheathing: Owner on Record: Dale Lippart Contractor Narne.. Framing: 1 ' r, Cohtractor;License 2 Address: 51 Hawes Ave. , Hyannis, MA 02601 Est Project Cost: $32,000.00 Chimney: Description: Create vaulted ceiling in living room,relocateand add roof over APermi Fee: $468.20 entry door, install new sliding glass door. Fee Paid:;' $468.20 Insulation: 1/2/2019 Final: x ffi W K ; Project Review Req: Project Amended by Applicant. Items wereoncludedryin they project cost that do not require permittingand would have ,� wt�= Plumbing/Gas triggered substantial improvement.The�amended pr6j&t z Rough Plumbing: cost is$32,000 which is not substantial`irnprovement ,._�..... Building� �` ,, g Official Final Plumbing: x Rough Gas: s , A. Final Gas: Electrical This permit shall be deemed abandoned and invalid unless the work a6thonzefty this'permitris commenced within sixfmonths after issuance. All work authorized by this permit shall conform to the approved application and the approved construction documents for which this permit has been granted. Service: All construction,alterations and changes of use of any building and structures shall be n compliance with the local zoning by=laws and codes. <- Rough: This permit shall be displayed in a location clearly visible from access street::, road,"and s'Q_be maintatned,open fo-public inspection for the entire duration of the :: ... work until the completion of the same. Final: i The Certificate of Occupancy will not be issued until all applicable signatures by the Building and Fire Officials are provided on this permit. Low Voltage Rough: Minimum of Five Call Inspections Required for All Construction Work: 1.Foundation or Footing Low Voltage Final: 2.Sheathing Inspection 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed Health 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection 5.Prior to Covering Structural Members(Frame Inspection) Final: 6.Insulation Fire Department 7.Final Inspection before Occupancy 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. Jack & Dale Lippart. 51 Hawes Avenue. Hyannis, Massachusetts. 02601 508-778-0876. January 1, 2019 Sally Shea Regulatory Services Building Division Town of Barnstable 2,00 Main Street Hyannis, MA 02601 RE: Aniendment Revision uildin Perm t: -13-3966. .Dear Ms Shea:: I am writing to amend and,revise the building permit application submitted on December 3,.201.8.. After review and having a better understanding of what is and is not considered in the permitting process please accept the following revision of work description: Create vaulted :ceiling in living room, relocate.and add roof over entry door and install new sliding glass door. The total value of work to:be performed is revised to equal: $32,000.00. If you have any,questions please feel free to contact me at 508-778-0876. . Sincerely yours, Lww 1-A_� Dale Lippart Applicant [JAC&iAtt I A.2010.77,Amendment Revision B-18-3966) y +fir Parcel Lookup Page 1 of 1 in E}Sli` Ch�}l _. !. .. Logged In As: Parcel Lookup Thursday,July 27 2017 Road Lookup Condo Lookup Multiple Address Lookup Reports Search Options Search By IStreet � Street# 151 _ _,,... ..�. Street Name hawes s ..........:........................................_........................_.................... Village Hyannis v Search <Prev Next> Pagel of 1 Rows/Page: 100 Parcel Location Owner Village Index Map 323-005 51 HAWES AVENUE LIPPART, JACK D & DALE HYAN 0675 323005 323-004 51 HAWES AVENUE #A GLUCK, CLIFFORD D HYAN 0675 323004 http://issgl2/intranet/propdata/lookup.aspx 7/27/2017 Town of Barnstable *Permit# Expires 6 months from issue date Regulatory Services Fee _ r + BARNSTABM • y Is t `�$' Richard V.Scali,Interim Director le . Building Division Tom Perry,CBO,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 - EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 3,2,S Op4 I Property"Address 1 1 A (—AM&)e-S -A de ri E(Residential Value of Work$�� 13 — Minimum fee of$35.00 for work under$6000.00 , Owner's Name&Address 0 l — o td G I u c K S 1 =&jq E-4 a r•s M 4d(010 Contractor's Name rl7 t eaSI✓ Telephone Number QD!