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0573 OLD STRAWBERRY HILL ROAD
?3 old h Town of Barnstable Building _ •. "Post,This�Card So That it�sVisibler;From.the Street Approved,<Plans Must beReta�ned on Job and this_Card Must beKept DAMSCAHLB, a: • '" Posted Untrl"Finalbinspection Has BeenMade � y Permit 1639 1� w. r xr Zt a <% c ". r 1 el 111�t Where a€Cert� cate-of Occupancyas Requared,suchBuildmgshall Not'be Occupied Unt�IaF nal Inspettion has been made Permit NO. B-18-2824 Applicant Name: DAVID J. LOUD Approvals Date Issued: 10/15/2018 Current Use: Structure Permit Type: Building-Addition/Alteration-Residential Expiration Date: 04/15/2019 Foundation: Location: 573 OLD STRAWBERRY HILL ROAD, HYANNIS Map/Lot: 273-005 Zoning District: RC-1 Sheathing: Owner on Record: HOOVER,SUSAN Contractor Name:- ".,DAVID J. LOUD Framing: 1 Address: 573 OLD STRAWBERRY HILL ROAD Contractor'License 183648 2 CENTERVILLE, MA 02632 , Est Project Cost: $ 15,000.00 Chimney: Description: To add (2)small additions to accomodate new kitchen plan to Permit Fee: $126.50 include beam Insulation: FeeEPaid ` $126.50 Project Review Req: Date , " 10/15/2018 Final: k, Plumbing/Gas Rough Plumbing: Building Official Final Plumbing: Rough Gas: This permit shall be deemed abandoned and invalid unless the work authorized"by,this permit is commenced within six months after issuance. All work authorized by this permit shall conform to the approved application and the,approved construction documents for which this permit has been granted. Final Gas: All construction,alterations and changes of use of any building and structures'shall-be in compliance with the local zoning kiy=laws and codes. This permit shall be displayed in a location clearly visible from access street orroad and shall be maintained open for p6 lic inspection for the entire duration of the work until the completion of the same. a -" Electrical ^"" Service: The Certificate of Occupancywill notbeissued until all applicable signatures b ythe Buit ingandr Fire Officials-,are yid- nthispermit.Minimum of Five Call Inspections Required for All Construction Work: Rough: 1.Foundation or Footing 2.Sheathing Inspection Final: 3.All Fireplaces must be inspected at the throat level before firest flue lining is installed 4.Wiring&Plumbing Inspections to be completed prior to Frame Inspection Low Voltage Rough: 5.Prior to Covering Structural Members(Frame Inspection) 6.Insulation Low Voltage Final: 7.Final Inspection before Occupancy Health Where applicable,separate permits are required for Electrical,Plumbing,and Mechanical Installations. Final: Work shall not proceed until the Inspector has approved the various stages of construction. "Persons con ith unregistered contractors do not have access to the guaranty fund" (as set forth in MGL c.142A). Fire Department Final: Building plans are to be available on site e All Permit Cards are the property of the APPLICANT-ISSUED RECIPIENT -1VJNumbs.. Leery � .�. # BAMMABM ` G Permit F .. !A5................Od=Fee........................ i! s61�, MIS J� l J ; TOW Fee ..........................r.............................. . .... Lilt :TOWN OF BARNS T �' �'�Peit apMvd .... ....... ., b� BUILDING PERMIT, o� Q(�,S �� �,........._...... ...............Pia............................................ APPLICATION '�� n ! Section 1—Owner's Information and Project Location Project Address -S`7�3 i Village Owners Name Owners Legal Address Staten Clty 94,,� zip.. w owners Cell# `701`( 08 3bb? Ismail Section 2—Use of Structure Use Group ❑ Commercial Structure over 35,000 cubic feet mmercial Structure under 35,000 cubic feet Single/Two Family Dwelling Section 3 —Type of Permit ❑ New Construction ❑ Move/Relocate ❑ Accessory Structure ❑ Change of use ❑ Demo/(entire structure) ❑ Finish Basement ❑ Family/Amnesty ❑ Fire Alann build ElDeck Apartment ❑ Sprinkler System 2/Addition ❑ Retaining wall ❑ Solar ❑ Renovation ❑ Pool ❑ Insulation Other—Specify Section 4-Work Description - ►'�c(.,cle I may. u . Tsct m%Lgted_2/9I2018 Application Number.................................................... Section 5—Detail Cost of Proposed Construction Square Footage of Project 2S6 Age of Structure Dig Safe Number # Of Bedrooms Existing _ Total#Of Bedrooms(proposed) 110 MPH Wind Zone Compliance Method ❑ MA Checklist ❑ WFCM Checklist ❑ Design Section 6—Project Specifics [�Wnzng ❑ Oil Tank Storage Smoke Detectors [Plumbing ❑ Gas ❑ Fire Suppression ❑ Heating system . ❑ Masonry Chimney ❑Add/relocate bedroom Water Supply ❑ Public ❑ Private Sewage Disposal ❑ Municipal "❑ On Site Historic District ❑ Hyannis Historic District ❑ Old Kings Highway Debris Disposal Facility: I am using`a crane ❑ Yes ❑ No Section 7—Flood Zone Flood Zone Designation Within or adjacent to a wetland, coastal bank? Yes ❑ No ❑ Section 8—Zoning Information Zoning District Proposed Use Lot Area Sq.Ft. Total Frontage Percentage of Lot Coverage #of Dwelling Units(on site) Setbacks Front Yard Required Proposed Rear Yard Required Proposed Side Yard Required Proposed Has this property had relief from the Zoning Board in the past? ❑ Yes tad No Last imdatedh 2/9/2018 Application Number............................................ Section 9—.Construction Supervisor Name J d Telephone Number -77 `f Z/Z --- 2�q� Address GJKt� 5ti City. ,,,�(�,�� State Zip 62_1�'32 License Number 9C-��_ License Type 19 2.FKi f Expiration Date Lj z� 2.a2c Contractors Email � (o�(� c��l , C� Cell# 77c( Z *2a?4 I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. 'I understand the construction inspection procedures,specific inspections and doc mentatio "80d the Town of Barnstable.Attach a copy of your license. Si Date Z2 .4 a, 2 - Section-10 —Home Improvement Contractor Name Tlo'vr1 ,� L�J� Telephone Number _7?4 Zf 2 'Z& Address W5 city State ✓q � Zip 02r 3 7 Registration Number 13 3 t 9 2' ExpirationDa#e r y I understand my responsibilities under the rules and regulations for Home Improvement Contractors in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation re . 7 and Town of Barnstable.Attach a copy of your H.I.C... Signature Date , Section 11—Home Owners License Exemption Home Owners Name: Telephone Number Cell or Work Number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT SIGNATURE Signatur L')/ Date__V ?at i Print Name ��C J (�o� Telephone Number Z(1 2 P ?4 E-mail permit to: V f p.da - C4 V-1 nMnnio Section 12 —Department Sign-Offs Health Department ❑ Zoning Board(if required) ❑ Historic District ❑ Site Plan Review(if required) ❑ Fire Department 0 -� Conservation ❑ } P For commercial work,please take your plans directly to the fire department for approval Section 13-Owner's Authorization I, 6U,%r\ as Owner of�the-subject property hereby authorize, o u to act on my behalf j in all matters relative to work authorized by this building permit application for: ,57 5 28 (-e L)L II CMG 3 (Address of job) Sigpature of OwAdr - date Print Name ! s 1 P . t`v ! s J Last=datuk 2/9/2018 • o 1 61 Ei , N\ d.9 + t �2 + _ 1 � { f } - �_ 4,� -� - C>✓QTIFIED pLbT Fes.!-�1�.I '{ ' �r:tFy LOCATIO" 5CAL % ��,'-Tloi� 5�1o+ud.1 PLA►.l REFEQE►.iGl= G6RTIF-{ THAT TNE. �oU uEQEaN CavIPLYS W iTN TNT 51D�.1.1►-�� sU� SETg�C1C WE-QUilZe VE:►-1TS OF THE �-UT- �g ;ow►� ofla,�ti5 �P LZ Ili T E Q •'I �''% I' U�'t.Y.^ .., � � �� �' �� 1.1`( 14-I G_ aaxTc� �_ E REGISfLRcD LA.W C> 5l)Z-V al,OZS n. It 1 1 C. .. 11 A-C L. - y Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR TYPE JndMdual Recist'ation= irati n . �� 1_8364g�',F�11/01/2019 DAVID J.LOUD DAVID LOUD 1=;� 3 OLD COUNTYa1NAS'= �•�?cGa-- E.SANDW ICH,MA 02537 Undersecretary Commonwealth of Massachusetts %® Division of Professional Licensure Board of Building Regulations and Standards Construction,$4W96r�1 & 2 Family CSFA 088951 Ejpires: 04/29/2020 DAVID J LOUO ' 3 OLD COUNTaF.WAY r E SANDWICH Commissioner i i I i i - i The Commonwealth of Massachusetts Department of Industrial Accidents - Office of Investigations 600 Washington Street Boston,MA 02111 www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information / Please Print Legibly Name (Business/Organization/Individual): V14i Address: I OW Ca 4 - -) W4 City/State/Zip: � �+ °�' Phone#: ' 4 212 1 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am.a em. to er with 4. I am a general contractor and I p y 6. ❑New construction employees(full and/or part-time).* - have hired the sub-contractors 2.U I am a sole proprietor or partner- listed on the attached sheet. 