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0022 MELBOURNE ROAD
as /Jle�leu.,, � �'ct, , I-- �Q one o weer 0O;Tloam- _6L �►'V 11� � �/11 J (� was ( � a (�,��� r � (ass o 4—I�•S iS 5�8 -A F7 Ca -s • ht u�U k5 -Fur I�S/+�w►n ) N11-7 4v%-L a - wi „ A � t i t•. ,: TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION QL-MA614 Map L98 Parcel ?J�o Application # i 7- Health Division Date Issued 0 Conservation Division AJ Application Fee Planning Dept. Permit Fee c2Z T 7� Date Definitive Plan Approved by Planning Board Historic - OKH _Preservation/ Hyannis Project Street Address _22- M t n bo UY ne. Village "k a(kD - - Owner Address Telephone 58 R-1�48'_ �160_f L Permit Request M o o a �y � 2W � � aho C 0 �U Q.x t�1 n VATV t)tafi c � wv S L 5 Square eet: st floor:-existing proposed 2nd floor: existing proposed Total new Zoning District ksr) Flood Plain Groundwater Overlay Project ValuationVA1 006 Construction Type Lot.Size Z3 gcyy_`S Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family C4 Two Family ❑ Multi-Family(# units) Age of Existing Structure �4 ec V5 Historic House: ❑Yes fA'No On Old King's Highway: ❑Yes af No Basement Type: 81 Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished AreaUaft) Number of Baths: Full: existing 2- new © Half: existing [� new Number of Bedrooms: 3 existing ® new FEB 24 2017 Total Room Count (not including baths): existing new First F WOP -TABLE Heat Type and Fuel: YGas ❑Oil ❑ Electric ❑ Other Central Air: ❑Yes Colo Fireplaces: Existing New Existing wood/coal stove: ❑Yes g4 No Detached garage: ❑ existing ❑ new size_Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑existing [Anew size _Shed: ❑ existing ❑ new size — Other: aqu��k Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes C*No If yes, site plan review# Current Use Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number Address � ���� \J`���Q= License#C'� y ©�a�)C)q Oy\ew15 ��. a1 Home Improvement Contractor# 33g I Email Worker's Compensation #y 00- �<<� `- ��C ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO c ]CbnhO W1 )01L'Q2('Q SIGNATURE C DATES O FOR OFFICIAL USE ONLY APPLICATION # DATE ISSUED MAP/ PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION Ff0Q e0k S Y I?I2YK r. o- FRAME 1� '7�l1117 RE INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING `{ DATE CLOSED OUT ASSOCIATION PLAN NO. ` ALWAYS DIG SAFE PRIOR TO CONSTRUCTION--UTILITY LOCATIONS SHOWN INCOMPLETE. JOB ND.YOS-18 ,. _. NOTES HARTdwg w Sed' a 1.LOCUS IS A.M.268,PARCEL 236. 0 Maw 2.ELEVATIONS SHOWN ARE TOWN OIS t0.4'. 3.LOCUS IS IN FLOOD ZONE C ON FIRM DATED JULY 2,1992. a 4:ALL PIPES TO BE 4"SCH 40.AND PITCHED AT 1 4 PER FOOT UNLESS NOTED p� c wmEr'TIDN CCNm nF /," ( ) CALL R.J.CADRIAC 10 5.MUNICIPAL WATER IS AVAILABLE. LOTS WITHIN 100 ARE ON TOWN WATER. m INSPECT PRIOR TO BACKFlLL 6.COMPONENTS TO BE AASHTO H-10,UNLESS NOTED. .OUT 7.INLET TEE TO PROJECT DOWN 13" LET TEE DOWN 14•. ma B.IF TWO OR MORE LINES,WATER TEST D-BOX FOR EQUAL FLOW D-BOX EXIT PIPES TO BE LEVEL FOR FIRST TWO FEET. j 9.DEPTH OF COMPONENTS NOT TO EXCEED 3';OR VENTING MUST BE PROVIDED. k COVERS: BUILD UP COVERS TO 6"BELOW GRADE--2 ON TANK,1 ON D-BO%,1 ON LEACHING 10.STONE TO BE DOUBLE WASHED 3/4 TO 1 1/2•VAIN 2"MIN.1/8 TO 1/2•PEA STONE ON TOP. LOCATION MAP 111.IF UNSUITABLE SOILS,OR SOILS DIFFERING FROM THE SOIL LOG ARE FOUND, N/F CONTACT THE BOARD OF HEALTH.OR R.J.CADILLAC. CJVO FNA '12.IF AN OVERDIG IS CALLED FOR BELOW,FILL MATERIAL FOR 5'AROUND AND UNDER LEACHING TEST HOLE 1 DIGREGORIO BEN-MARK--TOP WOOD STAKE S TO BE CLEAN GRANULAR SAND MEETING SPECIFICATIONS OF 310 CMR 15.255(3). SET FtU5N=28.68 TOWN pS30.4' 13.PUMP AND FILL ANY EXISTING CESSPOOLS. REMOVE ANY CLOGGED SOIL,BLOCK,AND STONE IN 7/01/05 LEACH AREA,AND DISPOSE OF AS DIRECTED BY HEALTH AGENT. DEPTH(Inches) ELEV.(faet) 14.ALL CONSTRUCRON TO MEET TITLE 5 AND LOCAL REGULATIONS. BEN-MARK-MAG NAIL IN PAV 0 Fill27.7 ET)WALK=33.72 TOWN pSd:0.4' BEN-MARK-70P REAR CENTER TEST HOLE DATES: 7/1/OS&7/19/OS 27' e WITNESSED BY. Ron Cadillac,Soi Ewluatar 2 E loamy �m one 2 1 zx �a.l A 0" ) ' = - 348�t C T - /Inch(Both C layere 9• B layer tsar 5 ... s.. r '13Is Founas6on� loam a/e PERFORMED 11 �� {{ PERC SR ATE: Q 0 F xsJ:� ,� °P SOIL SURVEY(1893): Carver coarse sand y sa 24.0 •f 't ' 48Y4' ' 2 27.5 GEOLOGIC MAP(1986): Barnstable plain deposits82' 45" n O ) 1 0o, Top SIeD ;��/ Invert 27.2 Invert 28.25E �e C layer 2.Sy 6/8 ( .\ B \ 22s Exist cast bon Ex6ung mwert z3.376 INFILTRATOR 3050'S,.8 msd.coarse sand \e 0 ee�6h d se Gos Be.. Proposed 2"'5 Perc 1 �27.7 - S=1/2•/ft Prow° e :......_N:..... __ :_` 41..........._.......:: 29Je H 1 -� ExistingU 1/2'/f _ eae4�lnspectlon - 23.3 2s6 5 2 5=7 R Top P LOT 38 = 2s0 Inert 26.36 1000 Gal. °rt i 1 c, 23.i 26.9 S�tle Tank O WN ]: ,25. Bottom slob Proposed _______-_ 24- 1J2 16 /8/ o wale .7 O,000fS.F.' z Nv p .; N/F j I v Na,.a Y815 0 O mwo.t z28 20.8 OD-m = .J PARMENTER 6"Stone or compact P�apnx�d Propose I s' eattam TEST HOLE 2 j FI 8 F'Zoo ---26•-2i2 1 i^'-�e'-+ El.=ts.e 7/01/OS o l 9 pv_ V) .2 io• a<n ts'uses qa,atmT t DEPTH(Inches) ELEv.test z) _ w X_ �. ; 3 _ Zslne ASH2�=ddndnos_...--o-A foyer loyr s/z 2.5.2 ---'- - -- - - w 3m. s`' �23.6 DESIGN DATA an . ,a e - ::.::.-.._... , I 1 c-..a=1A;. 2• sanay loan -i 7 ---- 27•_5• E layer 1.7472 O : ---__ BEDROOMS 3 _-.. ... loam sand BEN-MARK--TOP @CENTER OF 6" PAVED DRIVE 1 ' CONC.BOUND-TOP iaCN GISi0.4:i GARBAGE.GPoNDER:_ No _LEACH AREA B layer loyr 5/8 tT .�.-'.:,: i i I `_ REOUING EP71C TANK: 100 GPO loamy sand 1 4 w i ITH 2 EXISTING SEPTIC TANK: 100s GAL USE 6 INFILTRATOR 3050 UNI75 NTH 32" 225 �a7 f 31:?5 R�•I �'I BOTTOM LEACHING AREA. 282 SF APPROX 1'STONE ON SIDESS AND 2' W Q}s ON ENDS TO 47•X 6 E: C layer 2.5y 7/3 ' /J' i B. E2. DE LEACHINGDEEP LEACH AREA A 55'� meebm and W .__....,. 235.... `7' .. .. .. ..n GAREA. .. ... , 'x2• I 212 SF I ,. ._.- 31',1: .z0.?` 'ell ?