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HomeMy WebLinkAbout0500 OCEAN STREET (58) I - Avg 77 Y Town of Barnstable Approved _ Regulatory Services Fee Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Home Occupation Registration Date:M QL1 l 103 Name: Chary L 19(n Phone#: S O $ ' Address: 2-;00 C_)C-Q_Q-v_) 'Ed-, n(A.yl i t- (Sa Village:_1+(4Q Y-)0('S Name of Business: (2Cxbss ` C e Type of Business: i Map/Lot: a 4 04 0 00(C Zoning District lZ 1 Zoning Districts RF and RC-1 require Special Permit from Zoning Board of Appeals. INTENT: It is the intent of this section to allow the residents of the Town of Barnstable to operate a home occupation within single family dwellings,subject to the provisions of Section 4-1.4 of the Zoning ordinance,provided that the activity shall not be discernible from outside the dwelling: there shall be no increase in noise or odor;no visual alteration to the premises which would suggest anything other than a residential use;no increase in traffic above normal residential volumes; and no increase in air or groundwater pollution. ' After registration with the Building Inspector,a customary home occupation shall be permitted as of right subject to the following conditions: j • The activity is carried on by the permanent resident of a single family residential dwelling unit,located within that dwelling unit. • Such use occupies no more than 400 square feet of space. • There are no external alterations to the dwelling which are not customary in residential buildings,and there is no outside evidence of such use. • No traffic will be generated in excess of normal residential volumes. • The use does not involve the production of offensive noise,vibration, smoke,dust or other particular matter, odors,electrical disturbance,heat,glare,humidity or other objectionable effects. • There is no storage or use of toxic or hazardous materials,or flammable or explosive materials,in excess of normal household quantities. • Any need for parking generated by such use shall be met on the same lot containing the Customary Home Occupation, and not within the required front yard. • There is no exterior storage or display of materials or equipment. • There is no commercial vehicles related to the Customary Home Occupation,other than one van or one pick-up truck not to exceed one ton capacity,and one trailer not to exceed 20 feet in length and not to exceed 4 tires,parked on the same lot containing the Customary Home Occupation. • No sign shall be displayed indicating the Customary Home Occupation. • If the Customary Home Occupation is listed or advertised as a business,the street address shall not be included. • No L.tav asha oyed in the Customary Home Occupation who is not a permanent resident of the dw I,the undersignee with the above restrictions for my home occupation I am registering. Applicant: Date: Homeoc.doc . TO ALL NEW BUSINESS OWNERS DATE:Ma-kd C ©-3 - Fill in please:--,,.,. APPLICANT'S r `r YOUR NAME: 0-hQn^ L, 13,--, Po BUSINESS YOUR HOME ADDRESS!-)2 Q(.k_,h FJ t�Loacno TELEPHONE "` - Tele h e Number Home NAME OF NEWBUSINESS TYPE OF BUSINESS IS THIS A HOME OCCUPATION? ✓ YES �_ Have you been given approval from the building division? YES NO ADDRESS OF BUSINESS S©O Ocsg.un S -, UAA-k`f' Is MAP/PARCEL NUMBER v��{ d 4/D 100 When starting a new business there are several things.you must do in order to be in compliance with the : Iles and regulations of the Town of Barnstable. This form is intended to assist you in obtaining the information you may need. Once you have obtained the required signatures, listed below, you may apply for a business certificate at the Town Clerk's Office (ist floor - Town Hall) or if you get the business certificate first you MUST go to the following office to make sure.yol., have c'; ;lie required permits and liccr.ses.. GO TO 200 Main St. — (cor r. f Yarmouth Rd. & Main Street) and you will find the following offices: 1. BUILDING C MI 10 ER'S C This individual s e n in rmed f e it lquirements that pertain to this type of business. hgr' ed Signat e**_ COMMENTS: 2. BOAR HEALTH This individual has been informed of the permit requirements that pertain to this type of business. Authorized Signature" . COMMENTS: 3. CONSUMER AFFAIRS (LICENSING AUTHORITY) This individual has been informer of the licensing requirements that pertain to this type of business. Authorized Signature" COMMENTS: Business certificates (cost $20.00 for 4 years). A business certificate ONLY REGISTERS YOUR ;NAME in the town (which you must do by M.G.L. - it does not give you permission to operate - you must get that throug'i completion of the processes from the various departments involved. "SIGNIFIES APPROVAL FOR A BUSINESS CERTIFICATE ONLY. y:4 . TOWN Of BARNSTABLE BUILIDING PERMIT APPLICATION (� C�0 �L o Z 3� Map Parcel �`1 Application # Health Division Date Issued Z— Conservation Division Application Fee ®® Planning Dept. Permit Fee l� Date Definitive Plan Approved by Planning Board _ �Vu Historic- OKH _ Preservation/ Hyannis _ Project Street Address E � Village ,,r` (� Owner ' � � Address Telephone 's Permit Request rem — Qs� Square feet: 1 st floor: existing proposed ".2nd floor: existing 6 proposed Total new Zoning District —Flood Plain Groundwater Overlay Project Va.luatio n'!� a o0h U Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. r Dwelling Type: Single Family U/ Two Family ❑ Multi-Family (# units)' ' - Age of Existing Structure So- _ Historic House: ❑Yes kNo On Old King's Highway: 0 Yes �lo p Basement Type: Vuil ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.)_ b_1� Basement Unfinished A pa (sq.ftj` Number of Baths: Full: existing new Half: existing i ew —tm : Number of Bedrooms: _ `� existing-7 new Total Room Count (not including baths): existing new First Floor Room Count - Heat Type and Fuel: Gas ❑ Oil ❑ Electric ❑ Other Central Air: UKes ❑ No Fireplaces: Existing New _ Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size.