-ILA-�'8dd Home Improvement Contractor License#(if applicable) / 732- Email: Construction Supervisor's License#(if applicable) O S7e 7 �Winan ork 's Compensation Insurance Check one: ®0 I am4—sble p"ropnetor I am the Homeowner I have Worker's Co mpensation Insurance t / Insurance Company Name Gl�/ l NS � SIN 7 W orkman's Comp.Policy Copy of Insurance Compliance Certificate must accompany each permit. Permit Request(check box) ❑ Re-roof(hurricane nailed)(stripping old shingles) All construction debris will be taken to t Re-roof hurricane nailed not stripping Going over existing layers of roo ❑ ( )( pP C, Y t} ❑ e-side Replacement Windows/doors/sliders.U-Value 3 U (maximum.35)#of windows S #of doors: - ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Electrical&Fire Permits required. *Wheie required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE: Q:\WPFILESWORMS\building permit fonns\EXPRESS.doC Revised 061313 ill r- e onruent-Docums � a��1 P"'anu; rw TR f'�;r 51 dlarse•adf3�v.�;rid.`ar.�nst�f � CSc� "r�s` Rr�e 4_lifr€:dlct�ciai r wKP ) �}�•'t Rlo��fi�3'��;i+.li,°�,�^1��yy'�%"dm�d5;.CTd6 �'�u��vi0.e�3:dl.�1`eaEld��:' �' ��a`}.�.5��y�ygtr>ViwUp aM c I c t�A.21 ww Ali irk z=i 53i Cyr }aac'r oilffwwdl q�ck- Opus 112X011,1' is yktns ikI{iiiQdglulgim� ' . awaial O*=w r rind T'' P,rn-4 t`k.`6&�rgF, :�s��r m N f ok14;r Itc;kdp, Cam&Cud AudFkTrr���&7 Ttmi--is.mile Ciwd ssAvf .�c sa xr ii tu a tau (CT& Kaki:rmpau= Infai dr-a; yoi1h&dm ice, t l u-su -Etc MIS=CEWL&b ALM-A,;VvAllw. by dike Erjls% sff=pvmqwMemi m hi m'.awrrme(wM=ik ^` �'��s�"'�..�t s�I,'•r�a �,', ire si��,�-r a�.cr�m.�1� �m:1i��ent�a�'�c�.�-; .isass�,a�m,� ll alb v�el'�,�P�tu��Qb r�4str "I6 J4'rov, $0 ���'�i0p k►��?�`� �f;¢31�tiN>±4 tNeAafi'm :IiA .mcnlia1OLl�4` ,fF,, mi01 i1re,ilSl3-1LIITM,IM.I hm imft1 r-1;hFIMea,r-a,iF-jz;a glaraffce(fam b a ft oil ;affJ tr a Iti&dl-um.IL&D ac'a eire:rt*of fiff;Eltc.Ifir aa=trar1�1ar<a egis:a fat aupoft camptation. &,I* :s aim,trG,m� duc ahlia hgu rr aaau mmdwarml&r met,r tm gsunrmgg r tipmriw ift co as �.i �l:�tti�i: .�cr c�a�c�'1ffi�1i4.atn,gv wt��cl�r��rtx��i�id���tic:ttn:�t�_ �.-aEs:�ca ►y9[rs�� �G:°_'�` � ��a;orrrr, �nir �31 fly,, mozcd C-Anwmmg Rr,gw cAy rim+.d�w-rha&-ytcf5) f)P 1 w-U-0 r1b, ' r%amdLzisuff s,awe of :a Lramptz"sfgratt,rd da-adl ca-gy ofdds AgNutrataq,fqt g [pm t ai1$z11ea9.',M!�'�Ofiom;afc.=akitkm%,a1a7 tb--d_I--Ew F:fta ilom--t> .a R mi u in16r17ua 4 aif BWs,i ,,e ro-e�,ee el c ztk tff _ MmI� R._ ja 4�R ahisi m mar,tw if H=1 YrQLII a I-re t 14 CL-CC-11P Lr&.:i r,�uf��agt3iTefa:E�t�f-Mgi� n av,%. f Jl SCIL ��7• 1��r� N Tf��M��,ry, '�1� `.WG OF12071''20-1 ORI- T1��`�G�IR�����'��l�iF��t� �y�14�A_C. II E ¢lw° ��L�}� C( " �S7�CTL�rnL r CE ( s�V l I IEII ITT ECG€ 'I�:l -Olt �' ]� ..a hN L'-a "LAN-�O 1�11 0 .ItfGr,.lam MA PAID— TWO, �� �t,ll C .111'iQ.l�i�� 1.�5 I.�C `W49G i - . ®rTO., Ali �1�6u:� �a _ �i, �; i n , L :Massachusetts Department of Public Safety :Board of Building Regulations and Standards License: CS-095707 Construction Supervisor BRIAN D DENNISON 7 LAMBS POND CIRCLE CHARLTON MA 01507 - . n Expiration: Commissioner 09/08/2018 �- d Business Regulation 10 Park Plaza-Suite 5170 Boston,Massachusetts02116 Home Improvemgmgt,-Contractor Registration Registration: 173245 _f Type: m Suppieerit Card #tr" Expirauon: 9/19/2018 SOUTHERN,'NEW;ENGLAND°WINO P BRIAN DENNISON ��� 26 ALBION RD z% LINCOLN;RI02865 /f Update:Address:mid.re(urn.card..Mark reason for c6ange. -scaa a 20ma5iii —'� Address '[] Employment Renewal .Lost Card ❑ C-y/e�Tr.