` .. _.,,: [2(G•+`aT)'k 2"otEP)j' I 25.2 DESIGN CAPACITY: 365 GPD �1G1�0 2sf 10'25, /F N [(282 SF+212 SF)X.74 GPD/SF] , n 6r4614v W I P BRODERICK 132• D" 14.2 `,' SHED: N/F MANSBACH SLIGHT GRADE CHANGES ARE PROPOSED i SITE PLAN FOR THIS PLAN IS A VALID COPY ONLY IF IT,BEARS MICHAEL J. & JUDITH ANN HART AN ORIGINAL RED STAMP AND SIGNATURE. LEGEND LOT 38, 22 MELBOURNE ROAD, HYANNIS, MA. 0•TH 1 WATER LINE HOLE LMARKINGSNIIMBER +'R°FE�4c aru� DULY 22, 2005 SCALE: 1"-20' -E- OVERHEAD ELECTRIC WIRES(IF SHOWN) r GAS LINE MARKINGS a 1060 poF 357792r N ' 28.5 EXISTING do PROPOSED ELEVATIONS('%'MARKS POINT) +sr'�'tww rw+n � suRvs 6_ EXISTING CONTOUR ° x^" RONALD J. CADILLAC, PLS, RS, PC B- PROPOSED CONTOUR �Z'Lf US PROFESSIONAL LAND SURVEYOR & REGISTERED SANITARIAN 0 UTILITY POLE(IF SHOWN) 63 EXISTING DRAINAGE CATCH BASIN P.O. BOX 258 FENCE(IF SHOWN,NOT ALL SHOWN) WEST YARMOUTH, MA 02673 TREE (IF SHOWN,NOT ALL SHOWN) HEALTH AGENT APPROVAL DATE ©2005 BY R.J.CADILLAC (508)'775-9700 PAGE 1 OF 1 r AC40RV CERTIFICATE OF L-IABILITY INSURANCE DA 02/MMroo1YVYY) 02/1012016 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS i CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND, OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT:If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS WAIVED,subject to the terms and conditions of the policy,certain policies may require an endorsement. A statement on this certificate does not confer rights to the certificate holder in lieu of such endorsement(s). PRODUCER 00509-004 iNRAP:CT Branch 509-4 - Rogers&Gray insurance Agency {1-area,ExtZ (508)255-0110 � -No.: 434 Route 134 f aEss: — South Dennis,MA 02660 r—•— -----• ------------ —•-- --- _ IN$URER(SI AFFORDING COVERAGE +INSURER A; A.I.M.Mutual Insurance Company — I IMCASDLLC --- i Nickerson Home Improvement 'INSURER C:--A—_—. .— Orleans,2MA602 653 INSURER D: i COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED yB�Y��PAID CoLLAIMSS..�� TYPE OF INSURANCE _- -;j yp yBp POLICY NUMBER {MMO/uDD1YEF '(MP_MIDDJYI YY)j - LIMITS---'---- GENERAL LIABILITY EACH OCCURRENCE $ l _ - - COMMERCIAL GENERAL LIABILITY i j DAMAGE TO'RENTED i$ Ea aaurtence) - __ Cf AIMS MADE i OCCUR i MED EXP(Any one person) $ i .PERSONAL 8 ADV INJURY !$ GENERAL AGGREGATE $ -- GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPlOP AGG $ OLICY 1 r RCi O OCIlE AUTOMOBILE LIABILITY ! ! ( j COMBINED SINGLE LIMIT $ —�ANY AUTO I -----.-- ' j BODILY INJURY(Per person) Is ALL OWNED '—i SCHEDULED AUTOS I AUTOS j BODILY INJURY(Per accident)?$ -_ HIRED AUTOS -I NON-OWNO ED j PROPERTY DAMAGE $ j UMBRELLA LIAR I ;OCCUR ! EACH OCCURRENCE $ --1 i !EXCESS UA13 1 CLAIMS MADE 1 I j AGGREGATE-- $ -- OED RETENTION $ - - i --y_�-g-_.T_U__ $ —�y�pRKEQs CpMPFrNSA77��pp�Iyy _�-1 X ;TORY LIMITS i O J H' - AND EMPLOYERS LIABILTIY ; I R 'E.L.EACH ACCIDENT $ 100!0..0._0.0_0A OYIPRRMMpRgTryUDRDxECUTNEN jN/AI 6 i(Mandatory in NH) i E.L.DISEASE-EA EMPLOYEE i$ 100,000.00 D E.L DISEASE-POLICY LIMIT $ 500 000.00 ��s CR 1�TtpM OF�bPERATtONS be i i i i , i i i 1 i i 1 I I DESCRIPTION OF OPERATIONS r LOCATIONS I VEHICLES(Attach ACORD 101,Additional Remarks Schedule,If more space is required) f CERTIFICATE HOLDER CANCELLATION Town Of Barnstable 200 Main Street SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE Hyannis,MA 02601 THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE ©1988-2010 ACORD CORPORATION.All rights reserved:,—W,• ACORD 25(2010105) The ACORD name and logo are registered marks of ACORD I{ 1, tom- r l:t Tht?Commonwealth of Massachusetts Department of IndustrialAccidents Office of Investigations z 600 Washington Street Boston,MA 02111 ' www.mass.gov/dia Workers' Compensation Insuance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name(Business/Organization/Individual): i Address: W, (O VL COffln EO -Of ff cc 2� City/State/Zip: . ' " Phone#: Are you an employer?Check the approlai iate box: T project e of ro re wired 1.�%'J am a employer with _ V ❑ I am a general contractor and I p J { 9 ) employees(full and/or part-time).* have hired the sub-contractors 6. ❑New construction 2.❑ I am a sole proprietor or partner- i listed on the attached sheet. . 7. Remodeling ship and have no employees These sub-contractors have 8. ❑Demolition workingfor me in an capacity. employees and have workers' y p �' €� 9. ❑Building addition [No workers' comp.insurance comp. insurance. required.] 'S. ❑ We are a corporation and its 10.❑Electrical repairs or additions 1 officers have exercised their 3.❑ I am a homeowner doing all work �� 1 1.❑Plumbing repairs or additions myself. [No workers' comp. { right of exemption per MGL 12.❑ Roof repairs c. 152 1 4 and we have no . insurance required.]t , § ( ), '! employees. [No workers' 13.❑ Other comp.insurance required.] 'Any applicant that checks box#1 must also fill out theection 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 subcontractors have employees,theymustprovide their workers'comp.policy number. I am an employer that is providing workers'`' ompensation insurance for my employees Below is the policy and job site information. ` Insurance Company Name: Pnam �-nrau- �m�wrjn o aagiac(A -J y �'LD t� � " 21c� p 1 Policy#or Self-ins Lic.#: i, Ex iration Date: Job Site Address. �•f ! ) 4 � �S City/State/Zip: Q� "- A �_u ,�6 2� l Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). Failure to secure coverage as required under§ection 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. )fie advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance cove age verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct O Signnture: Dater ? �— Phone#: Official use only. Do not write in this arfa,to be completed by city or town official City or Town: =k PermitlLicense# Issuing Authority(circle one): j 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other l j Contact Person: Phone#: �J • • MCAS� LLC 2 PROPOSAL ON HOME IMP6 YEMEN' NICKERS • ROOFING • SCREEN'PORCHES . 