—Pool: ❑ existing ❑ new size - Barn: ❑ existing ❑ new size_ Attached garage: ❑ existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # _ Current Use Af� _ Proposed Use S;Q��, APPLICANT INFORMATION - i (BUILDER OR HOMEOWNER) Name Telephone Number �'� J Address B&A X a,,0 A r s License#_ 9 q � \AJ Home Improvement Contractor# u p L?i D Worker's Compensation #�W �, / ���3�eSQ ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TOnry. SIGNATURE DATE a A� { FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED 4 'MAP,/PARCEL NO. 1 , ADDRESS- r VILLAGE ti OWNER ° 1 DATE OF INSPECTION: _-FOUNDATION ' -� j FRAME OV ~INSULATION- FIREPLACE ELECTRICAL: ROUGH 'FINAL ` PLUMBING: ROUGH FINAL GAS:"` ` ' ., ROUGH . •_,..FINAL.. 'F`INAL-6UILDING!s ' `DATE CLOSED OUT - ASSOCIATION PLAN NO. ' . �, �omvea�th ofMa�achrr�e� • Depwftw ofLw afr&WA'ddearis A Offbe 00mm4ndans 60P W=hircgtaa Sheet BON&?,AU 92II1 Wormers Cora easafion �.M=S gJ7V/ P hwlrance A.ffid$yft;BmIders/Contraefor�/ Ie�x-icians/P ficaat�nformatlon - Itambers . ---------------- Plea e Priest LefV 21ame ��/ �InclividnaI);�' 'Address: [3.[] ou an employer?Check the spprop�e bow a employer with_J _ 4. Q I am a generalc TPpe•of projmat(onfraci-orandI �'�k'yees ( and/or prt-floe):* have hied the subra tO. fir Q New oonstuction I am a sole proprietor or patter .listed on the stt aahed sheet:ship and have no=pioyees Tbmr snb-e 7. ��Ddc�oatractors havegCI D=DL+d nwQ�g far me.in any capacity, emploees and}saSje workerNo workers'comp.iasa r, -cam;Ica$ 9. []B addificm am as homeowner do a corpoation and its. . Electriael repairs or addons mg work officers have exercised tiieayself �° cn >dghf of exemption per MOLI I []Ph�ing repairs or additionssr v mgimed.]t c, I521 §I(4), and we have no 12.[]Roofrepaim �Ployees. NO work , 1LI:--- 3.Q Ofher *ALT aPPm that ch=13 box#1 meet also fM ont the Cam .wee regli m t HnmeM-=wbo mbmit this eidavit indicating they helow shmg tbea WO E mcpmmation Policy a that check this box mast eitar�ed an ad3iti�el doing wok and thin hus.oaLade eoatracfa�mnst sabmit a new effi = PmY=s If flee sub coats n);ave l - O�the rime of the�r�„--��mrs end state whether or not those cntitim hh r,re CZM�Est— ide their A'or1e 'comp.pohCY member, h0armafiott 'e1 tFiat is prang workers'caacpeawfi ion imsr-once for rrty ! �ogees Below is ale po&cy and job site hlm=me Company Name: -e Poficy#or Self ins.Lic. 'on Doi$: Job St5 Addi ass• A.t "l a copy of the workers' compensation oli C,, Fame tD secrl£re c P cy dedEration page(showing the policy number and overage as r--Trimd Dnder Seed.=25A of Mm c. I52 can lead to the ' expiration date). fine rzp to$1,50O.Do and/or one-year irnpasommeut,as well as t �ositi=°f�s1 Pities of a Of up to$250.00 a day agmmst the violator. Be advised ihd a Penalizes m the.fnmt of a STOP WORK ORDER and a fine Irrves gations of the DIA for insurance coverage verification,spy of this sfafz eIIt may be R rwarded to the Officx of I do heresy under the airs that and . p orkies of pe jury t�ae b'Ourmagon Provided above is true and can'ecr: Datm: 'hone# 7 � al use orr�y. Do not write in this area, to be completed by citj,or fawn officiu[ City or Tops¢: Auf�.o T' ILicense# . . Fsm3 city(c¢de one): L Board of Health 2,BmUcfiugDepartment 3, Citp/T'own Clerk 4.IIectricaI Ins ectnr 5 5. Dther P .Phlmbkg h-pectar Contact Peraaa: Phone#: AWC Guide to Wood Corrstrrciori zrr Hi;fr �rzd,�reQs;IIO frcplr kYrrrd Zorie Massa'chusetts Checkast f6r Com�JianGe (780 cn'fR mot l.l)' 1.1'SCOPE Chxk Vend Speed(3-sec gust)..Wind DmPban= , Wind Wind Exposure Category.................:...._.....-..--- •. ---....-------._....... .__..........:............ , :........ . ..... 1 i D mph BExposure lLfiY Category................Engi 1.2 Al`?UccA neering RequiredFor Entire Project ......................... Number of stories(a roof which Roof -_, W exceeds 8 in 12 slope shall be considered a • Mean Roof Height..................._..........................................(Fig 2) .........................................for stories 52 stories. .-_,_,_,_-_._-----•............................. Buifdfng Width,W (Flg 2) --•.................: Binding Length, L ......................................... •(Fig 3). .....-......:.. _ Buildin Aspect Ratio ....... -----........ ..._... . ......(Fig 3)................................................. ..................... ............... _ <BO' ,. Nominal Height of Taliest Op'eningi-- -----------------•...........(Flg 4)....... -•--.._._.... ft.s 3 0' .-- -1 1-3 FRAMING CONNECTIONS General compliance with framing connections....................(Table 2) 2.1 FOUNDATION . ---•- ....................... Foundation Walls meeting requirements of 78D CMR 5404.1 .........:............ - ConrxelE Masonry .................... ........... ------.._ ................................. 22 ANCHORAGE TD FOUNDATloW 5/8'Anchor Boltstimbdded or 5/8'.Proprietary Mach anicai Anchors as an alternative in concrete only Bolt Spacing-general y Bolt ---•-•........................ ....._.- (Table 4 Bolt Embedmentn9 from end(oint of plate....._.._....-------:....( g )...........:.... .............._.---•---- Bolt Emb dment-concrete._... .._....:........... ......(Fg). ....--........................................... !n.s 6'-12', -masonn.>7' Ptete Washer_.:._. ry._.... ---• . ................. .(Fig 5).._ ...t. __._..... —i 1 ._................ - -= ---___...._._. (Fl.g 5 11 FLOORS ._..... - -- '3"x 3'X Y" Floorframing member spans checked Maximum Floor Opening Dimension .. - (per 78D CMR Chapter Full Height Wall Studs at Floor O e -� "'-(Fg 6 .......................... -. 9 than 2 from -._._._._.•-.,- .R nin s less m Exterior Wall(Fig 6 .......---ft 512' . Maximcim F1oorJoist Setbacks ).............................: Supporting Loadbearing.Waits or Shearwall.:.............. Maximum Cantilevered Floor Joists .(Fig 7�............. ................. 5 d Supporting Loadbearing Walls'or Shearwall.._.--...... . - FloorBracing at Endwalls.....:........... ....(Fig 8)...._---.........._ ' Floor 5h ......... --•...........:._ _ - eathing Type �r9 9)....�_.._..---•--- Floor Sheathing Thickness ._ .�. . - '• - (per 780 CMR•Chapter SS).................................................. . _-....