7. Remodeling ship and have no employees These sub-contractors have g. Demolition working for me in any capacity. employees and have workers'comp. ❑Building addition [No workers' comp.insurance comp.insurance I'. required.] 5. We are a corporation and its 10.❑Electrical repairs or additions 3.❑ I am a homeowner doing all work officers have exercised their 1 L❑Plumbing repairs or additions myself. [No workers'comp. right of exemption per MGL 12.❑Roof repairs i warance required.]t c. 152,§1(4),and we have no 4 ] employees. [No workers' 13. Other comp.insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who.submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. :Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. I am an employer that isproviding workers'compensation insurance for my employees. Below is thepolicy and job site information. Insurance Company Name: Policy#or Self-,ins..Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy,of the workers'compensation policy.declaration page(showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment,as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator: Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby ce d- th p - d pen tiers of perjury that the information provided above is true and correct Signature: Date: vt v uky Phone#: H 11— - Official use only. Do not write in this area,to be completed by city or town official City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: h, k .....ter..+-.•--...._.r.-...�_.__ � � .w.u. Y__...r..:,I... ���` �........_ � ! � f i I i a - _ Barnstable Bid t. c # � �... •.� g. Dept. 4 Approved by. 6� Permit #: j r" I 1 f , ii �6 j i C Nd j P !g� 7 �a e L y SJe a���;ev I �. 1 t --r rES _011111 ®' 0 0 c 1 Y.- t DIVISION: 3100 00—EARTHWORK SECTION: 3160 00—SPECIAL FOUNDATIONS AND LOAD-BEARING ELEMENTS REPORT HOLDER: PIN FOUNDATIONS, INC. 4810 PT. FOSDICK DRIVE NW, PMB 60 GIG HARBOR, WASHINGTON 98335 EVALUATION SUBJECT: DIAMOND PIER® DP-50 & DP-75 FOR BEARING PIN PIERS � r C PMG C USTED Look for the trusted marks of Conformity! "g "2014 Recipient of Prestigious Western States Seismic Policy Council pp© (WSSPQ Award in Excellence" A Subsidiary of ' u EMO r IMES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not W�=d W specifically addressed, nor are they to be construed as an endorsement of the subject of the report or a i recommendation for its use. There is no warranty by ICC Evaluation Service, LLC, express or implied, as ISOREC I NO to any finding or other matter in this report, or as to any product covered by the report. ��e'u�tjon'Body ACCIUMCM Copyright°2017 ICC Evaluation Service, LLC. All rights reserved. ..- . .:... __ ,_.._. .......: ... .:......:.. .._ ,.::_.. _ ...... ._ ... ,.. ,. ..., . . ,... .. _ .. ES IMES Evaluation Report ESR-1895 Reissued December 2017 This report is subject to renewal December 201& wwwAcc-es.orct 1 (800)423-6587 1 (562)699-0543 A Subsidiary of the International Code Council' DIVISION: 3100 00-EARTHWORK air-entrained concrete has a minimum compressive Section: 3160 00-3 ecial Foundation's and Load- strength of i 7. M p g 5500 psi (3 9 Pa)at 28 days, and a total air Bearing Elements content (percent by volume of concrete) of not less than 5 percent nor more than 7 percent, in accordance with IRC REPORT HOLDER: Section R402.2. PIN FOUNDATIONS,INC. 3.2.2 Precast Galvanized Steel Anchor Bolt: The 4810 PT.FOSDICK DRIVE NW galvanized steel anchor bolt that is precast into the center PMB 60 of the top of the DP-50 concrete head measures a GIG HARBOR,WASHINGTON 98335 minimum /2 inch (12.7 mm)in diameter and complies with (253)858-8809 ASTM A307 as Grade A. The galvanized steel anchor bolt that is precast into the center of the top of the DP-75 www.ainfoundations.com concrete head measures a minimum 5/8 inch (15.9 mm) in EVALUATION SUBJECT: diameter and complies with ASTM A307 as Grade A. 3.2.3 Steel Bearing Pins: The four steel bearing pins DIAMOND PIER®DP-50&DP-75 FOR BEARING PIN supplied with each pier are made of Type E, Grade A PIERS (electric-resistance-welded), Schedule 40, galvanized steel pipe complying with ASTM A53. For the DP-50, pins have 1.0 EVALUATION SCOPE a nominal 