508-240=3081, 12 Commerce Driv •SIDING •SECOND STORIES " 508-255-5107 FAx P.O.BOX 247 •DECKS •RENOVATIONS www.nickersonhomeimprovement'.com ORLEANS,MA 0265 •`ADDITIONS • INTERIOR/EXTERIOR PAINTING E-Mail markl202653@yahoo.com •SKYLIGHTS *WINDOWS/DOORS • GARAGES • KITCHEN & BATH REMODELING PHONE DATE Chris Elkins p 1/9/2016 TO: Rd O B NAME/LOCATION 22 MelbourneAME Hyannis MA 02601 __]:JOB NUMBER JOB PHONE t-evil comcast.net We hereby submit specifications and estimates for: Add Attached Garage Supply basic permit and construction"drawings Remove section of deck as required Excavate and level ground for 24 wide by 26"deep garage (Fill to remain on site) Install 4 foot frost walls on 2 sides of garage and 8 foot foundation on rear of garage Pour 4 inch garage floor. Construct 24 x 26 garage attached to building matching roof shingles as close as possible, Sidewall to be natural white cedar , Trim to be AZEK with vinyl beaded soffits Attach existing deck to new garage frame as required Install 2 garage doors (9 x 7) insulated without windows (Total allowance a 1 . Install 5-inch open trough gutters with downspouts on front and rear of garage .4/`.In ' Construct set of pine steps from house entrance to garage floor (with 3 x 5 landing pad and simple rail Strip sidewall from gable end of house Install fire code sheet rock on gable end of house Install new fire code door to existing house (Material allowance a Supply all labor material and debris removal estimated at We Propose hereby to furnish material and labor—complete In accordance with the above specifications,for the sum of: Cont'd dollars(s Cont'd ) Payment to be made as follows: requested with signed proposal ''' %%'n Progress payments on request All material is guaranteed to be as specified.All work to be completed In a professional manner according to standard practices.Any alteration or deviation from above specifications Authorized involving extra costs will be executed only upon written orders,and will become an extra Signature charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tornado,and other necessary insurance.Our Note:T oposal may be �11 workers are fully covered by Worker's Compensation insurance. withdrawn by us if n accepted/within 3Qys• Acceptance of Proposal —The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work " Signature as specified.Payment will be made as outlined above. L/ Z / J Signature Date of Acceptance: / f� r MCAS�LLC 2 PROP(J SAL NICKERSON HOME IMP OYEMEN' , NG • SCREEN. PORCHES .508-240-3081 12 Commerce Driv JG X 247 SECOND STORIES 508-255-5107 FAX P.O.BO ,,-MKS • RENOVATIONS www.nickOrsdnhbmeimprovement.com ORLEANS,MA 0265 JDITIONS INTERIOR/EXTERIOR PAINTING E-Mail mark1202653@yahoo.cam OKYLIGHTS •WINDOWS/DOORS %GARAGES KITCHEN & BATH REMODELING PHONE DATE Chris Elkins 308389870 1/9/2016 TO: 22 Melbourne Rd JOB NAME/LOCATION AME Hyannis MA 02601 . JOB NUMBER JOB PHONE ONE comcast.net We hereby submit specifications and estimates for: General Notes Final Price based on final design Fence to be removed by others No driveway work or finished, landscaping included in estimate' Garage roof and garage walls assumed as not even with `existing house roof or walls No underpinning of existing foundation of chimney included in proposal Estimate does not include electrical or any additional windows and doors not mentioned Addition fill if required not included We Propose hereby to furnish material and labor—complete in accordance with the above specifications,for the sum of: r ; dollars($ Payment to be made as follows: :quested with signed proposal Progress payments on request All material is guaranteed to be as specified.All work to be completed in a professional manner according to standard practices.Any alteration or deviation from above specifications Authorized involving extra costs will be executed only upon written orders,and will become an extra Signature charge over and above the estimate.All agreements contingent upon strikes,accidents or delays beyond our control.Owner to carry fire,tomado,and other necessary insurance.Our NotjTh1sposal may be workers are fully covered by Workers Compensation insurance. withdrawn by cepted within 3j9yS• Acceptance Of Proposal —The above prices,specifications and conditions are satisfactory and are hereby accepted.You are authorized to do the work as specified.Payment will be made as outlined above. Signature Z Z-�� Signature Date of Acceptance:: / t � Massachusetts Department of.Public Safety tl� Board of Building Regulations and Standards_ License: CS-082304 Construction Supervisor. DARYL C JOSIE 46 RAINBOW RD w WEST YARMOUTH MA 02673 - M^^^ Expiration: ' Commissioner 11/18/2017 Office of Consumer Affairs d Business Regulation 10 Park Plaza - Suite 5170 Boston, Massachusetts 02116 Home Improvemeontractor Registration Registration: 133851 _ t Type: Supplement Card �- ;6• I' Expiration: 8/17/2017 NI KERSON HOME IMPROVEMENT w DARYL JOSIEa P.O. BOX 2476x , ORLEANS, MA 02653 ��4M 54 Update Address and return card.Mark reason for change. SCA 1 v 20M-OS/11 ❑ Address ❑ Renewal Employment Lost Card 6/teoo�Ul�taortaeal/�ea��L�a::tuc�u�se��6 ce of Consumer Affairs&Business Regulation *License or registration valid for individul use only ` = ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Office of Consumer Affairs and Business Regulation egistration•- 3385i1 Type: 10 Park Plaza-Suite 5170 Expiration 8J 7 a7,-i) Supplement Card Boston,MA 02116 NICKERSON HOME IMPROVEMENTS DARYL JOSIE -V1,�' 12 COMMERE DRIVEY ORLEANS,MA 02653 Undersecretary Not valid wi ut signature WC Guide to Woo.d C°onntravion in,,High Wind retis. .110 mph. Wind..Z e 1assachsiettsklIS t 4 � ia.nee(70 53Q1 2'.I,I};. Cyx�l: L4 6 r a. 0'Check ?.j:ML436012 M6I a t 11 a4pftr g4 Compliance 1.1 SCOPE. 0 f ° ° A Wind Speed(3-sec:gust)`.... � "# .....:: ......:110 mph v Wind Exposure Category'.::, _ .......B . ..... ........, 1.2 APPLICABILITY Number of;Stories(a roofwhich exceeds,8:in 12,slope shall:be considered a story"") l 'stories s2stories. Roof Pitch :. (Fig 2)..... 