__-. -----•-----------•• --(per7BD CMR Chapter Floor Sheathing Fastening plat 55).,-•____ ._ in. ............: .._.:... able 2 _...._.. ).._d nails at in edge/_ 4.1 FALLS in field - Wall Height Loadbearing walls.......... Non-Loadbeadng warts - -- (F9 i0 and Table 5) Wall Stud Spacing -- ' --------------•--•(Fig 10 and Table 5) ..................... __.. < ft .s 20' ..................... ••-----•-•--•--.....---...(Fig 1 D and Table b) Wall story Offsets -.._:......___. • .............._... - ............ (Figs 7�8)--•-----..._ _rn. 24"❑.c. ............................. _ft sd r 4.2 EXTERi OR•iNALLS'- Wood Studs Laadbearing walls -• ..(Table E Non-Loa ..._......._ .}........_................._.fix Non-Loadbearing walls._ ......... ...... ................(Table 5 - ft_ Gable End Wall Bracing' - )...............:...........---2x _—� -- in. Full Helght Endwall Studs F 10 WSP-Attic Floor Length, ..._... ......................( g )...................... ..........: _:._ 'Gypsum Calling Length (lf WSP not used)...... - .-'_(Flg 11)....._.._...._.__.................._.. --- �ftzW and 2 x 4 Continuo m =--•.........:.(Fig 11).._.............................. or 1 z 3 us Lateral•B � @ 6 ft.n.c,. (Fig 11)......................... ............. ......-- _ft'0.9W _ - ceiling furring strips @ 16 spacing ._ . Do P g min.wiFh 2 x 4 blo ............... ._..._ table Top Plate �ng @ 4 f1. spacing in end joist or truss bays Splice Length _ __ (Fig 13 and Table 6)...... Splice Connection (no.of I6d Common nails 1.. ••.rT�hro�� -•............... ft . r . �1% fl WC Guide to Wood Construction hi High Wr&d flr=. 110 mph /�rind Zoize Massachusetts Checklist for Com Hance (790 CiKR S30 1.2.1.1)' Loadbearing Wall Connections Lateral(no.of 16d common nails)............._ ...........(Tables 7)........... Wall Connections .._....................................... Lateral(no.of 16d common nails)...................... .....(Table B Load Bearing Wad openings (record largest opening but check all openings for coMpfrance to Table ...9 Header Spans ........... ......_.._....................... .(Table 9).........----._..._..._..__.. ft 11' Sir Plate Spans ..----...._._.-.... ....._....... ....__....... .(Table 9).;..... .................... —ft—n. 5 Fur Height Studs(no. of stud ...._...._..__..._............(T — —in.511' s)• able 9)........................._........_....._......._.. Non-Load Bearing Wall Openings.(record iargest opening but check all openings for compliance to Table 9) HeaderSpans........................-....._....._....................(Table 9)...........___.................._$_in.s 12` 310 Plate Sports..............----.................:.:_:_.._..:___-.....(Table 9)................................ Fun Height Studs (no,of studs)..._..............._..._.._.:..(fable 9)......._............ .....................•-----•-••-• Exterior Wall Sheathing to Resist Uplift and Shear Simultaneously Minimum Building Dimension, W Nominal Height of Tallest Dpeninc Z 67 Sheathing Type....._...:....__..........................(note 4) . — Edge Nail Spacing............................_---• (Table 10 or note 4 if less).---...._........... ' ..... Field Nall Sparing.. '- p 9...........:........................:.....(Table 10).........._.._...._ � .. • Shear Connection(no. of 15d common nails)(Table 10).:.,..___.._�..... _.._.-...............-_...._ Percent Full Height Sheathing......._......._.: (Table 10) — 5°�Additional Sheathing for Wall with Opening>6'6'(Design Concepts).................... Maximum Building Dimension, L Nominal Height of Tallest Opening2..::............:....... < < Sheathing Type_................_.... .. ........................... ......................... ....:.................(note 4)...._...--- Edge Nail Spacing.........................................(Table i 1 or note 4 if less).._.___ in. Field Nall Spacing--.......... (Table 11).._..--- •----.,...__::_._.. ........... in. Shear Connection (no, of 16d common nails)(fable 11) Percent Full-Height Sheathing........:..............(fable 11)....:.............--•- ..._ % 5%Additional Sheathing for Wall with'Opening> 6V(Design-Concepts}.....--,_...... Wall Cladding Rated for Wind Speed?................_._.--......_......................... 5.1 ROOFS Roof framing member spans checked?_. ....................(For Rafters Ilse;AWC Span Tool,see BBRS Websfte) Roof Overhang ...................................................(Figure 19) —ft s smaller of 2'or 1.13 Truss or Rafter Connectons at Loadbearing Walls Proprietary Connectors Upfift----- -_......--•--..-:.--.._--.--._.-(i'able 12)......:................._.:_..............U= plf Lateral .............•...........;................ 12).....--------•-••... _.........._._.._.L= plf Shear....................................:.........(Table 12)..............-..-..-.........----•....... S= p� Ridge Strap Connections, if collar ties not used per page 21.:. (Table 13) ...............T= ptf Gable Rake.Oudooker:......................................_.(Figure 20) ............. ft:`smaller of Z or 112 ' Truss or Rafter Connections at Non-Loadbeadng Wads — Proprietary Connectors Uplift---- ...........:.............:_._....(Table 14)_---------------• -- Lateral(no.of 16d common nails)...(Table 14)..:............... ................L= . ' lb. .............. Roof Sheathing Type............._-................................(per 760 CMR Chapters 5B and 59 Roof Sheathing Thickness.........................._-w: .....................----------.�.._..._.._. in._>7116'WSP Roof Sheathing Fastening......................_....._. ._..