1-inch diameter [1.315-inch (33.4 mm) outside Compliance with the following codes; diameter; 0.133-inch nominal wall thickness]; and have a minimum nominal length of 36 inches (914 mm) or 2015, 2012, 2009 and 2006 International Residential 50 inches (1270 mm). For the DP-75 the pins have a Code®(IRC) nominal 1-1/4 inch diameter [1.66-inch (42.2 mm) outside Property evaluated: diameter with a 0.140 nominal wall thickness]; and have a I minimum nominal length of 50 inches. Structural 4.0 DESIGN AND INSTALLATION 2.0 USES 4.1 Design: The Diamond Pier DP-50 and DP-75 bearing pin piers are used as foundations for the support of gravity loads When installed in accordance with this report in minimum for exterior decks, including covered decks, elevated allowable 1500 psf (71.8 kPa) soils per IRC Table walkways, stairway construction and accessory structures R401.4.1, the DP-50 bearing pin pier with 36 inch as defined in the IRC. The bearing pin piers are permitted (915 mm) pins provides a 1.8 square foot (0.17 m ) for use in any of the weathering classifications defined in bearing area for supporting gravity loads; the DP-50 IRC Figure R301.2(3). bearing pin pier with 50 inch (1270 mm) pins provides a 2.4 square foot (0.23 m ) bearing area for supporting 3.0 DESCRIPTION i gravity loads; and the DP-75 bearing pin pier with 50 inch 3.1 General: , (1270 mm) pins provides a 2.8 square foot (0.26 m2) The bearing pin piers consist of afactory-fabricated, pre- bearing area for supporting gravity loads. cast,diamond-shaped concrete head that has a galvanized When installed in accordance with this report in steel anchor bolt precast into the center of the top of the minimum allowable 2000 psf (95.8 kPa) soils per IRC head; and galvanized steel bearing pins which are jobsite- Table R401.4.1, the DP-50 bearing pin pier with 36-inch installed through holes precast in the head, and driven into (915 mm) pins provides a 1.8-square-foot (0.17 m2) the underlying soil.See Figure 1. bearing area for supporting gravity loads; the DP-50 3.2 Materials: bearing pin pier with 50-inch (1270 mm) pins provides a 2.2-square-foot (0.20 m2) bearing area for supporting 3.2.1 Concrete Head: The DP-50 concrete head gravity loads; and the DP-75 bearing pin pier with 50-inch measures 10 inches (254 mm) by 10 inches (254 mm) by (1270 mm) pins provides a 3.2-square-foot (0.30 m2) 11 inches (279 mm) tall, weighs approximately 50 pounds bearing area for supporting gravity loads. (22.7 kg), and is formed from air-entrained, normal-weight 4.2 Installation: concrete. The DP-75 concrete head measures 11 inches (279 mm) by 11 inches (279 mm) by 12 inches (305 mm) The site soil is prepared by digging a hole with a conical tall, weighs approximately 75 pounds (34.0 kg), and is shape, approximately the shape of the base of the formed from air-entrained, normal-weight concrete. The concrete headand slightly deeper than the pier itself, /CC-ES Evaluation Reports are not to be construed as representing aesthetics or any other attributes not specifically addressed,nor are they to be construed as an endorsement of the subject of the report or a recommendation for its use.There is no warranty by/CC Evaluation Service,LLC,express or implied,as to anv finding or other matter in this report,or as to any product covered by the report. "MTM Copyright©2017 ICC Evaluation Service,LLC. All rights reserved. Page 1 of 2 ESR-1895 ( Most Widely Accepted and Trusted Page 2 of 2 leaving loose soils directly below the head. The head is connected to and supported by a dwelling when positioned in the hole to its midpoint, and braced as approved by the code official. See IRC Section needed to plumb. The bearing pins must then be slid R403.1.4.1, Exception 3,as applicable. through the holes in the concrete head, and driven into the 5.4 Frost protection for accessory structures defined by soil as recommended in the Pin Foundations published the IRC is beyond the scope of this report, except installation instructions, leaving /a inch (19.1 mm) of the free-standing accessory structures constructed in pin protruding from the upper surface of the pier. Once the accordance with IRC Section R403.1.4.1, Exceptions dead loads