5i 12:12 Mean Roof Height (Fig :... Building Width,W :.: .. (Fig 3)::.:,, ... ........ ........: ... ft s 80' Building Length, L... ... .... ......(Fig 3).::.:: :..:. , ....,,. . .. ft s 80" Building Aspect Ratio(LN1)_ .:::(Fig 4j ....:. ......:: .....1:, Nominal He.igWalestpein �(,Fig 4)......of TO �� — rc�ie ao�+. 'r'�G. I c► � !:I 1.3 FRAMING CONNECTIONS' 'booms General compliance with framing.connections. . ......, 2.1 FOUNDATION' Foundation Walls meeting requirements of 780 CMR 54 1 Concrete '.#. .'I. .'.°: �. I.`,-, "..1...: ..ate , 1. ..v?� :.... .....:,,: . Concrete Masonry ...... fade 2.2 ANCHORAGE TO FOUNDATION''3 5C8"Anchor Bolts imbedded or 5187'Proprietary'Mechanical Anchors as an alternative in. concrete:only BoltSpacing-general: ,.. ,.....,.. ......(Table,4)............... .............. Bolt Spacing from endfjomt of plate (Fig in.5 6 12 Bolt Embedment—concrete (Fig 5) ;l A ............... --tj�in z 7" Bolt Embedment masonry (Fig 5) i hta �akl in 15" . Plate Washer.;.: ..,:. ................... (Fig 5)....... . ....... ....>_3"x 3"x /V 3.1 FLOORS Floor framing member spans checked (per,780>CMR Chapter 55) Maximum Floor Opening Dimension: ....(Fig 6).......... . :: ft<12 Full Height Wall Studs at Floor Openings less than 2';from Exterior Wall fig . ....... ............. �'. Maximum Floor Joist Setbacks Supporting Loadbean Wall s;.or Shearwall....,.,:: ,...::(Fig 7),::;. ..... Maximum Gantilevered Floor Joists Supporting Loadbeanng Walls or Shearwall .(Fig 8) ft d Floor Bracing at'Endwalls ...:..,.........(Fig 9)..:.: . . ...... ....:. Floor Sheathing Type (per 780.0MR Chapter 55) Floor Sheathing Thickness (per 780 CMR Chapter 55) in,. 9 9 (Table:2)::,_d nails at.. in edge/_in:field: Floor 5heafhin Fastenin 4.1 'WALLS Wall:Height Loadbearing walls (Fig 10 and Tablet) $:ft 510` Non-Loadbeahng walls.: , ... ::-ri>.,.i'tO.4l�..,....,.;.....(Fig 10 and Table;5) ............. g_S fl, s 20` Wall Stud.Spacing .................(Fig 1:0-and Table 5) ...._............ in,<_24":o.c. -/ Wall Story.Offsets : .....:{Figs 7&;8) ::.:... ..:..:...... .. ft s;a. NA. .J`.. 4.2 EXTERIOR VNALLS3 Wood Studs Loadbeanng walls tTabler5.).. 2x j, - ft im ✓ ' Non-Loadbearin walls..:........................� ............. able-5 2x G -.jS ft. ca in. g .., `(T )................ Gable End Wall Bracing. 17.61':Hei ht Endwali Studs (Fig:10 g ( 9 )• ..... .... ... . .. ... .................. WSP Attic FloorLength. .............(Fig 11).... ft aW13. a4A. Gypsum Ceiling Length(if WSP not used) ......: .......(Fig 11).!. ....... and 2 x 4 Continuous Lateral Brace:@ 6 ft.o.c... (Fig 11):::.. ......... ....... : ... . .:.. Nis . or 1 X.3 ceiling furring strips @ 16"spacing min.with 2 x 4 blocking @:4 ft.spacing intend joist or truss bays Double Top Plate Splice Length ........ ........ (Fig 13 and Table 6) t !o ft :Splice Connection(no.of 16d common nails).:.:: ...,,,,(Table'6).....V%—.2A„LP,.!4-P.#M.. ..:........ i AWC Guide to Wood Construction ht High ind Areas: mph T end Zane tLvk.ws Massachusetts eck ist for-Co. �� ��(7�fa c r� 53Qi.7.B..1'Y1 Loadbearing Waff Connections: Lateral:(no of'16d common nails) (Tables 7) ,,. Non-Laadbearing;Wall Connections Lateral.(no.of 16d common nails) . .. (Table,8; . 2.. Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table.9) Header Spans (Table 9).....Sill.Plate Spans: (Table 9): Ot ft in <11.' Full Height Studs (no:of studs)..................... ............(Table 9): ..... Non-Load Bearing Wall Openings(record largest opening but check all openings for compliance to Table 9) Header:Spans;, (fable 9).., ft=in 512' N/ i�a wt;e 1>owe Sill Plate Spans' (Table 9)': Y. ft in.<_ Full Height Studs(no.of studs).. ....... ........(fable 9). ......... — �✓ ExteI.rior Wall Sheathingto.Resist Uplift'and Shear'.Simultaneously ;Minimum Building Dimension,:W Nominal Height of Tallest Opening 4N De C3j.+ri�45 �+ Q a * y- Sheathing Type (note 4) Lek t??-�!woody Edge Nail Spacing (Table 10 or note 4 if less} Field Nail S acin9 p ...., (Table 1t)) in $hearConnection(na.of 16d common nails)(Table 10) . Percent Full-Hei ht.Sheathin 9 9 (Table 10) .. b.. :. �a bf® �.. 56/o Additional Sheathing for Wail with,Opening>6'8"(Design Concepts) .:Maximum Building Dimension,L Nominal Height of Tallest Opening2 cs D$>F3'►Q .......4 5:6 8 v Sheathing Type (note 4} Giyx:: ............. .�.... Edge Nail,Spacing p g •• (fable 11 or note 4 if less) ...... .,,... :�in. � Field NailSpacrng ... ., (Table 1 I) ......:fin:. . Shear Connection(no.of 16d comrrion.nails):(Tabie.111) . ..... : ::.... .. :.:........3La Percent Full-Height Sheathing........................(Table 11)........... ......................... IOC 5%Additional Sheathing for Wall with Opening>618"(Design'Concepts) .... . Wall Cladding Rated for Wind Speed?'......... 4r..:�� tceji . .; ... .�`.. a5c ........................... 51 ROOFS Roof framing:member spans checked?_,. ......:..........(For Rafters use AWC`Span Tool,see'88RS Website) `. Roof0verhang ........................ .....(Figure 19).........•.... fts'smaller of 2'or U3 Truss or Rafter Connections at,Loadbea..rmg Walls Proprietary'Connectors Uplift... (Table 12) U 2o�s plf Lateral ......(Table 12) ::..::. ........: .. . ...... :..L�plf. . Shear ..(fable 12) ..... S � JZplf' es Ridge Strap;Connectiohs if collar ties not used per page 21... (Table 13). .......`.. 9 .,,,.......T �pl.f c� Gable Rake Outlociker .,,,: , ...::. .....:: .(Figure 20) ..............t,t> ft s smaller of'2 or U2: Truss or Rafter Connections at Non Loadbeanng Walls Proprietary Connectors: Uplift;• (Table 14) U:: Ib. , Lateral(no.of,16d common nails),..(fable 14) ...............L= Ib. Roof Sheathing;Type .... .P. W.0p .....�(per 180 CMR Chapters'S8 and 59) Roof Sh6athingThickness � . .. ... ' : in >7/16"WSP Roof Sheathing>Fastening .. 