(Tabie.2).....................This checklist shall be met in its entirety, excluding the specific exception noted in 2, to comply with the requirements of ' .730 CMR.53012.1.1 Item 1. If the checklist is met in its entirety then the following metal straps and hold downs am not required per the WFCM 110 mph Guide: a. Steel Straps per Figure h. 2b Gage Straps per Figure 11 r- Uplift Straps per Figure 14 d. All Straps per Figure 17 e. Comer Stud Hold Downs per Figure 1 B,a and Figure I3b Exception:Opening heights of up to 8 ft shall be permitted when 5% is added to the percent fur-height sheathing 'requirements shown in Tables 10 and 11. The bottom sill plate in exterior walls shall be a minimum 2 in. nominal thickness pressure treated 92-grade. i J - r •y - ' X WC Gz de to'Wi)od Gorr tfr'"C60rr in High H1i d Areas- 110,uzpk ffTud Zorze Alassachusefts Checfdist for Compliance (791) CIARs3o1?1:1)' 4. a From Tables 10 and 11 and location of wall sheathing and Building Aspect Ratio, detiiftine Percent Full-Height ^Sheathing and Nail Spacing requirements Jo. Wood Structural Panels shall be minimum thickness of 7116'and be installed as follows: 1. Panels shall be installed with strength axis parallel to studs. I All horizontal joints shall occur over and be nailed to framing: H1. On single story construction,panels shall be attached to bottom plates and top member of the double top 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 attachment made to lowest plate at first fioor framing. v. Horizontal nail spacing at'doubte top plates, band joists, and girders shall be a double row of Bd staggered at 3 inches on center per figures below: Vertical and Horimntal Nailing for Panel Attachment S. Glaang protection:a)new house or horizontal addition—required if project is 1 mile or closer to shore(generally,south of Rte.29 or north of Rte. 6) b)vertical addition—not required unless there is extensive renovation to the first floor c) replacement windows—needs energy conservation compliance only(chap 93) • S.Wood Frame Construction Manual(WFCM)for 110 MPH, Exposure-B may be obtained from the American Wood Council (AWG)website. YtlHEKTHE EDGEFEM oN MA-YING u8E8d WALS If• l , IF Ic' J .. n k 1 1"• s N t - F- o ii it e t i i Ir I' 1 e n n { 1� �l• t- Ir 1 1 11 t l Q 1 i i ID6E> @fl�TE 1 1 1./ 2L 1J � Ri 1 1 Itit ! �-- I b It • t � II fl 3 I 1 I � r 1 1 I II n tJ-r.•-�-.- - -- ���11TT�`YY" t e. DBU�J F t`t STAGGERED 3'MMt! fIAILSPAC�G PtidS � 1 NA4.PATTERN � PAN S ` \ MANE EDGE DOUBLE NAIL FDGfi SPACNG DEML See Datali on Nazf Page Vertical and HorizflMal-Nailing Detail for Panel Attachment Vertical and'Hotizontal Nailing for Panel Attachment VE ToWn of Barnstable Regulatory Services • >.+tNsrwsu, • . • M+es Thomas F.Geiler,Director QED Building Divzsion Tom Perry,Building Commissioner. 200 Main$treed Hyauais,MA 02601 www.tawn.barnstable:=Lus Office: 508-862-4038 Fax: 5 - -08 790 6230 Property Owner Must Complete and Sign This ,Section If Using A Builder as Owner of the subject property hereby authorize -5 AVc J l e// to act onMYbehalf in aH mattes relative to work authorized bythis bui<ding pPT'R71f application for. (Address of Job) S of Owner . �19� x Signature Date Print Name If 'roerty Owner_is applying for permit please complete Lthe Homeowners License Exemption Form on the reverse-side. . Q:F0RMS:0 VMERPERMISSI0N Town of Barnstable Regulatory Services 't AAA _ f 1 Thomas F.Geller,Director KAM 163rq. ���� Building Division. ' Tom Perry,Building Commissioner .200 Main Street, Hyannis,MA 02601 W W W-town.barnstable.ma.us Office:. 508-862-4038 Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number ,. street Village' "HOMEOWNER': } :. name home phone# work phone# CURRENT MAILING ADDRESS: city/town state zip code The current exemption for"homeowners"was extended to include - �P m lude owne r occ red dwellings of six units o e up g r less and to allow homeow ners to engage an mdrvmdual for hoe who does not possess a license,provided that the owner acts as supervisor. DEZ{INMON OF HOMEOWNER Persons)who owns a parcel of land on which he/she resides or intends to reside,on which there is, or is intended to be, a one or two-family dwelling, attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes;bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection procedures and requirements and that he/she will comply with said procedures and requirements. Signature of Homeowner Approval of Building Official Note: Three-family dwellings,containing 35,000 cubic feet or larger will be required to comply with the State Building Code Section 127.0 Construction Control. HOMEOWNER'S EXEMPTION The Code states that "Any homeowner performing work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if.the homeowner engages'a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed_ against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. ' To ensure that the homeowner is fully aware of his/her responsibilities;marry communities require,as part of the permit application, that the homeowner c that he/she understands the �Y rsspoasrbiIities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a fomi/certification for use in your community. Q:forms:homeexempt j Yachtsman Condominium Trust Acceptance of Trust Approval The undersigned Owner[s] of Unit#152 of the Yachtsman Condominium Trust, 500 Ocean Street, Hyannis, Massachusetts, acknowledge[s] that the Trustees of the Yachtsman Condominium Trust have voted to approve the following proposal: Replace the existing wood support beam in Unit#152 with said work to be completed in strict conformity with the plans approved by Michele Cudioli, P.E. plans dated Jan. 31, 2012. By acknowledging the Trustees'vote approving the proposal for Unit#152,the undersigned Owner[s] agree that: 1. The drawings and specifications provided by the Trustees for approval (copies of which are attached and incorporated hereto) are the final drawings and specifications of the improvements. Work must be completed in strict conformity with the plans provided by Michele Cudioli, P.E. (dated. Jan. 31, 2012). There shall be no additions or variations to the said drawings and/or specifications without the Trustees' prior written consent. 2. Approval by the Board in no way constitutes a waiver by the Board of the Trust's rights. Moreover, approval by the Board does not indicate that the Board accepts liability or responsibility for the actions of the owners. 3. Any contractors (and sub-contractors) hired to work on the proposal shall obtain the necessary approval and permits from the appropriate local authority or statutory body required under any law (including any statute, ordinance, by-law and/or regulation). Contractors and/or sub-contractors shall not commence, continue or complete any work without having the appropriate permits and approvals secured. Contractors and/or sub-contractors shall provide the Manager of the Yachtsman with copies of all approvals and permits. 