have been applied to the pier,the length of the 1 or 2,where frost protection is not required. protruding bearing pin must be verified and adjusted as necessary to 3/4 inch (19.1 mm). The exposed end of the 5.5 The bearing capacity of the site soil must be bearing pins must then be capped and sealed as determined in accordance with IRC Table R401.4.1. If recommended in the Pin Foundations published installation presumptive soil capacity cannot be assumed in instructions. The minimum spacing of the installed bearing accordance with the IRC Table R401.4.1, the code pin piers is 3 feet(0.91 m)on center. official may request a soils report. 5.0 CONDITIONS OF USE 5.6 The capacity of the bearing pin piers to resist lateral and/or uplift loads was not evaluated for this report. The Diamond Pier DP-50 and DP-75 bearing pin piers described in this report comply with, or are suitable 5.7 Use of the bearing pin piers where soil constituents, alternatives to what is specified in the code indicated in changing water levels or other factors indicate Section 1.0 of this report, subject to the following possible deleterious effects on the pier foundation conditions: assembly, is beyond the scope of this report. 5.1 The bearing pin piers must be installed in accordance 5.8 Use of the bearing pin piers is limited to structures with the Pin Foundations, Inc. published installation regulated by the IRC. instructions, the IRC and this report. In the event of a 6.0 EVIDENCE SUBMITTED conflict between this report and the Pin Foundations, Data in accordance with the ICC-ES Acceptance Criteria Inc. published installation instructions, this report for Bearing Pin Piers(AC336),dated June 2016. governs. 7.0 IDENTIFICATION 5.2 Wood in contact with the concrete head and precast galvanized steel bolt must be protected against decay Each pallet of Diamond Pier DP-50 and DP-75 precast and subterranean termites in accordance with 2015, concrete heads is labeled with the Pin Foundations, Inc., 2012 and 2009 IRC Sections R317 and R318, name and address; the product name (Diamond Pier and 2006 IRC Sections R319 and R320, as DP-50, or Diamond Pier DP-75); the evaluation report applicable. Compatibility of the concrete head and number (ESR-1895); the manufacturing date and lot precast galvanized steel bolt with wood treatments number; and the phrase, "For Use with One- and Two- not described in 2015, 2012 and 2009 IRC Sections Family Dwelling Construction Only." R317 and R318; and 2006 IRC Sections R319 and Each bundle of bearing pins is labeled with the Pin R320, as applicable must be established based on a Foundations, Inc., name and address; the product name current IMES evaluation report on the wood (Diamond Pier DP-50, or Diamond Pier DP-75); the treatment. evaluation report number (ESR-1895); and the phrase, 5.3 In areas requiring frost protection, exterior decks on "For Use with One- and Two-Family Dwelling Construction bearing pin piers as described in Section 2.0 may be Only." P'4 a \a- a /V\ I FIGURE 1—DIAMOND PIER DP-50 and DP-75 e p DiamondMneg, FOUNDATION SYSTEM RESIDENTIAL DIAMOND PIER LOAD CHART IAS Accredited Third-Party Bearing, Uplift, and Lateral Field Tests2 Minimum 1500 psf Silts/Clays (CL,ML,MH,CH)' Model/ Pin Bear►ng Load Equivalent Cylrrder Frost Uplift Load Lateral Load No. Length -€Capacity : ' Base Area „Compari son; Zone Capacity _ Capacity DP-50/36" 2700# 1.8 sf 18"dia 24" 600# 600# DP-50/42" *3000# 2.0 sf 19"dia 36" *900# *600# DP-50/50" 3300# 2.2 sf 20"dia 48" 1200# 600# DP-75/50" *3750# 2.5 sf. 21"dia 48" *1400# *600# DP-75/63" 4200# 2.8 sf 22"dia 60" 1600# 600# Equivalency to Traditional Concrete Footings Minimum 2000 psf Sands/Gravels (SW,SP,SM,SC,GM,GC)3 Model` Pin '• Beamg Load „Equivalent Cylinder y`Frost -"Uplift Load LaterafLoad:° p :` No. Length,. Capacity Base Area Com anson' Zone Capacity Capacity DP-50/36" 3600# 1.8 sf 18"dia 24" 600# 600# DP-50/42" *4000# 2.0 sf 19"dia 36" '900# *600# DP-50/50" 4400# 2.2 sf 20"dia 48" 1200# 600# DP-75/50" *5600# 2.8 sf 22"dia 48" * 1400# *600# DP-75/63" 6400# 3.2 sf 24"dia 60" 1600# 600# Equivalency to Traditional Concrete Footings *Interpolated from field test values. Notes: 1. This load chart is intended