1910,.. . Nat s , 1. s checklist shall be met.:in:its:entirety,excluding the specific:exception notedin:2,to comply with the requirements of T80:CMR'5301 2.1.1 Item 1:•'If the checklistis met in its entirety then the followin metal strays and hold downs are not required per the WFCM 1102 Mph-Guide: ° ` �' L Z. Steel:Straps per'Figures5 b. 20 Gage Straps"perFigure 1:1 c, Uplift Straps per Figure 14 d AIGStraps;per Figure 17 e. Comer Stud Hold Downs:per Figure 18a and Figure 18b: 2. Exception:Qpening:heights of up to.8 ft.shad be permitted when 5%is added to the:percent full-height sheathing', , requirements shown in Tables 10 and 11. 3'. The bottom sill plate iWexterior walls shall:be a minimum 2 in:nominal thicknes's pressure treated#2=grade: f AWC Guide to Wood Construction in High Wind Areas-1110inph Wind Zone 'Massachusetts Checklist f®r COMPHme( 80 C R--5301.2..I:.i)!' 4. a. From Tables 10 and 11 and location of wail.sheathing:and Building Aspect Ratio;:determine:Percent FulkHeight $heathing:and Na►I.. , cing'requi�ements b. Wood Structural Panels shall be minimum'thickness of 7/W and:be installed as follows: L Paneis-shall be;installed:with strength.axis paraliel'to studs: ii. All horizontal,joints shall occur over and.be nailed to framing.. iii. On single,story construction,.panels shall be attached to,bottom.plates and to member ofIhe double fop plate. iv. On:two story construction,,upper panels:shall be attached:to the top member of the upper double top plate and to band joist:at bottom of panel Upper attachment of lower panel shall be made to:band joist and lower attachrrient made to lowest plate atfirst floor framing:. V. Horizontal nail spacing at double top plates, band joists;and girders shall be a double row of 8d staggered':at 3 Inches on center per figures below::Vertical and:Horizontal Nailing for Panel Attachment -Wt1EN TH13'EDGE RESTS qN ffUVitim cr.Ead NAiLs' ;W6'b:c. 1'1 I r Af u u ' - tl 11. If r/ IY 1; n ii jK X. 1 K Yt t h r . 14. h FC n ,6 COU81E t'rX3F: _--- HAs:SPACiV6 `ii V " See Detall on Next Page Vertic®l'end Hodzonta;hlailing for Panel Attachment I _ I • r AIWC.Gidde.•€o W6o consteuctim ire i T3'r�€d �rrs:.17t?:trz f a al zone s c se S fog° p i ce(7s{�Cn�R 530>�;.z.t.t)' z N l , i 1 / t 1 I I 1 . t L , h f ; i r. I F.FiAMEr(i:INEM�q$ la • I 1 T� 0 STAWWRM, V '04 WAIL PATiEAN 9.2 PANEL PANK EDGE t• DOUBLE NAIL EDGESPAct4aDETAt. Detail' Vertical_and.HOfizontal'Nailing; for Panel Attachment Bowers, Edwin From: Bowers, Edwin Sent: Thursday, March 09, 2017 4:19 PM To: mark1202653@yahoo.com' Subject: Permit/Application:TB-17-496 at 22 MELBOURNE ROAD, HYANNIS for Building - 1 Addition/Alteration - Residential To whom it ma concern Please provide 110 wind checklist or stamp on drawings Edwin Bowers Town of Barnstable Building Inspector 508-862-4025 1 r ?/Z t h b IP- Town of Barnstable Permw_ 0'-14 Regulator Selrvaces :_ Fee �. �a ate a' FIARPISTABLF� e Richard V.•Scali,Interim Director A�'O AAA'�R glop,, . Bifl3l�E Division •- a 4 ,t, Tom Perry,CBO,Building Commissioner JUL 1 3 2016 200 Main Street.Hyannis,MA 02601 MVVY,town.barnstable.ma.us TOWN OF BAR-0 � Office: 508-862-4038 Fax 53d ~� RESS PEA APPLICATION - RESIDENTS ONLY Not Valid withour Red X-Press Imprint Map/parcel Number Z�O � �3 Prop� Address_ 2 2- t t e h� n p �i �F Gi✓t✓t i S TResidential Value'of Works_ Minimum fee of S35.00 for work under$6009.00 , Owner's Name&Address---C(1-r�'S I Kin S Contractor's Name r{ ern Qir•,J;r�i, S / C pan -(inn i 50n i elephone Number[t/D Z2 k-g k Z-0 Home Improvement Contractor License (if applicable) 7 y Email: Construction Supervisor's License 1(if applicable) p 5 7 p-7 EgWorkman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ I'am the Homeowner I have Worker's Compensation Insurance Insurance Company Name A Prn�rl_G ttY 1nS u to,n c� ,T Worlanan's Comp.Policy. Svc q 1.8n s R_ �S2 3�t H 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 ❑Re-roof(hurricane nailed)(not stripping Going over. existing layers ofroo f) f ❑ side Replacement Windows/doors/sliders.U Value • So (maximum 3'T ofv&dows ?J' =4 of doors: - ❑ Smoke/Carbon Monoxide detectors 4 floor plans marked with red S and inspections required. Separate Eleciiical&Fire Permits required. '�4trfttxe Fequired: Isstmace of this permit does not exempt compliance with other tmvn department n wiations,i.e.Historic,Conservation,etc. 1�Iote: PropertyiPwrter mtist sigh Property Owner Letter of Permission. A copy a the Home Improvement Contractors License&Construction Supervisors License is required. _ SIGNATURE: Q%FPFiLES1F0n4S%1mRd'mg peri it%m AWRESS.doc Revised 061313 6ta , rim Im + �It1niC IIIS OWN +Ir car�a�e , a Mdim., I iy.1 I�+Ei'�+I," !► I�I� R.14 "60. Primuryr'VeAc Ium'6t�,,§*09j0 0" ry*l'daph4me'Q+IEae4cr d8e i ar a�=' � it i11 dap Eliflifl. "vfril�ly iJ ea pu��hr .tht rdd,u,m andl6i'kio bfdic i iF IE�,d i CAS di o. i eee al ramie�f else Lrf l +)f �dl tf~ r.� r�. �.Ire' a f ( i �r Erd�.liti t lr# r��� tid ma dlrl [ iyr ) ifeiiia�p` e a1ruE �, a ! 3a1grr�t�r �rti E uFE� h aesud �6�' rtsad Irma IieGir rEn�ILliv ,Ala�. r"� �r� I� ,rre �al�n���npC�ei� El. c� e�Ee�e�s �,pl ;�ll atnafi�a�d�a Eb�d� tra�z ���d�l ;�� � ��+� rR cl+ llafficc +crtAt =tv l um, laic Flow 1 ,+ � + tchaid d Ply MCtat, F�r� ►r l g�> " ��I Sltls acdm r the Aicd�owuaa a� Baal on, Now: ? �. . .,:.. .... �. ��Eu I� �ii �E tea bf�nl�l ura:� 9EII E0A w e 5 " 1 # ' , ' , P °j wil te on comla#i hink sad�1 r :1 ter d c::Eia.: d mg, h a e� m a `r +lula� (e-}'4-t hd.undera t6br I w ea�c cE►r�9elRi �i"tla�� alit�rEI� aad_ arti �r riltryr iee E $;1riia�A': dItra��ira t#i ear�Iryrlatit�(rorri el§sr6.; rir� 1111fd, .� eh ,r *i r r a b�xh�4� �d R h i� ion.I)' �fv 4 �4ertr�c¢urianda c ceir hf tltihEtlect `td ha .rlve :� a 1 ,. ° : . mid d� � � ���IncLLrt E61t two tla Nolka af.+4n all:cJ E, � rlue��rsrw�l� � • xv acali 1 fisare aMa �r'E he w6 tIr Rmla TO 9 a mma j thh k t IM Ui s���litl 16`m ow df thy#Oblarm at the.umg slFr'k, �,: CEL Tj1�Gt1i� - '1E Z �' SEE HE I�11'IF CW T.A'�n1 Fy +i Ma OF_" L QNCEL - . PH-at N me d Sall 'Add Pre `t e Pnbi Nimi HUMS Z e 10, Southern New England inflows Renewal by App ersen o f SNE I _ � j Board 07-Building R: —=Lsi.