4. Any work undertaken shall comply with all relevant local, county and state codes, by-laws, regulations and statutes. S. Any contractors (and sub-contractors) hired to work on the proposal shall maintain the appropriate liability insurance. Contractors and/or sub-contractors shall provide the Manager of the Yachtsman with copies of the relevant insurance binders. 6. Any work undertaken shall be completed by Memorial Day and no work shall be undertaken again until Labor Day, unless approval is sought from and received from the Trustees. 7. I/We assume(s) responsibility for any future costs associated with loss or damage related to the work. -1- i Acceptance of Trust Approval Page 2 of 2 8. Other: No other conditions apply but for the condition that the work completed be in strict conformity with the plans provided by the Board's independent engineer, Michele Cudioli, P.E. (dated Jan. 31, 2012). The undersigned Owner[s] of Unit#152 therefore accept the approval of the Trustees of the Yachtsman Condominium Trust subject to the above-noted conditions. Signed this 6A day of_ ����� 20 1 Z Signature- Unit Owner Print Name-,Unit Ow r Signature- Uni Owner Prirtt Name- Unit Owner Witness /WareI;"YaqtWbq,Wfondominium Trust Documents Attached: Michele Cudioli, P.E. plans (dated Jan. 31, 2012) - a Permits Received (Title and Date Received): i i F S I t 1 C I t .. i IVIICHELE CUDIL®, P.E. Consulting Structural Engineer Centerville, Massachusetts 02632-1979-(508)771-7601 -Fax(508)771-7163 mcudilo@comcast.net DATE: January 31,2012 Yachtsman Condominium Trust 411 Waverly Oaks Rd.,Suite 340 Waltham, MA 02452 RE: STRUCTURAL REPAIRS TO UNIT 152 YACHTSMAN CONDOMINIUMS Ocean Street,Hyannisport, MA Please note that the repairs proposed by others were reviewed in the field and back-checked for engineering analysis and calculations and was found to be a generally acceptable solution. Further detailing information is provided on the attached sketch. SK-1. 1 trust this meets your needs at the present time. Sm hytCHELE ichele j C u d ilo,P.E. CUCIt t3 1 No.34774 i,..P 201.2-11 STRUCTURAIL. i JOB 'ems d` TAYLOR DESIGN ASSOC., INC. SHEET NO. � OF P.O. Box 1313 2 9 Forestdale, MA 02644 CALCULATED BY �' p Tel./Fax: (508) 790-4686 CHECKED BY SCALE I El ......... .. � rs; .. . ... Tt -� - .. ...... err 6 .. ...... . . ...... .. a. ! ... ® .. .... ._...... 6 C �... .... �. _ ._ 8 ... ... .... ... ... � .. YZI .. .... 5 .. ..... . . ... _... . .... .. ....... .F-e. f....... . $ .... '� P ..ee�®P _.e C e�a_ ._ . ... . . .� ��� . ... ... ............... ..: .......... ......... - - Z'K��► _..�r!7 ... . ... .. ...__......................... _ _..... : ... . ..... .. ..�...... ... :.. :... _ . ..... . ._. .: .. ... ............. ........ ._ 4 JOB TAYLOR DESIGN ASSOC., MC. �r- SHED 1d0. � OF P.O. Box 1313 Forestdale, MR 02644 CALCULATED BY `e` DATE Tel./Fax: (508) 790-4686 CHECKED BY DATE Tom �./ �u�� a , FaicGg Q SCALE .....l_�..f ...... . pt �y p ......... _.._ . .... .. C� _.. . .... .._ ...... get fl `._. .....: ... .._ _. ....... c ... ..: ®- s .e.._ I ..... . ......._. � _._. .:.. . ....._ .... ........... ............ AA .. .._... i f � �9� -k �@ P. 4 r a .. .. . .. ......................... .... tc i � qa fl ._. ........... ....._ ........ . ....:.. �� r l ... i _.. _. .._..... . ................. ._ _ _ I i . ......._.. .... ... E 4 I J j VET ? li vTz'�. ' gip,v l L.:"I" ��p•At 0'E` �G=CI�r,t I���r� _. I I K rtO^R JOIST CONTINUOUS NAILERS it� 2 x low It,' � I I ATTACHED V/tE)1/E' Dvu THRU-BOLTS 1 ev aC. (011 a HAILER " I TOP (z}�1/2'Af.XLTS 9- j 5 STAGGERED) I I CAP PL. ratlsG. I t OF _�L BOLTMIA (TYP) I STEEL CLttnw I ✓ I 1 r "i SAP PLATE Di-TAT f%(*t ScM, 4 l a TO raoTTNG, x l o vU I OR CONTINUOUS VALL rOarING lPG �fi'4 t>1N BASE PL. � � xk j�_f 0 MICHELE CUDILO o No.34774 +: STRUCTURAL. e w NOTE 1. ALL WORKMANSHIP TO CONFORM WITH AMERICAN INSTITUTE OF STEEL CONSTRUCTI. N AND MASSACHUSETTS STATE BUILDING CODE LATEST EDITION REQUIREMENTS. 2. STRUCTURAL STEEL. ASTM 572 .(FY=50 KSI); Optional: SHOP PAINT WITH RUST INHIBITIVE PAINT. 3. EXPANSION BOLTS: ASTM A510 3/4" DIA.x6" EMBEDMENT IN CONCRETE; (M trl (Z}S g�`'� A,y�4 eyP THRU-BOLTS:ASTM A307 1/2" DIA. rt . 4. PUNCHED HOLES IN PLATES = 9/16" DIAMETER. 1 � 5. ALL WELDS E70XX ELETRODES. SHOP WELD CAP AND BASE PLATES TO COLUMNS. 'UlkZ-.>`� ai LL 7- " i> 6. COORDINATE ALL DIMENSIONS W/ ARCHITECTURAL DRAWINGS, AND FIELD VERIFY WHERE REQUIRED, STEEL BEAM CONNECTIONS TO WOOD FRAMING MICHELE CUDILO, T.E. I T 1 52 'Etl.. -ri-, Consulting Structural Engineer Centerville, Massachusetts 02632 ` � c}IT`�M,►�,.� C. T>Cit (4Itl +-'a Drawn By MC ante: Drawing Scale: AS NOTED Rev. 0 PvT� ( \ file Name: {, Project No.: r f r DAT@(NNAr)C'YYY Y ACORQ, CERTIFICATE OF LIABILITY INSURANCE ,,,; 20, PRQDUCEf rn ^,a: eca-Esi-��.,� ,ax; e.e-s.� a 's THIS IFIQATE IS 13S�t D AS A d4A'ON H INFQRIFIGATMR I N T e - �rG1 Li -.cntr.Er c_3: Li e5 QNLY AND CONFERS NCf RI®HTS UPON THE CEFRTIF D OR Ea;te;n n.ur�..ca p HQLRER, THIS 0 TWICATS DOES NO' AMEND EXTEND OR 23{ Nest Csr,trai ,tweet ALTER THE 0 VEI�AQE AFF R D EY THE PQ IE ®E OW• i N1et'ck 1TVA C:.7F0 INAIC# _ 1NE.RB.P'SAFFQRCINOCQYERAnI: r DIN I '� r^INSURED `" ` Steven i I$e_ior 19: Petciva,_ Drive NSUPERC _ _-------�-- - w 4a:.:;tab_o miA 02668 INSPIRER C— — >•-� IN Ue9 E: COVERAG T rA7DI'd4 kJY R3.'�YFZPLRGi:, rS y OR rr"r1-_IO_ OF Al:Y Cr_N::PA'.: vP, 4�Tl98R DC+JY2i`T LP3Ttl P.35PbCT TO SUBj% TPtS4 THE POLLCIFS Cl, INSLFA :E LISTED BEL0K FX-L 3ELN :S3Uv'D TO T?iE I.raUY�t rcFeMEu i,EOJ: FOn THE ?'SPICY ?ERI0Al 140 INLI'.kTe 2C_WITH9 ERTIFBZ YCATE D1A�' BE iSSJFC OR MAY ?EF.TRYr;, TN.T "ire" F_1rrCi lFFCiL8Dh8Y �'LE FOLICIi'S CSSCS.IB£D :dEAEIL' IS EUHJECT :0 1.yE TERNS, EXrLC wYCi:S A�C CONDITIONS OF SUCA POLT_CIES. ?G�C�Y@�IMd TS SROW.7 FNy VA'�FECUGE: 3 �IC GZ?:I9E. ROUCYNOWSER rr: /23-.2 tEACHOC IiFIRkNC 1.