for simple structures supported by columns,posts,and beams loaded up to,but not exceeding,the stated capacities. It is not intended for structures with asymmetrical,rotational,overturning,or dynamic forces. Intended uses are described in section 2.0 of ICC-ES prescriptive bearing evaluation report ESR-1895. For projects that exceed the capacities or limitations defined herein,or the intended uses described in ESR-1895,contact PFI for additional information or site-specific capacity evaluation.See also the Use and Applications download at www.diamondpiers.com. 2. Capacities shown are tested to a Factor of Safety of 2,and are applicable in properly drained, normal sound soils only, with minimum soil bearing capacities as indicated. Copies of the field test reports are available from PFI upon request. 3. See IRC Table R401.4.1,"Presumptive Load-Bearing Values of Foundation Materials,"for a full description of applicable 1500 psf and 2000 psf soil types. For soils below 1500 psf,or soils with unknown characteristics,additional site and design analysis is required. For soils above 2000 psf,the values in this chart shall apply. 4. All capacities use four pins of the specified length per foundation. Pin length includes that portion of the pin embedded within the concrete head. See"Check Your Layout'in the Diamond Pier Installation Manual for more information on pin/pier layout and spacing restrictions. 5. For professional engineers designing for short-term transient loads,contact PFI for further information. ©2018 Pin Foundations,Inc.All Rights Reserved.D000008/01.2018 4810 Pt Fosdick Dr NW,PMB 60 PIN FOUNDATIONS I N C Toll Free: 866-255-9478 Gig Harbor,Washington 98335 Main Office: 253-858-8809 www.pinfoundations.com General Email: info@diamondpiers.com v`= 04 vi 1 '7` .<4 *((/''may}j�((`' a �1 [y/�.� �((3( 4, d 4'� eWl Inst Before You Purchase Page references refer to the Full installation Manual Documents to Submit i.Know Your Soils See"Normal Soil Conditions"(page 5)--1500 psf min supporting soils. with a Permit Application 2.Check Your Loads"Residential Diamond Pier Load Chart"(page 6)shows Equivalency to Traditional Concrete Footings. •ESR-1895 Code Compliance Document 3.Get Building Permit from Local Municipality Provide Diamond Pier model size and code •Wisconsin UDC Approval Evaluation compliance documentation.See"Use and Applications"(page 7). •Detail Drawings and Load Chad 4. Locate Buried Utilities Determine safety zones and adequate clearances(page 8). •See"Use and Applications"(page 7) To Get Started You will Need... Diamond Pier Detail •The Proper Sized •• eo eor ' Diamond Pier .Driving Bit Demo/ Corlctete Includes 1-1l8' Breaker Head Pin Cap t-Concrete Head D q hex shaft Hammer 4_Plus @5 35 1b+ 4-Plugs J. 'Askdeatei t Put Q75 r x # l ahaurreniat r' t Other Common Tools Required.. NO `3 •Square-Edge Shovel +Torpedo Level •Pipe wrench •Ear Protection •Sledgehammer +Tape Measure •Proper Safety Goggles •Insulated Gloves&Protective Clothing Install in Minutes A minimum two-person crew is recommended.See Full installation Instructions pages(11-14). z [� ;:s�z ,� ,fit' ��"�., �",�sz#�� ,u<a�'r'�s-�;y �4? .�,.^-�._�t�x.�'�:a• �.� �k,��+�.�. ,r. y"";; �.:� ,� �: 1.Install plugs in pins to prevent soil from entering as they are driven into the ground.Inspectors can then use a tape measure to verify pin length after installation. 2.Lay out string approx.12-14"above the ground on center location of post/pier to allow for quick reference point. 3.Remove soil the same size as bottom half of concrete head,approx,6"depth.Note:Pier can be buried for aesthefic reasons,but access to top of pier needs to be maintained. Concrete stabs,patios,and other products installed MUST NOT interfere with the Diamond Pier system and the attached post/beam assembly.Expansion joints are commonly used to protect the system.Proper drainage must also be maintained. 