[ 6iioi[inca�/�0`04���.un��nseCA 9j, ue of Gons®erAffairs&Business Regaietion .Registration vatid,Eoi'mdividoal use only before the OMEAMPROVEMENTCONTRAC70R expiration date-H found return to: Office of Consumer Affairs audSdsiness Regulation TYPe: 10ParkYla7a-Suite 5170 Expiratlon 91972018; :Siipplemerit.Card. Boston,MA'02116 f SOUTHERN NEW ENDLAA'ND,WINDOWS LLC. RENEWALBYANDER66N-,Iy; BRIAN'DENNISON .= .=;• 26ALBIONRD � � - LJNCOLN,RI 02865 I:VWdersmrgary Not valid without signature r The Co.t motnvealth of t-fassachusetts epai tmvrzt of hidustrial Accide;zts I' 'JPip ess street.Suite 100 I� Ivivly.Mass gov/dia ,Vori.ers' Compensation insurance Affdairit:Builders/Contractorsll:'Icmicians/Plumbers. TO BE FILED Z�[TH THE PER.ti•II-I�Iti0 AUTHORITY.i -1�plrcaitt Information Please Print De,ib1S� 3rr!'' I3t;siness OrSanization�ndi:•it,ta)• �_„i�11 er I A-dress: -���i✓ C . C i t riS tate/Zip: � �. ,� T�� �� PInolae Are you an emoia er.'Check the 3pprooriatc box_. Type of project(required): !� I i.�', i am a emnlover with etnnioyees 1,full andior part tiine). ;. tZ\v C4n5[r[lCttOn 1 _.I J 1 ar a swe pracrutor or parmcrshin and'nave ao crupioyces workir-g'Lor me in J S. Remodeling III an poet t.i\o^grSe comp.insurance rzquired.l 9. ❑Demolition I 3.n lam a tiorrcoa•ner aoitr all wort.mrsels:i\o::.o eL' .in. ":ce sac aircc.] 17 0 Buildinff addition I am a homeowner and gill be hiring contractor'to conduct all:work o t my orov-- I::ill ensure:hat all=ntractors tither have workers'compensation ins=nce or arc sole t t.r_1 Electrical repairs or additions proprietors:with no r tnInyt. I � .� � Q f-.u lumbin-repairs or additions + i am a_eneral contractor and:have hired:hc sub-cc)w,—__duns listed on the nza ched she:ct — I t r:_„ 13.71 Roof repal:s stub-can�c_ois'rave mpioyecs and ha,.,--v ekurs�comet insurance. u. c are a co oration,and itc e 5cers have axcreised their right of�:emniiun a,'ICi c. `: - - -. and:cc have no emp:avees.'NO:e0r ?ri*COME).nliurn i,-.z:equired.] I 'Any annlicart III't cccck;par=1 must also fill out the sc,-:ion Mu—shovin,their workers'compensmion policy inrnmatinh Homeowner:who submit this atTrdavit indiction_then are doing-.it:pork and then!tire outside contractors must submit a net:at:davit indicating;tch. :Cenmctors[hat check this box must attached tip.additional sheet shoe;ins the name of the sub-com ractors and state whcthcr nr not chose_[unties have ctnptoy�. if the sub-cantreters have tttafoy ,nc�u•must pro•:ide their L:or..er comb.hotter neunh�:. 1 a?K nit eat p1o;er 111 a Is pI-01,idhz ivarkers'coinpeiisatioit IItsitraizce j or it??t eniplgyee& Belo,it'is the polices:acid jot)SR0- N Fij of nation. a 1 % I ar � t ,. q-y�• '.• insurance Company�f are: 9� '1l/�i�1 j � VV r//i�1 ce!/I t,/L/ Policy=or Self"-ins.Lic._ {�� 3 1,36 0 3-f _ _ Expiration Date: Job Site Address: 5 1 A tityic5 Ale— City/State/Zip: Nyar►/lt S .M/� Attach a cop;oi't!ie-workers' compensation policy declaration page(slowing the policy numbir and expir4ton date). Failure to Secure cove,-ag,-as recuired under M.101-c. 15-1§25 'Isa criminal VIolarion Punishable by a idle LID t0 S i,500.00 and'a,-one-year Imprisonment,as welt as civ ii penal lies in the form ofa STOP WORK ORDER and a fine of up to 32-50.00 a day against the violator.A copy of this statement may be Forwarded m the Office of Ialrestigations of the DIA for insurance Coverage ve ii cation. Y I do hereby cet�;.under the prrf is and penalties ofpenjrrty that the irtforinat:on provided above is true and correct Signature: 1 _ � t ✓'-° Date: Phone= l]1 o -- T Official rise only. Do not;vrite in this area,ro be completed by city or town official. �$1:o[tDit'n: Permit/?icense' I -Issuing-utliority.(circle one): Board of'r+•ealth ?.Building Department 3.City TDivn C.ler:k 4.Electrical Inspector S.Plumbing Inspector o.Other i f I I Contact Person• Phone T: SOUTNEW-01. CZOLUNGER DATE(MMIDD/Y CERTIFICATE.,OF LIABILITY IIVS_IJRANCE 61291z01 6 THIS CERTIFICATE, IS.ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER THIS CERTIFICATE DOES NOT AFFIRMATIVELY;OR NEGATNELY AMEND, EXTEND OR.ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTfTUTE A CONTRACT BETWEEN THE.ISSUINGINSURER(S),AUTHORIZED REPRESENTATIVE:OR PRODUCER,AND THE;CERTIFICATE HOLDER IMPORTANT: If .the certificate holder Is an ADDITIONAL INSURED,:the poiicy(ies)must be endorsed: If SUBROGATION IS WANED,subject to the teens and conditions of the li certain_ ncies m require an endorsement: A statement on this certificate does not confer rights to the. Po.�y�. Po ay certificate holder-in lieu of such:endorseinent(s): ACT PRODUCER NAME:. CoBiz Insurance,Inc.-CO PHONE C.Na 3O 988.0446 FA No:(303)988'0804 821 17th St. ATC N 6d.(_ ) Denver,CO 80202 ADFum:CoBizlnsuran _ obizinsurance.com INSURERRAFFORDING COVERAGE NAIC S asuRERA:Continental Westem Insurance Company 10804 INSURED INSURER B Southern New.Engiand Windows LLC INSURERC: DIMA Renewal by Andersen INSURERD: 26 Albion Road Lincoln,RI 02865 INS uRFR_E= i 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>. THE POLICY PERIOD INDICATED.. NOTWITHSTANDING ANY REQUIREMENT;TERM.- CONDI iION OF ANY CONTRACT OR-OTHER_DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR 1(AAY,PQtTAIN,:THE:INSURANCE AFFORDED.BY THE:.POLCIES DESCRIBED HEREIN IS SUBJECTTO ALL THE TERMS, IXCLUSIONS AND CONDITIONS OF SUCH POLICIES:LIMITS SHOWN MAY:HAVE BEEN:REDUCED BY PAID CLAIMS. s .�F LICYEI� _ LIMITS TYPE OF INSURANCE -.INE AD" POLICY.NUMBER A X COMMERCIAL GENERAL LU1BILnY EACH OCCURRENCE '$ 1+000,00 PREMISES Ea omsrence rO REM 100, CLAIMS-MADE �OCCUR CPA3136080 10710112016 07101/2017 $ T0,0 MED EXP(Arty one person) $ PERSONAL&ADV INJURY $ 1,000,00 I! I ZOO GEMLAGGREGATE.UMIT APPLIES PER: GENERAL AGGREGATE S ZOOM" PRODUCTS-COMPIOP AGG i S Z,000,O X POLICY JECoT ❑LOC EMPLOYEE BENEFI $ 2,060,000 OTHER MBINED SINGLE UMR $ 1,000,00 AUTOMOBILE LIABILITY A X ANY nuTo.. I iCPA3136080_ .. 07101120% 071011MIT. eoDILY IruuRYALL OWNED SCHEDULED BODILY INJURY(Per acader $ AUTOS AUTOS IIII I I f PROPERTY DAMAGE $ NON-OHIRED AUTOS AUTOS�� I $ EACH OCCURRENCE E %000,00.. X UMBREIJ.A LIAR X OCCUR A EXCESS LIAB CLaMs�nADE 1COA3136080 10710112016 07/01/2017 AGGREGATE $ DED X. RETENTION$ 0 gg ate s 5.000,00 I � WORKERS COMPENSATION STATUTE ER AND EMPLOYER W..LIABILITY YIN CA3136081 07/01/2016 07161/2017 E.L EACH ACCIDENT s 1,90%0. A ANY.PROPRIETOR/PARTNER/D(ECUTIVE ❑N/A EL DISEASE 1,000,_ OFFICER/MEMBER EXCLUDED? -EA EMPLOY $ (Mendatoryan NH) E.L. ,000;00. it daaafpe under E.L.DISEASE-pOLiCY UMR $ DESCRIPTION OFOPERATIONS below DESCRIPTION OF OPERATIONS/LOCATIONS I VEHICLES(ACORD 101,AddBlml ReewAw Schedule,any be aCadwd B�"O�apaee.w.requlred) CERTIFICATE-HOLDER CANCELLATION SHOULD ANY OF THE ABOVE.DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION .DATE ,HEREOF, NONCE WILL BE DELIVERED IN ACCORDANCE.wrrH THE POLICY PROVISWNS- AUTHORI»REPRESENTATIVE — -- ©t9B8-2014 ACID CORPORATION. All rights reserved. ACORD 25(2014101) The ACORD,name and logo are registered marks of ACORD I if d U.S.DEPART MENT OEMA AGEME SECURITY ELEVATION CERTIFICATE OMB No.1.660.0008 FEDERAL EMERGENCY MANAGEMENT AGENCY National Flood Insaroncc Program IMPORTANT:Follow the instructions on pages 1-9. Expiration Date:July 31,2015 SECTION A-PROPERTY INFORMATION FOR.INSURANCE c..oMPANY USE'; , Al. Building Owner's Name Boudrias, Dorothea M&Melo, Beverly A TR FQlicy.Number; A2. Buildin Stteet_Address(including Apt.,Unit,Suite,and/or Bldg,No.):or.PO.Route and.Box No. CtimRarryNAlCiNumber. LVA Hawes Avenue City Hyannis state MA ZIP Code 02601 A3. Property Description(Lot and Block Numbers,Tax.Parcei Number,Legal Description.etc.) Map 323 Parcel 4 DB 22950 pg 346 lot 51 PB 9 PG 103 A4. Building