��C, ,y ®:NE RAL 6IABIL 7Y Z A 7 RRE t Y� lam---,lomm 0I — I dtfcRC4ALflENERALU4BLITY t mzr)rKP(Arwr,m tttttl £' C g � t�gE10NAl a ADV @lIU(tY GENERALAGGREGATE .%3 000 PRODUCTS•COMP/OPAW 8 li 'C,,c � i I j t GEN L AGWEGATE U%47 APPUES PER.; gOI,ICY I (P LUC i ; j I�NB �ldGLE UMl7 I S I�AuramoBiLl LIAEE UTY I, kNYAUTO ' 800L'YINaLWV i S i -j POLICY ! {�'P�' f I ! SCHEOULEDAUTOS I I i EIODLY INJURY I q S ^� KAEDAUTOS i 'Peel Lit I NON•OWNEDA!JTOS i �— iPROPERTYDAp1AGE f (PC acNord) f , AUTQ OPi!Y-EA AC CiMNT IS t1ARAA@LIABILITY I I EA ACC IN THAN ANVAUTO ! i AUTO ONLY: AGO r j EACH OCCtJRRENC£ _ @BOfUMBRELLAUA916JTY I i AGGRO TE _ S Cam { Ell CLAJM9 MADE i r� R'ETENTIUIV A; - !woRlc@Rac rPj►asacloNAND jAodCi02.^3a50120ii j:2i27%2?i1112,''27:2C z IELEACHACr.IDEK'� i IMPLOYERV U&BUTV l I AfN PROPRIET3R PARTTEC ' +VE I EL pi8EA9E EA EMPLOYEE S_ i pTFiC[PoMEl6FR8XCLU z i I.L.DISEASE.POLICY LI T i a N31o8' t 47NE11 j ! Ds3CRlPTIONOPOP86iATlONE/tACA IONS!VEHICLES,EXCLUSIO114 DeDeYE"WASEEII T'QPECiA+.PRO v5iOhB 31k@Ta Cvtl� C6TCif2Cd:0 LO E411o:v frGr1 Carr- ANC T N CERTI C TEH L R S&CULL ArIY OF m ABOVE DESCRYBEt, FCLLL:£S HE G'SU%,EL� TH$ EKFIRF.TLOa L1TE TWIECF, =HE YS�UYNG i:Srfi+Eb Tow^ os Barn3table W='LP rNL''cAVOId :0 Ethel: 30 vieY5 [vRI'T:S;r ri0.""SCE TO T?3 je7 N_bin Street CEk^IF_CATE HOw7ER 1�-SIEL TO THE LEFT, Bur FFYLURE ,;0_'�C a67 V1S AS reet: ,0 SKAL :YP09E TJ 05D'GW%T:ON C? LIA3LdYTY 0? ANY fINC Q'Gi` Tii£ :N6U3kZa, STS ?.OENTe OA F.E?P.Sr:1-^&TI`;ES. AJtMORM1041PRASANTAT'VA ®A.COR RPORATION 1000 ACOAoa amp001 me) TOWN OF BARNSTABLE,BUILDING PERMIT APPLICATION, Map r Parcel 00 7 {N' � E s ' T,�pplication # Health Division latje Issued Conservation Division : Applicat' Planning'Dept. Permit Date Definitive Plan Approved by Planning Board :• T I t 0}, Historic - OKH _ Preservation/Hyannis Project Street Address � (� © (Qc�M ,A , IAx �• Village ��,.�, Owner , - ' —Address-WI. fY\CX"Jd-14 Telephone ®� 27(� C1 0aa'�5 Permit Request plo jnr1ns'k� T I� UA0640 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay . Project Valuation w Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Ate— Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: Ufull ❑ Crawl ❑Walkout ❑ Other Basement Finished Area(sq.ft.) �o b Ili Basement Unfinished Area(sq.ft) Number of Baths: Full: existing_ new Half: existing new Number of Bedrooms: existing —new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: Comas ❑ Oil ❑ Electric ❑ Other Central Air: VYes ❑ No Fireplaces: Existing I New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ existing ❑ new size—Pool: ❑ existing ❑ new size _ Barn: ❑existing ❑ new size_ Attached garage: ❑existing ❑ new size _Shed: ❑ existing ❑ new size _ Other: Zoning Board of Appeals Authorization ❑ Appeal # Recorded ❑ Commercial ❑Yes ❑ No If yes, site plan review # �Current Use ,..,so Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name Telephone Number �� ��i Address _ '('_ License # � Vn ,����6� Home Improvement Contractor# Worker's Compensation #C, w C�7o �3�S0lapll ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO LM SIGNATURE DATE j�- FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED ,MAP/PARCEL NO. 1 , S4 ADDRESS VILLAGE f' OWNER / DATE OF INSPECTION: IP ' �l _,—FOUNDATION',—,.*. 1 FRAME ih 1 INSULATION } FIREPLACE '4 !i ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ,• w. ROUGH 'FINAL ;,F:INAL BUILDING #' Y i DATE CLOSED OUT s ' ASSOCIATION PLAN NO. > The Commonwealth of Massachusetts Department of Indtistrial Accidents Office of Investigations d 600 Washington Street w` Boston,MA 02111 s� www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print LeL3,ibl Name(Business/Organization/Individual): . UnAnol- Address: q—�.er C 1y'c r ; Ci /State/Zi cLrh ,e O-AG&.Phone.#: �0 "7 �ty p�1. e 'ail Are you an employer?Check the appropriate box:: Type of project(required):: 1.�I am a employer with to 4. ❑ I am a general contractor and I - Y ---�-- 6. ❑New construction employees(9d/or part-time).*, have hired the sub-contractors 2.ElI am a'sole proprietor or partner `-listed on the attached sheet. 7.-PIRemodeling ship and have no employees these sub-contractors have U ❑Demolition workingfor me in an capacity. employees and have workers' Y P t3'� 9..❑Building addition [No workers' comp.insurance comp.insurance.t required.] 5..� We are a corporation and its 10.❑Electrical repairs or additions q ] officers have exercised their 11. Plumbing repairs or additions 3.❑ I am,a homeowner doing all work ❑ g P myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs insurance required.]1 c.152, §1(4),and we have no employees. [No workers' 13.[ 'Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. 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. I am an employer that is providing workers'compensation insurance for,my employees. Below is thepolicy and job site information. Insurance Company Name: L An , f ' Policy#or Self ins.Lic:#:' 1 ®� 'Expiration Dater Job Site.Address: Son (20,2r, k kinA -c\1 City/State/Zip: 1 is1Cl' ® �j 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 c ti under the pains and penalties of perjury that the information provided above is tr and correct. Simshire: Date: r Phone#: Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): - I.