—bcn5 and Sranda.-Js Mma--w-, 79.11i0.11M _.. i CharitonM4 014- 7 r Expiraton 1 tra:f75S1�55i0-'Pr C7dIQ6� ! f I i f I ! .'7r.E fdtr7/�f?.rltLflseO.$ Z ✓eCG �6e Office of Consumer Atiairs d Business Regulation 10 Park Plaza-S•tAte 5170 vvs V� Boston;Massachusetts 02116 Name 1mprovement Contractor Registration Reg-jMfion_ 173245 1 Type: SuPCW_ment Cant SOU i HERN NEW ENGLAND WngDOIrJB L! E.Virakn: 9IM2016 DENNISON BRIAN - ---- 26 ALBION RD -- --- LINCOLN,RI 02865 .. Updatn AddrM and r=rn-rd.Mari:ttason for rbnngr Add-zss RsteGrl Vi Emplo}'WMt I as!Card _ "� LIE ric atCou:e�v aRa:.-�do 8naiaas R.:1n a Lir_nst or r^_�stntioa•mod for iad+sidrl ns=anls "' before the Mdr3fiaa ram.Iffoond xdnm ttr 1 EIMPROVEMBirCONIRACIOR oftioof:o2sv=erAffalrs=ndBasivenRegulation V--'Aegistr&on: 17,45 TYP= 10?:r1PL-m-So'iteSI70 plrti Eaon:-%rjV D16 �Supplsmwe c i-Lard gn,M-A 02116 SOUTHERN N_VL•ENGLAND WM=W S U.C. P.ENBMAL3Y AN05MN - DENWON SRL4.h 2e ALSION RD d— � _ UNCOLN.RI 02865 Ltad retxrr -Not valid sitboatstgnamre e saga` eaad a�f Jr—d al Arc. nis IM ' 3 -concTess Shr evf, Nam (3usiaesslOr�aniztdon/Iszdividuail: SOUTH�P1� ����I -i�G1JaI�1D WINDOWS Ad&vss:25 Albion Rd Ciry(State/7ip _Lincoln, RI 02865 Phone r:T01 28-9800 F,Ayoga as employer? Check the appropriate box: Type of project(required):I am a employer with T- (� I art a general contractor and I 5 New con.Structian i have hired the sub-contractors employees(cull andlorpart�ime��_ Remodeling ?.(� I an a sole proprietor or part_n er- listed on the attached sheet. 7- Q These subhave -contractor have g. �]Demolition employees and have workers' addition ad working forme to any capacity. � 9. ❑Bumldu�ag . ' " cornp.insurance.+ [No wor<ers comp-insurance 10_Q Electrical repaiis or additions required.] 5- Q We are a corporation and its I am a homeowner doing all work officers have exercised their I l.Q Plumbing repairs or additions rr}yselt jNo workers' comp. right of exemption per IGL 12.[]Roof rennin instuance required.] c. 152, §t(4),a-ad we have no �'/►c�O�J q 13.[Other l.J employees-Ni o workers' i comp, insurance required.] (e ,J4 PAny applicanttharchedubm- Tl mustalso Mi out the section belowshocvin_s theirworkers'compensation policy infoimatiaL r-gomeovmers who submit this affidavit indite they are doing-all work and then hire outside contractors rawt submit a uew affidavit such- ;Contractors drat check this ba:must attached as additioaal'sheel shotnrm the"nee oFtne sub=coatcaCtots and state whether ar not those en6Etes have- employees- If the sub-contractors have employees they must provide their �iror:ers-comp.policy number. lain a employer that is providing workers'compensation fpsitrance for my employees Below is the policV and job site re information. Insurance Company dame:ARGONAUT INS. CO. Policy# or Selma ins-Lic-9:WC.928058352394 Expiration Date:8/21/2016 Job Site Address: Z Z de-(boor vl e- City/State/Zip: i L, �A Attach a copy r,the workers' compensation policy declaration page(showing the polivi Domes and exl afdoa da$e). Failure to secure coverage as required under Section 25Acef-MriL c. 152 can lead to the imposition of Minbal penalties of a fine up to S 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 foi insurance coverage verification. I do hereby cerhYy under fie arms and penalties of perjecry that tdee informatdon provided above is true and correct. 7 Date. Sign9ture� 7 Phone#- d0122898t�0 Offrcial use oarlyt Do not wrife fat ft arm to 5e compde€ed by ciify or town of daL City or Town: `Permit/License# Issuing.Authority(circle one): 1.Board of Health ?Bulding Department 3.City/Town Clerk. 4.Eiectiical Ipecwr 6.Other f r%n.,,r#�Prci�ss_ �PUIIC#: SOUTNEW-01 SHETTYSHT ®4 DATE(MMIDD/Y"Y) A ® CERTIFICATE OF LIABILITY INSURANCE 8/19/2015 IS THIS CERTIFICATE IS ISSUED AAMATTER OR NE GATIVELYORMATAMEND,ION LEXTE D Y AND OOR�ALTER S NO THE OVERAGE AFFORDED BY THIGHTS U PON THE CERTIFICATE EDPOLIIS CI S CERTIFICATE DOES NOT AFFIRMATIVELY BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(Sj,AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. y must be endorsed. If SUBROGATION IS WAIVED,subjED ect to IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the polic (ies) 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 lied of such endorsement(s). CONTACT Willis Certificate Center PRODUCER NAME" 8$$ 467-237$ Willis of New Jersey,Inc. 'PH,ONE (877)945-7378 Fu,No I. ( ) c/o 26 Century Blvd E-MIULRESS:Certificates@will'as-com P.O.Box 305191 Nac>I Nashville,TN 37230-5191 INSURER(S)AFFORDING COVERAGE INSURER A:Selective Insurance Company Of South26 east 21970 INSURED LINSURER B:OneBeacon Insurance 26 Company 19801 Southern New England Windows LLC RER c:Argonaut Insurance CompanyDBIA Renewal by Andersen RER D: 26 Albion Road RER E: Lincoln,RI 02865 RER F COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY INSURED INDICATED. NOTWITHSTANDING THAT NG ANY REQUIREMENT, TERM LISTED OR CONDITION OF ANY CONBELOW HAVE BEEN TRACT ORED To EOTHER DOCUMENT WITH RESPECT TOD ABOVE FOR THELWHI TNOIS 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 REDUCEDPPOLICY BY PAID CLAIMS.Y EXP LIMITS lA1SRR POLICY NUMBER MM1DD MMIDDIYYYY 1,000,00 TYPE OF INSURANCE INS WVD EACH OCCURRENCE $ A X COMMERCIAL GENERAL UABiLITY 0811012015 08/1012016 $i 106,000 CLAIMS MADE ®OCCUR S 2029459 PREMISES Ea occ urenoe 10,00 I�—M-E—D E—XP—(MAY one Person). $ pERSI OryAL"g ADV INJURY b 1°OOO'OOO GENERAL AGGREGATE S 3,000,000 GEML AGGREGATE LIMIT APPLIES PER I PRODUCTS-COMPIOP AGG 1 s 3,000,000 POLICY®JECT 1 1S LOC I I ! _ OTHER COMBINED SINGLE LIMIT is 1,000,00 (Ea accident AUTOMOBILE LIABILITY S 2029459 081101201510811012016 BODILY INJURY(Per person} $ A X ANY AUTO BODILY INJURY(Per accident)I$ _..,_...._.. _%gWNED......_...._r_._SCHEDULED �--— ....,_ ........