Use(e.g.,Residential,Non-Residential,Addition,Accessory,etc.) R side Ltial A5, Latitude/Longitude-Lat. 41°3$7 5"N Long. 70"IESSA W ._ Horizontal Datum: El NAD 1927 9NAD 1983 A6. Attach at least 2 photographs of the building If the Certificate is being used to obtain flood insurance. A7. Building Diagram Number A8. For a bullding with a crawlspace or enciosure(s): A9.For a building with an attached garage: a) Square footage of crawlspace or enclosure(s) 1,020 sq ft a) Square footage of attached garage N/A sq ft b) No.of permanent flood openings in the crawlspace or 0 b) Number of permanent flood openings In the attached garage enclosure(s)within 1.0 foot above adjacent glade within 1.0 foot above adjacent grade. c) Total net area of flood openings in A8.b 0 sq in c) Total net area of flood openings in A9.b sq In d) Engineered flood openings?, ❑Yes ®No d) Engineered flood openings? 0 Yes O No SECTION 13 W FLOOD INSURANCE RATE MAP(FIRM.) INFORMATION Bl. NFIP Community Name&Community Number 62,Gounty.Name B3,State Barnstable Barnstable MA 84. Map/Panel Number B5.Suffix B6.FIRM Index Date. 67.FIRM Panel Effective/ B8.Flood Zone(s) 89.Base Flood Elevation(s)(Zone Revised Date AO,use base flood depth) 250009-0006 D 07/02/19.92 07/02/1992 B,A9, ELAO �B10,Indicate the source of the Base Flood Elevation(BFE)data or base flood depth entered in Item B9: E7 FIS Profile ®FIRM ❑Community Determined 0 Other/Source, 611.Indicate elevation datum used for BFE in Item 89: 0 NGVD 1929 ❑NAVD 1988 0 Other/Source: B12.Is the building located In a Coastal Barrier Resources System(CBRS)area or Otherwise Protected Area(OPA)? E)Yes ®No Designation Date:._........i / 0 CBRS ❑OPA SECTION C o BUILDING ELEVATION INFORMATION(SURVEY REQUIRED) Cl: Building elevations are based on: 7 Construction Drawings* ❑Building Under Construction* 0 Finished Construction *A new Elevation Certificate will be required when.constriction of the building Is complete. C2. Elevations-Zones Al-A30,AE,AH,A.(with BFE),VE,V1430,V(with BFE),AR;AR/A;AR/AE,AR/A1-A30,AR/AH,AR/AO.Complete Items C2.a-h below according to the building diagram specified in Item A7.In Puerto Rlco only,enter meters. Benchmark Utilized: RTK GPS from MTS Network Vertical Datum: N:GVD29 converted from NAVD88 Indicate elevation datum used for the elevations in items a)through h)below, IA NGVD 1929 n NAVD 198.. ❑Other/Source:, Datum used for building elevations must be the same as that used for the BFE. Check the measurement used. a) Top of bottom floor(Including.basement,crawlspace.or enclosure floor) 8, 8 t�feet El meters by Top of the next higher floor nLa 0 feet ❑meters c) Bottom of the lowest horizontal structural member(V Zones only) _n/a ®feet ❑meters d) Attached garage(top of slab) n/a ®feet ©meters e Lowest elevation of machine or er ui ment servicin the buildin 8 4 feet meters machinery _l.p g g LaJ e © e ers (Describe type of equipment and location in Comments) fl Lowest adjacent(finished)grade Next to b0lding.(LAG) _8 . 0 ®feet ❑meters g) Highest adjacent(finished)grade next to building(HAG) _ 8 . 4 0 feet E]meters h) Lowest adjacent grade at lowest elevation of deck or stairs,including _8 . Q_ IN feet ❑meters structural support SECTION D-SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION This certification is to be signed and sealed by a land surveyor.engineer,or architect authorized by law to certify elevation information.I certify that the information on this Certificate represents my best efforts to interpret the data available. I understand that any false statement may be punishable by fine or imprisonment und&18,US.Code,Section 1001, < 0 Check here if comments are provided on back of form. Were latitude and longitude in Section A provided by a 0 Check here if attachments. licensed land surveyor? ®Yes ❑No L� e fj Certitier's Name