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6. Other Contact Person: Phone#: Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees. Pursuant to this statute,an employee is defined as"...every person.in the service of another under any contract of hire, express or implied, oral or written." An employer is defined as"an individual,partnership,association;'corporation or other legal entity,or any two or more of the foregoing engaged in a joint enterprise,and including the legal representatives of a deceased employer,or the receiver or trustee-of an individual,partnership, association or other legal entity,employing employees. However the owner of a dwelling house having not more than three apartments and who resides therein, or the occupant of the dwelling house of another who employs persons to do maintenance,construction or repair work on such dwelling house or on the grounds or building appurtenant thereto shall not because of such employment be deemed to be an employer." MGL chapter 152, §25C(6)also.states that"every state or local licensing agency shall withhold the issuance or renewal of a license or permit to operate a business or to construct buildings in the commonwealth for any applicant who has not produced,acceptable evidence of compliance with the insurance coverage required." Additionally,MGL chapter 152, §25C(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 permitJlicense 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 io any business or commercial venture (i.e. a dog license or permit to bum leaves-etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have anyquestions, please do not hesitate to give us a call. The Department's address,telephone-and fax number:. .The Commonwcelth.of Mamaehuwas DITart:ment of industrial Aoeidonts Office of Investigatim 600 Washington Street Boston,MA 02111 Tel.##617-727-4900 ext 406 or 1-877-MASSAFE Fax##61 7-727-774 Revised 11-22-06 - www.mass.gQv#dia ACORD,, CERTIFICATE OF LIABILITY INSURANCE ,,,:/20 PRODUCER =l.:lo; �C2-E3:-??uC. ;� s:e-s.� s^as THIS CE IFI ATE IS 19SJgD A9 A MATT OF INFORpAATION ONLY AND CONFERS NO RIGHTS UPON THE CEiRTfPICATE Ea,te_n :nsu�s.nca �rcLP LLB OR -:cr,merc_a'_ Lin_s H )LDER. THIS CERTIFICATE DOE NOT AMEND EXTEND W 233 hest Central street ALTER THE COVERAGE AFFOR ED BY THE POL IES BELOW. Natick KA C_760 tdAiC INSURERS AFFORDING COVSRA12E itrBU P..RER _ r^ 12 INSURED Steven Z i)E_iUr 11:, ps':Civa' Drive ------ tt 'ar:,stabls x}L 02668 'iivsi RC: INSl.RE9 E: COVERAGES THE .ANF PrL TA>1L 7FS+2IS TED OSF'N• �R-^�=�1`I IO Jnpyp,Zd'�OC^.b7L INSrURZ-0 ERaDlr�'Jr�1�FvLPST9 P.35FPCY T4R►1HICHL4DRiSTT�D. FOLZc" RTITICSTE�X'd DI: :SSRTEC OR bay STC COYD TECNSyCF�SQCfi PCLSCISS tAGGREGF.TE LEM'TS SROW,rLbiaY1-3 vY1+?ET3iLA,kELUC 5:'rgYUPAIE TGL}-1 TO L T:i- SERN , _ — I CY 6FPcqvy 10NT LuesTs EL S Poucf Nam PHOCCJR?ENCC q:NERALLIABILITY !S69287 13i,1, 201I � -)2 PREj •' � 10 01 r { COMMERCIAL GENERALUANLTTY CA Ai MRm9w I�r=OR i I KPISONALBAWLIAlUl1Y It ric) 0-"� I G I I GENERAL AGGREGATE 'B-I O00 j PRODUCTB•COMP/OPAL'G CIE Nt AGGAECIATE LIMIT APPUEB KR: POLICY I P Loc 1 AIlr:PSILE LIABILITY i EN!3GLE LIMIT i g i _ A*IYAUTO i I ; I 19001'+'IN,ILAY 9 ;;ALL OVkEDALTTOS i j `IPe Parma ! I l LCH SLEDAIlTOB I I I OWLYINJLnY i S " KREDAUTOS ! i Pei NZ --� ILANCNOWNEDADTOS ( I j PROPERTY DAMAGE !9 IPwaa )T6 ' ri IAUTO ON;-Y-EA ACClOelgr Is I OARAQI UABiLI'" EAACC I 9 — I ' 1 li ANVAUTO i I AUTOCfLYN AGG— i i EACH OCCURRENCE lXC ulumBRELLAUADIUTY I AGGREGATE $ 0cVjR J CL NMS RUDE I I r S I as 4 CEEiJCTl6;.£ I I I RETENTION S I A: • B wORKERBC9>Y l"A-PONAND IIa:I.".iOZC?A501-201'1 j12r'27/2vi1112f27%2C'�� !E.LEACHACCIDEW I FMPLGYERS'U48Jl.1TY l I AfN PROPRF-T01PAi TNml'fi " .VI; i I I E.L.Dl9EA5E-EA EMPLOYEE S' O7AVISiONSImlow F—XCLUDt33? i E.L DIBBASE•POLICY LI T I U nder E pETiCFlPTI91!OF OPERATICNd6/!ACAT IONS I VEHIC5S/EXCLUSKM ADDED @Y cNDCRBE&18�iT'SP ECIA'.PROVISIONS Crkfix Capp �6TC1Y1Cd:e LO LU21ot1 _rw CdYZ:F: CERTIFIC TE HOLDER S2UL f4T N n SSCUL^. .'�EIY OF .T m ?bGVE DESCRIEt> D aCiX- PE SAL ISURED FEFnFE T.EB E!!5I?I+T v3 DATZ TF:!lZ0F, :SE ISSUING rN IRSF Toa•^ ai 8arn3�ah?.e � EVL'cAtOR ^,O EdielL 39 LAYS Yv'FITI 'I t30:1CL TO TH3 367 N.ain Strv�P= CrF:'IF:CF,TE BO'.7E4 !YS•IED To Tli>; LEFT, BUT FF.ELQRE ;7 D ' 80 SEL L I:IPOSE VC CBL-aT:0N GR LIhBIOIT: OF klY ZINC F:yanni5 .4Pt 026C_ une THE -MSQRn, IYS "GLETTS CF AJTHORREDREPREaE'NTATNE ,.-, *A RD CORPORATION"80 ACORD M(2001 f05) I ! LZ691 :#-Jl Zl•0Z/ZZ/S :u01)ejidx3 899Z0 t1W 3-lE1V-LSN6VE3 AA -IVA1063d 66 L •. Hol-13W TN3n318 t IV 7 6L26b SO :asuaoll asuaal-1 JOsIAJadnS uoijani;suob . - sh.rupur.)S Pur. suorlr.ln�aN �url)IrnB 1n p.nu►fl '1 Caa•Ir.s iilgnd.Jo luawt.rr.dad -sa)asnq:mssr•IN: .-�•.-�- s Ooze r�°°"�"`°„`°eat r°�/�a°°a°�uaelta License or registration valid for individul use only office of Consumer Affairs&B smess Regulation g HOME IMPROVEMENT CONTRACTOR before the expiration date. Tf found return to: Registration: ; 117610 Type: Office of Consumer Affairs and Business Regulation Expiration: . =40/25/2012 Individual j 10 Park Plaza-Suite 5170 Boston,MA 02116 ST EN L. MELLOR STEVEN MELLOR-\.,,t-_. 199 PERCIVAL DR W BARNSTABLE, MA 02668, Undersecretary Not valid without signature r WE A Town of Barnstable Regulatory Services HAMST" Thomas F.Geiler,Director �p 1639. �0 rFD �A Building Division Tom Perry,Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.b arnstable.ma.us Office: 508-862-4038 _ Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Us ing A Builder r -cc..ta A A-I } 7/- , as Owner of the subject property herebyauthorize ,SXeverd 2, /'Zr l/vr toact.onmybehalf, 4 in all matters relative to work authorized byihis building permit application for r SOU QCee.ej S) w►, /.S Z (Address of Job)' Signature of Owner Date ` .. Print Name If Property Owner is applying for permit please complete the Homeowners License Exemption Form on the reverse side. g; QTORM&OWNERPERMISSION s l 5{ Town of Barnstable Regulatory Services SAMSMBLE, : Thomas F.Geiler,Director. y MASS q,A 1639• Building Division TfD MA'I A Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 ' Fax: 508-790-6230 HOMEOWNER LICENSE EXEMPTION Please Print DATE: JOB LOCATION: number street. village "HOMEOWNER": name home phone# work phone# CURRENT MAILING ADDRESS- city/town state zip code The current exemption for"homeowners"was extended to include owner-occupied dwellings of six units or less and to allow homeowners to engage an individual for hire who does not possess a license,provided that the owner acts as supervisor. I DEFINITION OF HOMEOWNER Person(s)who owns a parcel of land on which he/she resides or intends to reside,on which there is,or is intended to be, a one or two-family dwelling,attached or detached structures accessory to such use and/or farm structures. A person who constructs more than one home in a two-year period shall not be considered a homeowner. Such "homeowner"shall submit to the Building Official on a form acceptable to the Building Official,that he/she shall be responsible