__.. ..._ ......,...... ....._..___.-.._ ..� ..._...._._._...,...... AUTOS PROPERTY NAUTOS X ON-OWNED \ (Per accident HIRED AUTOS X AUTOS I s 1 EACH occuRRE ICE ,$ 5,000,00 X UMBRELLA LIAB X OCCUR ` 5,000,00 A EXCESS LIAB - S 2029459 08/10/2015 1 0811012016 AGGREGATE I$ CLAIMS-MADE 1 s OTH- DED RETENTIONS X STATUTE ER WORKERS COMPENSATION 1,000,00 AND EMPLOYERS'LIABILITY YIN08/2112015 O8/21/2016 EL EACH ACCIDENT $ S ANY PROP JETORIPARTNERIEXECUTIVE Y® N/A EL DISEASE-EA EMPLO $ 1,000,000 OFFICERIMEMBER EXCLUDED? (Mandatory in NH) I EL DISEASE-POLICY LIMIT I$ 1,000,00 B yes,describe under' DESCRIPTION OF OPERATIONS below `yl(C92BO58352394 0812112015 0812112016 See Attached C orkers Compensation DESCRIPTION OF OPERATIONS I LOCATIONS 1 VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) CANCELLATION CERTIFICATE HOLDER THE 7PIRATION OF THE DABEV THEREOIBED P�OLI I�IEWBE CBECDEL LEA REDD INN ACCOANCE WITH THE POLICY PROVISIONS. AUTHORIZED REPRESENTATIVE A4 Evidence of Insurance ©1988-2014 ACORD CORPORATION. All rights reserved. ACORD 25(2014l01) The ACORD name and logo are registered marks of ACORD ♦ e/ Town of Barnstable *Permit#, .PRESS PERMIT Expires 6 months from issue date Regulatory Services Fee 0,� JUN — 5 Z007 Thomas F.Geiler,Director TOWN OF.BARNSTABLE 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 EXPRUS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address SA!Ae { a residential Value of Work J 14()® Minimum fee of$25.00 for wor nder$6000.00 Owner's Name&Address M S - _rb S io L14 1 �jS 22, P46LGoU12u, 9(44tik;is MA CZ26W Contractor's Name B4I PQ .1' A_<�Sne >A re-5 Telephone Number)'503 30- Zqi / Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) (97�177 ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor ❑ in the Homeowner I have Worker's Compensation Insurance Insurance Company Name Aq 2 L e b-)ORee5 ,°lP bbS • `0 Workman's Comp.Policy# (,1J/9 00,2� f/5'1f017— M-7 Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side eReplacement Windows. U-Value -33 (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town depaTtment regulations,i.e.Historic,Conservation,etc. ***Not . op sign operty Owner Letter of Permission. Ho Improve MRnt Contra ors License is required. SIGNATURE: Q:Forrris:expmtrg Revise071405 The Commonwealth of Massachusetts Department of Industrial Accidents Office.of Investigations 600 Washington Street Boston,MA 02111 . wwWv.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electridans/Plumbers Applicant Information Please Print Lep-ibly Name (Business/Organization/Individual): 9A V-P_5 45,<)Oc 19rC5 Address: city/State/zip: (ate a.,Te�2.11l L l MA 32 Phone#: 3(0 Are you an employer? Check the-appropriate box:. Type of project(required): 1.U 1 am a employer with 4. ❑ 1 am a general contractor and I 6. ❑New construction employees(fall`and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet $ Remodeling ship and have no employees These sub-contractors have S. ❑ Demolition working for me in any capacity. workers' comp:insurance. 9 p f}'. ❑ Building addition o workers' comp. insurance 5. ❑ We are a corporation and its 11`T 10.❑ Electrical repairs or.additions required.] officers have exercised their 3.❑ I am a homeowner doing all work right of exemption per MGL ll.❑ Plumbing repairs or.additions myself.jNo workers'comp c. 152,§1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers` I.12105her ."1 a-bO w,S comp.insurance required;] 'Any applicant that checks box#1 must also fiA out the section below showing their workers'compensation policy infonnaation Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contracmrs that check this box must attached an additional sheet showing the name of the.sub-contractors and-their workers'comp.policy information. am an employer that is providing workers'compensation insurance for my employees.*Below is the policy and job site nformation. - nsurance Company Name: A 5 5 DC 1 A Veb E V to LxN f K t NS - (,O - )olicy#or Self-ins.Lie. #: z 00 5 Expiration Date: 4 lob Site Address: U ►'� �0.�.:,►1 , . �/i City/State/Zip:_ L1A+l)Ajis i fJ LiZOA kttach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date). F ailure to.secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine 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 )f up to$250.00 a day against the viola a advised that a copy of this statement may forwarded to the Office of nvestigations of the DiA for insur a cov ge verification. 'do hereby e t id the pa' and pe ties of pe ' ry that the information provid d ab ve is true and correct. ii afore: Date: 0 "hone# Official use only. Do not write in this area,to be completed by city.or town of ciaL 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#: ♦_i of�NE Town of Barnstable Regulatory Services BAZOWASLI' Thomas F.Geiler,Director Building Division. �fD NIA� Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 62601 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, C 14 P—I S 1;L-K I '�J 5 ,as Owner of the subject property hereby authorize 2A ke e- + A 5 s o e t '4 1`es to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Dat \ �5 Ent Name C Board of Building Regulations and Standards License or regisit etiou N alid for indirOn[-c«0IS HOME IMPROVEMENT CONTRACTOR before the expiration date. If found returte to: Registration: 118494 Board of Building Regulations and Standards Expiration: 2;1i2QQ9 Tr# 126302 One Ashburton Place Rm 1301 Boston,1*1a.02108 Type: DBA BAKER CUS I OM ALUM&VINYL INC. ,r= MARK BAKER t f 521 SHOCT FLYING HILL RD. CENTERVILLE, MA 02632 Administrator Not valid without signature /fac t-rarna��yuce..c�lfz c�. F2r;sr�.