License number +• + Daniel A.O'ala 40980 Title Compziny Name Prof.Civil Engineer,Prof.Land Surveyor Down Cap A Engineering,Inc. Address city Slate ZIP Code 939 Main Street Yarmouth port MA 02675 Signauire ,t Cate. Telephone t C r h 02/18/2014 .508 362-4541 FEMA Form 086-0.33(7/12) See reverse side for continuation. Replaces all previous editions. I ELEVATION CERTIFICATE,page 2 IMPORTANT:In these spaces,copy the corresponding information from Section A. FQR INSURANCE COMPANY USE:: Building Street Address(including Apt.,Unit,Suite,and./or Bldg.No.)or PQ.Route and.Box No., Policy Nu nberi 51A Hawes Avenue City State ZIP Code Coinpany.NAlc Nu;ben ' Hyannis MA 02601 SECTION D—SURVEYOR,ENGINEER,OR ARCHITECT CERTIFICATION(CONTINUED). Copy both sides of this Elevation Certificate for(1)community official,(2)insurance agent/company,and(3)building owner. Comments Vertical datum is NGVD29 coverted from NAVD88 by adding 0.88'per Vertcon.exe.Lowest utility is A/C unit&fiil'dier,ot,el.8.4, water heater and furnace:on first floor at el.8.8.One story house is slab on grade,no floocivents currently Signature ✓ w l Date. ? 02118/2014. r .:. SECTION E v BUILDING ELEVATION INFORMATION(SURVEY NOT REQUIRED) FOR ZONE AO AND ZONEE]a;,-!Wt THQVf�F,ff For Zones AO and A(without BFE),complete Items El-E5.If the Certificate is intended to supprirt a LOM.q iar LOMR-F request,coifrpf�tb A sand C. For Items El-E4,use natural grade;if available,Check the measurement used.In Puerto Rico orttyrtT[er meters. E1.Provide elevation information fdr-the following and check the appropriate boxes to shAurtivhether the elevation is above or below the highest adjacent grade(HAG)and:the lowest adjac t grade(LAG). a)Top of bottom floor(including basehn�jit,crawlspace,or enclosure)is,.,�' �^ ❑feet ❑meters ❑above or ❑below the HAG. b)Top of bottom floor(including basemenf�tgwlspace,or enclosufejis ❑feet ❑meters ❑above or ❑below the LAG. E2.For Building Diagrams 6-9 with permanent flood open inp,.fnrovided in Section.A items 8 and/or 9(seepages 8-9 of Instructions), the next higher floor(elevation C2.1b in the diagram.. -f)Nw building is ❑feet []meters ❑above or ❑below the HAG, E3.Attached garage(top of stab)is ❑feet ❑meters ❑above or [I below the HAG. E4.Top of platform of machinery and/o;-e2juipment servicing the building is"'-- o feet []meters. ❑above or ❑below the HAG. E5.Zone AO only;if no flood cl%Wnumber is available,is the top of the bottom floor Mevated in accordance with the community's floodplain management ordinance?❑Yes _allo ❑Unknown.The local official must certify this information In Section G. SECTION F-PROPERTY OWNER(OR OWNER'S REPRESENTATIVE)CERTIFICATION The property owner or owner's authorized representative who completes Sections A,B,and E for.�nne A(without a FEMAdssued or community-issued BFE).or Zone AO must sign here.The statemerts,in Sections A,.B,and E are correct to the best nowledge. Property Owner or Owner's Authorized RepreseTrtative's Name Address e`er, City State ZIP Code Signature Date Telephone o� Comments ❑.Check here if attachments. SECTION G--COMMUNITY INFORMATION(OPTIONAL) The local official who is authorized by law or ordinance to administer the community's floodplain management ordinance can complete Sections A,B,C(or E),and: G of this Elevation Certificate.Complete the applicable item(s)and sign below.Check the measurement used in Items G8--G10.In Puerto Rico only,enter meters. G1. ❑ The information in Section C was taken from other documentation that has been signed and sealed by a licensed surveyor,engineer,or architect who is authorized by'fa\w to certify elevation Information-(Indicate the source and date of the&We ation data In the.Comments area below.) G2. ❑ A community official com'Keed Section E for a building located in Zone A(without a FEM94s`sued or community-issued