for all such work performed under the building permit. (Section 109.1.1) The undersigned"homeowner"assumes responsibility for compliance with the State Building Code and other applicable codes,bylaws,rules and regulations. The undersigned"homeowner"certifies that he/she understands the Town of Barnstable Building Department minimum inspection piocedures and requirements and that he/she will comply with said procedures and requirements. S Signature of Homeowner Approval of Building Official Note: Three-family dwellings containing 35,000'cubic feet or larger will be required to comply with the State Building Code.Section 127.0 Construction Control. . / HOMEOWNER'S EXEMPTION The Code,states that: "Any homeowner perfomvng work for which a building permit is required shall be exempt from the provisions of this section(Section 109.1.1-Licensing of construction Supervisors);provided that if the homeowner engages a person(s)for hire to do such work,that such Homeowner shall act as supervisor." Many homeowners who use this exemption are unaware that they are assuming the responsibilities of a supervisor(see Appendix Q, Rules&Regulations for Licensing Construction Supervisors,Section 2.15) This lack of awareness often results in serious problems,particularly when the homeowner hires unlicensed persons. In this case,our Board cannot proceed against the unlicensed person as it would with a licensed Supervisor. The homeowner acting as Supervisor is ultimately responsible. To ensure that the homeowner is fully aware of his/her responsibilities,many communities require,as part of the permit application, that the homeowner certify that he/she understands the responsibilities of a Supervisor. On the last page of this issue is a form currently used by several towns. You may care t amend and adopt such a form/certification for use in your community. Q iforms:homeexempt Yachtsman Condominium Trust Acceptance of Trust Approval The undersigned Owner[s] of Unit#152 of the Yachtsman Condominium Trust, 500 Ocean Street, Hyannis, Massachusetts, acknowledge[s] that the Trustees of the Yachtsman Condominium Trust have voted to approve the following proposal: 1. Replace all existing windows and existing sliders with Anderson brand windows. Please note that this approval does not include approval for any additional windows than those now located in Uriit 152 where you represented to the Board that your contractor was only to replace existing windows and existing sliders. 2. Installation of a screen at the top of the unit's chimney.. By acknowledging the Trustees'vote approving the proposal for Unit#152,the undersigned Owner[s] agree that: 1. The drawings and specifications provided to the Trustees for approval (copies of which are attached and incorporated hereto) are the final drawings and specifications of the improvements. There shall be no additions or variations to the said drawings and/or specifications without the Trustees' prior written consent. 2. Approval by the Board in no way constitutes a waiver by the Board of the Trust's rights. Moreover, approval by the Board does not indicate that the Board accepts liability onresponsibility for the actions of the owners. 3. Any contractors (and sub-contractors) hired to work on the proposal shall obtain the necessary approval and permits from the appropriate local authority or statutory body required under any law (including any statute, ordinance, by-law and/or regulation). Contractors and/or sub-contractors shall not commence, continue or complete any work without having the appropriate permits and approvals secured. Contractors and/or sub-contractors shall provide the Manager of the Yachtsman with copies of all approvals and permits. 4. Any work undertaken shall comply with all relevant local, county and state codes, by-laws, regulations and statutes. 5. Any contractors (and sub-contractors) hired to work on the proposal shall maintain the appropriate liability insurance. Contractors and/or sub-contractors shall provide the Manager of the Yachtsman with copies of the relevant insurance binders. 6. Any work undertaken shall be completed by Memorial Day and no work shall be undertaken again until Labor Day, unless approval is sought from and received from the Trustees. 7. I/We assume(s) responsibility for any future costs associated with loss or damage related to the work. 8. If the work includes repairing or replacing the Unit's skylight, I/we assume(s) - responsibility for any future costs associated with loss or damage including but not limited to full cost of skylight replacement in case of damage. I/we acknowledge(s) that the Unit's skylight is not covered by the Yachtsman Condominium Trust ["YTC"] Master Insurance Policy and/or any other insurance or liability policies held by the Acceptance of Trust Approval r Page 2 of 2 YCT and/or its Board of Trustees. I/we waive(s) all rights against the Yachtsman Condominium Trust for loss or damage related to the Unit's skylight. 9. Other: All windows must be located precisely where existing windows are located, and be of the same dimensions of existing windows. Likewise,all sliders must be located precisely where existing sliders are located, and be of the same dimensions of existing sliders. Any changes, either in location or dimension, must be approved specifically by the Board prior to installation. Any proposal to change either the location or dimension requires written plans to be submitted to the Board. The Board will reimburse the Owners $150 of the cost of the screen because the Trust has provided caps to all other chimneys in the complex but was unable to do so where Unit 152 has a chimney size that is not compatible with Unit 152's chimney The undersigned Owner[s] of Unit#152 therefore accept the approval of the Trustees of the Yachtsman Condominium Trust subject to the above-noted conditions. Si this l 9 d y of 20 �- Signature- Unit Owner Print Name- Unit Owner n46a-- �-� 1� , Signature- Unit Owner / C�� ra Ecrol/e�ri� Print Name- Unit Owner W tness / Manag r fachtsman n minium Trust Documents Attached: Permits Received (Title and Date Received): - '