�-hsru��i Board of Building Regulations and Standards Construction Supervisor License License: CS 74477 irtht te: 116f 1973 x tl ton' 1,6T2009 Tr# 8130 Restrl�stio�; 0tl BRETT J BUSSIERE 111 WAREHAM LAKE SHO E C �_ t EAST WAREHAM,MA 02538 Cotu�nissioner Date: 5/3/2007 Time: 3:59 PM To: @ 9,15083626115 Dowling R O'Neil Page: 001-002 Client#`.9742 2BAKERAS ACORD. CERTIFICATE OF LIABILITY INSURANCE 05103/07 r, PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION Dowling&O'Neil Insurance ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AMEND,EXTEND OR Agency ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 973 lyanough Rd., PO Box 1990 Hyannis,MA 02601 INSURERS AFFORDING COVERAGE NAIL 0 INSURED INSURER A Harleysville Worcester Insurance Co. Baker&Associates,inc. INSURER a Associated Employers Insurance Compa P0 Box 923 INSURER C Centerville,MA 02632-0071 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. NSR LT TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTNE POLICY EXPIRATION LIMITS A GENERAL LIABILITY CB831 748 04t19107 04119108 EACH OCCURRENCE $1 W0,W0 X COMMERCIAL GENERAL LIABILITY DAMAGE TO RENTED $100 ON CLAIMS MADE a OCCUR MED EXP(Arty one person) $5 000 X PD Ded:250 PERSONAL 8 AIN INJURY $1 W0 000 GENERAL AGGREGATE s2,000,000 GE N'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMPIOP AGG $2 000 000 POLICY PRO- LOC AUTOMOBILE LIABILITY . COMBINED SINGLE LIMIT $ ANY AUTO (Ea accidard) ALL OWNED AUTOS - BODILY INJURY SCHEDULED AUTOS (Per penion) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per accident) PROPERTY DAMAGE $ (Per acciderd) GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSiUMBRELLA LIABILITY EACH OCCURRENCE $ OCCUR ❑CLAIMS MADE AGGREGATE $ DEDUCTIBLE $ RETENTION $ $ TH B WORKERS COMPENSATION AND WCC5002454012007 "23107 04/23= �( WC STATU- FR EMPLOYERS'LIASILITY I EL.EACH ACCIDENT $1 O0000 ANY PROPRIETORIPARTNERIEXECUTE N OFFICER/MEMBER EXCLUDED? - E.L.DISEASE-EA EMPLOYEE $100000 If yes,describe under SPECIAL PROVISIONS below E.L.DISEASE-POLICY LIMIT $500 0W OTHER DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES I EXCLUSIONS ADDED BY ENDORSEMENT I SPECIAL PROVISIONS Insurance coverage is limited to the terms,conditions,exclusions,other limitations and endorsements. Nothing contained in the certificate of insurance shall be deemed to have altered,waived,or extended the coverage provided by the policy provisions. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION Town of Barnstable DATE THEREOF,THE ISSUING INSURER WILL ENDEAVOR TO MAIL --UL DAYS WRITTEN Thomas Perry NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE LEFT,BUT FAILURE TO DO SO SHALL 200 Main Street - IMPOSE NO OBLIGATION OR LIABILITY OF ANY KIND UPON THE INSURER,ITS AGENTS OR Hyannis,MA 02M REPRESENTATIVES. AUTHORIZED BENTATN` '�► 4 ~ ACORD 26(2001/08)1 of 2 $47454 iv o ACORD CORPORATION 1988 LI .... .......... .. ..... .... ... . . . . . . . . . .. .......... ... . . . . . . . . . . . . . . FOW ELEVATION ' 1/4• - 1' null 11 —[null null null 11 jufihl� PROPOSED ®UDD MEMO GARAGE REMOVE DECK SECTION EXISTING As REQUIRED EXISTING ADDITION DECK To GAPAW A WALL M DWELLINGF ®®®® ®®® 24'—S' 1 NO WINDOWS %\%/i\%/\%/i\%/i\%/i\%/\%/i\%/i\%\%/i\%/i\%/i\%/\%/i\%\%\%/i\%/i\%/i\%/i\%/i\%/i\%/i\%/i\%/i\%/i\%/i\%\%/i\%\%%\%�\\�\/� s4•:eo• WLANDM STAIRS e RAIL EDDSRNG DOOR - ! 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IS AT THE DISCRETION OF THE BUILDING COMMISSIONER HOME IMPROVEMENT BUIER JANUARY 2017 _ 1 OF 2 Wle.>s6.>e� AND WILL BE THE RESPONSIBILITY OF THE OWNER 1 i I 2'x 12' RIDGE W/ RIDGE VENT 24'-5' 12'— x 10'RAPIERS,-PROVIDE AZEK TRIM 18'O.C. F2'x 10'RWrERS 7�U"ATION _ /DOWNSPOUTS8 O.C.PROVIDE VINYL BEADBOARD SOFFIT PROVIDE S"GUTTERS WFROM k REMMATCH EXISTING 12 ROOF PITCH S 12 ASPHALT SHINGLES/ 1/2PLYW000 SIMPSON H2.S EATHING ' 18' ■8 e HURRICANE CLIPS 2'x 4'CONCRETEEACH RAFTER UPRIGHT TOPOF �T C FOOTGUS O 16'O.C. DATION CURB WALLNGW/ ON FOOTING (TYPICAL) - - MATCH DETAIL o� TPoY DEWL iI 2'x 10' '1 CEILING JOISTS m O 18'O.C. USE AFA NARROW WALL 1/2'PLYWOOD 41 BRACING METHOD AROUND EXISTING ISE S 8'x 10' GARAGE DOOR OPENINGS SHEATHING2'x 8' o . _ CAR SfRIP'EbSfING SIDEWALL CONCRETE BOLSPACED 71 D.C. MAX. a 2'-0'SHFARWALL YO ENGAGE SILL NUOUS 2�p STUD WALL `E WALL W/IN 2p GF ALL S PANELS,NAILED ,pp Pub GARAGE PROVIDE Y FlRE-RATED ERS(2 YIN. 8 3'O.C.(FA SIDE) SHEEP RbCK TO PEW MATCH TOP PER PANEL) c SIMPSON LCEZ PROVIDE SOLID BLOCKING FOUNDATION /��p�/� DROP I O JACK POSE FOR FULL PERIMETER i /��p�/� / GAWE FOOTING tc HEADER EACH NAILING ELEVATON W/ +� PROVIDE SIMPSON 4'CONCRETE GAR.DR.OPENING. EXISTING 4'CONCRETE STHD14 HOLDOWNS GARAGE SLAB SLAB (2)AS SHOWN c 8'x 7'-9' 2'x 8 P(SILL CONCRETE •� GOsNCR!_lE-. <: 8's 4' CONCRETE (BOLTED) '.: CURB WALL ON SEALER BOLTED CURB/FROST WALL CURB WALL --------------- ON FOOTING .> ..:. .: yg{ ON FOOTING ''' (ADJUST WALL HERAff ` ---------------1 ; S I M DICTA SITE TE) I . E%ISTING � + DOWELINTO NEVEXIS WA CHIMNEY I i CONTINUOUS CON a. CRETEI CONCRETE WALL CONCRETE ------ O/8'O.C. FI'G.(TYP.) --------------- ANCHbR•BOL75 M I SPACED 71"O.C. 9'W.OVERHEAD 9'W.OVERHEAD 18'x 8'J W/IN 12'OF ALL GARAGE DOOR GARAGE DOOR t CONi1NUWS CORNERS(2 MIN . .. .. ...... .. .. ..... I CONCRETE PER E ) PANEL) USE 3' —L- CONCRETE RUN SLAB THRU 13'-0' 13'-0' x A x V APRON AS APRON PLATE WASI1 PROVIDE MPSON SMD10 HOSILDOWNS USE AM NARROW WALL DROP WALL (2)AS SHOWN ET - BRACING METHOD AROUND 8'-8� 12*AT DOORS I 8-8. I I 26'-0' GARAGE OPENINGS 24'-0"FOUNDATION WALL FOUMA1 T PLM ( 1/4" — 1 ) `6E • VERIFY ALL DETAILS W/ BUILDER ON SITE ( 1/4" — 1' ) a & ADJUST AS REQUIRED • VERIFY ALL DETAILS W/ BUILDER ON SITE & ADJUST AS REQUIRED O 1 2 4 8 12 V !. PROPOSED GARAGE ADDITION I IV2 SCA CHRIS EVINS ALL CONSTRUCTION M BE PERFORMED IN STRICT 22 MELBOURNE ROAD HYANNIS COMPLIANCE WITH THE MASSACHUSETTS STATE BUILDING CODE, EIGHTH EDITION AND WOOD FRAME CONSTRUCTION k —FRAMING SECTION "M" MANUAL FOR EXPOSURE B WIND LOADS - 110 MPH NKXERSON —FOUNDATION PLAN AM BoMbm,Tin ANY STRUCTURAL ENGINEEPoNG REVIEW, IF NECESSAITY, E IMEM AUN R.CA9t�AL IS AT THE DISCRETION OF THE BUILDING COMMISSIONER FIE = NHI-ELKINS-GAR.DWG , BUILDER JANUARY , 2017 2 OF 2 AND WILL BE THE RESPONSIBILITY OF THE OWNER ( 1