BFE)or Zone AD. G3. ❑ The following information(Its,ri,G4-G9)is provided for community floodplain mapa'ifement purposes. G4. Permit Number Date Permit Issued ,•' GU.Date Certificate Of Compliance/Occupancy Issued G7. This permit has been issued for: ❑New Conit�wtion ❑Subsyahtial Improvement G8. Elevation of as-built lowest floor(including basement) ❑feet ❑meters Datum G9. .BFE or(in Zone AO)depth of flooding at the building site:. �~ '` ❑feet ❑meters Datum G10.Communi?y's design flood.elevation: f! ~� ❑feet ❑meters Datum Local Official's Name Community Name i' Telepfib% Signature ,•`' Date Cornments �... ❑Check here if attachments. PEMA Form 086.0.33(7/12) Replaces all previous editions. a ELEVATION CERTIFICATE,page 3 BUILDING PHOTOGRAPHS See Instructions for Item A6. ................ _....._... ........_.... IMPORTANT:In these spaces,copy the corresponding Information from Section A. L#1R;ISi1fiANG£ CJN1Pl�fUYa1E....;:.:>; ...................................................................... Building Street Address(including Apt.,Unit,Suite,and/or Bldg.No.)or PO.Route and Box No. ?Limber 51A Hawes Avenue City State ZIP Code eompaN�,NAlC NamWr Hyannis MA 02601 If using the Elevation Certificate to obtain NFIP flood insurance,affix at least 2 building photographs below according to the instructions for Item A6. Identify all photographs with date taken; "Front View" and "Rear View"; and, if required. "Right Side View" and "Left Side View." when applicable, photographs must show the foundation with representative examples of the flood openings or vents,as indicated in Section A8. If submitting more photographs than will fit on this page,use the Continuation Page. .' 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M In%N •w>?V. ),,, rw „ut.way 0'S/.•..:. >.�>i$w$i^$i.yr, �'y» Jp` K •ry;;'. '',s::•jr•'?yt:5;: :, :'+'::.';.{`.•»,'.,••hu'.' r?r,:'ts:'' 9.oP"'°eied•' ''..}S...Yr '.+ .:.• ..: ''.', ,{•o'w:c'. "...,.A.:oePA�. o6Aa Rear View FEMA Form 086.0.33(7/12) Replaces all previous editions. I ELEVATION CERTIFICATE,page 4 BUILDING PHOTOGRAPHS Continuation Page IMPORTANT:In these spaces,copy the corresponding information from Section A. Fr1R INS)JRANCC::GOMPAfilY 31SE Building Street Address(including'Apt.,ilnit,Suite,and/or Bldg. No.)or P.O.Route and Box No. ricyNumh 51A Hawes Avenue ----:----------------------------------------------------------------------------------------------------------------------------------------------------------------------------- ------- ... 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M' o�102E r Town of Barnstable *Permit# 70 ;k , Expires 6 months from issue date • Regulatory Services Fee x s r r * BARNSTABLE,t639 • v� MAC• $ Thomas F.Geiler,Director Building Division X-PRESS PERMIT Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 J U L 15 2003 Office: 508-862-4038 Fax: 508-790-6230 TOWN OF BARNSTABLE EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number 29 3 0 tl Property Address �� `� r I i S El 's`idential Value of Work A I y 0 d C Owner's Name&Address R l t�c� eS A� -e- Contractor's Name At)LL AA e 0 r0�5 elephone Number Home Improvement Contractor License#(if applicable) r Construction Supervisor's License#(if applicable) d L' ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I am the Homeowner M-1 have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy Permit Request(check box) 1 E Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Prope,ply 0 r must s' Property Owner Letter of Permission. Ho a Imp a ntractors License is required. Signature Q:Forms:expmtrg Revise053003 a, u _MARK -HERBST 35 Peep Toad Rd. „ Centerville MA 02632 (508) 420-6216 PROPOSAL SUBMITTED TO: WORK PERFORMED AT: Joe tymkas 51 Hawes Ave SAME Hyannis MA 02601 m 508-775-8773 We herby propose to'furnish,the materials"and=perform the labor necessary for the _ completion of the following• 4 r µ _. New Ri2QL- Remove existing on north side of house#. m Install 8"'drip edge - - install ice &water shiel` dfiedge&'ih valle av reaF - - Inst,611451b. N. Install Certainteed 25y 3 TABfshiregles Price includdes nateri 1a&ori&duinniies w _ -+-�,• .c.""" '�"w. _,,�a . .» ' gym":.- �_ � a,r' � w.w.,�""" a�^, „�� *m...,..,x wa, .°,* , a.z .d.. #. All material is guarnateed to be as specified,and`above work to"performed in, i— accordance with.specifications submitted above and°completed in asibstantial .. worknianhke_manner_forthe sum of Ttivo-Thousand One-Hundred&Forty DollarsL$2140 DO)w tti payments`°as�follows;Full amount due upon completion ..,. ,. �,. __ ^.. -^�:*...,,�",^"J..z..�•7.�',. ma�",,"-'°;� w `" � � a � _+ � � fir. ,h.�` g*-�. Any ill a on(s)f m above involving extra costs will be added under written y tagreemeRESPECTFUL b co :' - e T 4 ` - rge over and above signed estimate/agreement 4 f "* __ Signature. - . m - C " A CEPTANCE'OF PROPOS The'above prices specification'& conditions are satisfactory;we herby accept -¢ YOU,_ rk,and payments will be as^speeded above. are autho ed to do the w Signatures) 7 _ -Date: . s w- ,This proposal`may`be witl drawn"by`said coin an if;not accepted within 30 days ^ H �"+ a w a,,., w„„z i let A fi"� � � ,.; +` rrww �, �" -•�, -a2rm. a* „'�,,...`q ,,. _ ..• ;� `-'"" � - ` "aa'"4:"'q:° "�,''- ~ >ps."�`»=-�•vv , +r I - • �. ��2., rC ✓tee�a7xmovzu�ea� o�,./�aaacteuoel7.a.' j BOARD OF BUILDING REG:ULATIONS� LIcense\� STRUCTION SUPER�fS'OR NumbeYF 04-8546 ¢f 41 F ll1t953 ' � xr:s 2904 Tr.no: 2926 _;�J Res`trpted;t • MARK D HERBS ��4E o c r- • 3'S P+EET TOAD RD�`-��E�� I CENI�ERVILLE, MA 02�1i33 Administrator 1 �tce TOo7rvrizoozuseat� � �� ` 3 s Board of Buildiug Regulations and Standards HOME°I II!@PO�`/EMENT CONTRACTOR R �g s ra toff--�6480 lugh �� ora,,-6f1�2004 i# yips fii�J vidual MARK HE•RBST - ' MARK HERBST 35 PEEP TOAD CENTERVILLE,MA 02632 Administrator I 5 s l 1 I. GENERAL NOTES , ALL CONSTRUCTION SHALL COMPLY WITH 780CMR MABSAGHUSEFT5 STATE BIALUNO CODE IONE AND TWO FAMILY DW EWRG CODE!9TH EDITION 7 DO NOT SULE DRAWdGS.ALL DIMENSIONS TAKEN FROM OUTSIDE Z FACE OF STUD ALONG EXTERIOR WALLS AND i0 CENTERLINE OF RAKE TRIM PROFILE MY FOAM " STUDS ALONG INTERIOR WALLS. TO MATCH EXISTING i _ �.-` INFBL MN.RJ9 ,NEE WALL 3. ANY pSCREPANGES NTH E PLANSSHALL BE REPORTED TO THE NEW CANOPY ON %-'SGO OWNERCONTRACTOR OR DESIONER PRIOR TO THE CONTINUATION OF BRACKETS NEW LVL BEAN SEE PLAN ANY WORK m NEW SPRAY NEW DOOR .-....: :...: .. O— NE LOAD BEARING A, WgiN NOT INDICATED ON A PART OF THE DRAWING,BLIT REASONABLY \,\ IIVPLIED TEl O BE SIMILAR TO THAT SHOWN AT CORRESPONDING PLACES -„ - -- SHALL BE REPEATED. O•' - O 0 b T7 S. CDNTRACTOR SHALL LOCATEa COOi1DNATE ALL VIMIESLE.WATER. co SEPTIC SYSTEM,GAS.ELECTRX:,TELEPHONE•CABLE W ETC. ., 6. CONTRACTOR SHALL COOHNNAIE PR OPOSEDCO.LANDTIONWDH .. t E]OSnNG a PROPOSED SITE GRADING CO DRAWNS A LANDSCAPING S REQUIREMENTS.SEE SITE ENGINEERING DRAW WOS BY OTHERS FOR I �� MORE NFORMATION ). ALL ELECTRICAL PLUMBNG A HVAC WORK SHALL COMPLY WITH ALL _ � _ •_ APPLICABLE CODES.RULES AND REGULATIONS - •. -• - :. D II (V. FIRST FLOOR_ ': ... _ I'' .: __ — — �•`A , i FIRST FLOOR - INTERIOR FMISH SELECTIONS SHALL SE CooRDIMATED BY THE a•O- :- - ... B. ALL :: ...:' ...: .. NEW'WINDOW'SIg GENERAL CONTRACTOR PRIOR TO CONSTRUCTION. ' .. IYP.EXLBINO D11 WINDOW ....I ......i':...':':':". i.. o 9. ALL CABINET HARDWARE TO W SELECTED 81 OWNER �.• , � SECTION t e \ •'� �\" ID. GC TO COODRNAW SOUND SYSTEM COMPONENT LOCATIONS WI I B 1/4•-V-O' ��., M m '•. /Aj OWNER 1/4SOUTH-0'_1' • O 5 m `�„" ♦(//firr__ N. EXISTING CHINNEY ^".2�: [ CL v o 3 10 rg NEWING .. . NEWSPRAYFOAM •T CDL o T _ .: .. ... ... LL .:. .. 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