4.Set concrete head in hole and,keeping the pin centered in the driving hole,carefully set each pin 6-1 2"into soil tapping with a short grip on sledgehammer until pier is locked into a level position.Note:The edges on the flat top of the concrete head do not have to align exactly with the sides of the post or post bracket as long as the bracket is fully supported by the concrete for proper weight distribution.Piers can be nested next to each other to provide more loading,but if closer than 3'on-center,a 13%load reduction should be applied to each pier. 1 5.With driving bit attached to the automatic hammer,drive pins in evenly from side to side in equal increments,approx.1-2'each until pin is approx.6"oul-Then double check pier position before final driving of the pins to%"out for cap attachment.Note:One person should hold pin to limit vibration to pier while pin is driven. 6.Be sure the pin length is inspected per permit requirements before caps are applied. $ Removal/Repositioning if Obstruction Encountered Y x If a On stops moving when being driven in,STOP driving the pin.Put pencil mark on pin by head to indicate if pin is moving.with other pins p4 j part way in,use the automatic hammer for approx.10-20 seconds,or give the pin one or two firm square hits with the sledgehammer.If -• . it still will not move,then remove and reposition the pier.To remove,spin and pry a pin simultaneously using a pipe wrench and pry liar.If the obstruction is close to the surface,it may be dug up and removed.Then recompact the soils with the sledgehammer,and reset the pier. F ; See installation Manual(page 13)and Removal Video available at www.DiamondPiers.com. Register Your Product Warranty See information at wrwv.DiamondRers.com r„ � r✓T n r�r--r—.7, `� r' ",.I .er "k^ „"7�."¢n snrnww�,,.�p, rr^ .,:rt n"""""�t" ''r�^ r �1 `�. a `�"� d r "7- ' "Y tr Pin Foundations,Inc .www DiamondPiers coin•Call(708)406 5005 " _. s` Q 2018 Pin Foundations Inc A11Ft�ghts Reserved Do�-CLO1 01'1B Y� A �u t f b VII �Ls • `7; i �a ?. .�x` r�`:. m � «* '� "�hey,. ��.` r..�'°�, k -� ��. � s- b 5 Ids . 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ALTERNATIVE WEATHERIZATION Date: �� y o � Town of Barnstable 1 �� 200 Main St cv Hyannis,MA 02601 Re:Permit# r / ` Villa The•insulation weatheriz tion work at 7 `�~ has been comp eted.in'.a•Gcpk&nce with 786CMR.- Regards, Timothy Cabral, j President i CSL-105454 j e 1� O��1 58 DICKINSON STREET ( FALL RIVER,MA 02721 1 (508) 567-4240 .I ALTERNATIVEWEATHERIZATION@GMAILCOM r Application number... l$ - ► ........................................... Date Issued............. Z�..��� '« Building Inspectors Initials.....sue. t .................. OW �0. ��r�(u�(ABLE ,-Map/:Parcel..:...? .0..5. . ................. TOWN OF BARNSTABLE EXPEDITED-PERMIT APPLICATION: ROOF/SIDING/WINDOWS/DOORS/TENTS/STOVES/WEATHERIZATION PROPERTY INFORMATION Address of Project: J`�3 ict �5-17_at b NUMBER S, VILT A Owner's Name: 0&Y n & aer Phone Number I N-6 7 6 - 16 Email Address:barb I e C,0 4 c IYyS/1, G1YVy Cell Phone Number Project cost$ ,..3�W- H Check one Residential kl, Commercial F_ OWNER'S AUTHORIZATION As owner of the above property I hereby authorize 7;Y OWLy to make application for a building permit in accordance with 784CMR Owner Signature: �S� ML&LA Date: TYPE OF WORK ❑ Siding ❑ Windows(no header change).#___J0 Insulation/Weatherization © Doors (no header change)# Commercial Doors require an-inspector'sreview ❑ Roof(not applying more than 1 layer of shingles) Construction Debris will be going to CONTRACTOR'.S INFORMATION Contractor's name - C a/c, Tr, Home Improvement Contractors Registration(if applicable) # � �� (attach copy) Construction Supervisor's License# (attach copy) Email of Contracto&f P.1�&C kAA.MU,r Z&• Uri- Phone number,5&7-ya k-A ALL PROPERTIES THAT HAVE STRUCTURES OVER 75 YEARS OLD OR IF THE SUBJECT PROPERTY IS IN A HISTORIC DISTRICT, YOU MUST OBTAIN HISTORIC APPROVAL BEFORE A PERMIT CAN BE ISSUED. I + APPLICATION NUMBER............................................................ *For Tents Only* Date Tent(s) will be erected Removed on number of tents'total Does the tent have sides?Yes No (If yes please attach floor plan with exits marked). Dimensions of each Tent X X X Additional tent dimensions can be attached on a separate piece of paper. Check one: this event is a: for profit non-profit event Check one: Food served Yes No Flame Spread Sheet of each tent must be attached. Provide a site plan with the location(s) of each tent If food is being served at your event please obtain a Health Department approval between the hours of 8:00am--9:30 am or 3:30 pm-4:30pm. Commercial events may require Fire Department approval. *WOOD/COAL/PELLET STOVES Manufacturer 9 Model/I.D. Fuel Type Testing Lab Offsets from combustibles: front back left side right side HOMEOWNER'S LICENSE EXEMPTION Homeowner's Name: � 6 . Telephone Number Cell or Work number I understand my responsibilities under the rules and regulations for Licensed Construction Supervisor in accordance.with 780 CMR the Massachusetts State Building Code. I understand the construction inspection procedures,specific inspections and documentation required by 780 CMR and the Town of Barnstable. Signature Date APPLICANT'S SIGNATURE Signature Date 0 a All permit applications are subject to a building official's approval prior to issuance. sL f „ Town of Barnstable • AA A RNNST'ASLE. Building Department Services � s' Brian Florence CBO rea o�aY n. Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-8,624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder 1, Susan Hoover , as Owner of the subject property hereby authorize (/� to act on my behalf, in all matters relative to work authorized by this building permit application for: 573 Old Strawberry Hill Road Hyannis (Address of Job) Signature of Owner Signature of 6licant S u1S(tn Nyu W '�nU Print Name Print Name g - I LI- I p Date r The Commonwealth of Massachusetts Department of Industrial Accidents 1 Congress Street, Suite 100 Boston, MA 02I14-2017 www mass.gov/dia Workers'Compensation Insurance Affidavit:Builders/Contractors/Electricians/Plumbers. TO BE FILED WITH THE PERMITTING AUTHORITY. Applicant Information Please Print Legibly Name(Business/Organization/Individtial): ALTERNATIVE WEATHERIZATION, INC. Address: 2 LARK STREET City/State/Zip: FALL RIVER, MA 02721 Phone#:508-567-4240 Are you an employer?Check the appropriate box: Type of project(required): I.Q✓ I am a employer with 16 employees(full and/or part-time).* 7. ❑New construction 2.7 I am a sole proprietor or partnership and have no employees working for me in S. Remodeling any capacity.[No workers'comp.insurance required.] 9. ❑Demolition 3.�I am a homeowner doing all work myself.[No workers'comp.insurance required.]T 4.❑I am a homeowner and will be hiring contractors to conduct all work on my property. I will 10❑ Building addition ensure that all contractors either have workers'compensation insurance or are sole 11.[]Electrical repairs or additions proprietors with no employees. 12.❑Plumbing repairs or additions 5.M I am a general contractor and I have hired the sub-contractors listed on the attached sheet. 13.❑ROOF repairs These sub-contractors have employees and have workers'comp.insurance.' 6.7 We are a corporation and its officers have exercised their right of exemption per MGL c. Other 14.�✓ INSULATION 152,§1(4),and we have no employees.[No workers'comp,insurance required.] *Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information. t Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit a new affidavit indicating such. Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and state whether or not those entities have employees. If the sub-contractors have employees,they must provide their workers'comp.policy number. 1 am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: LIBERTY MUTUAL INSURANCE Policy#or Self-ins.Lic.#: XWO(19)58867LL158 QJJ Expiration Date:6/8/19 Job Site Address,573 Ou &- City/State/Zip ; k1117,4 Attach a copy of the workers' compensation pQYcy declaration page(showing the policy nuo6er and ex iration date). Failure to secure coverage as required under MGL c. 152, §25A is a criminal violation punishable by 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 S250.00 a day against the violator.A copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. ' I do hereby certify u d ain a p lti s f perjury that the information provided above is frue and correct. 51 ature: Date: 0 Phone#:508-567-4240 Official use only. Do not write in this area,to be completed by city or town official. City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#: f F CERTIFICATE OF LIABILITY INSURANCE DATE(MMIDDIYYYY) o6/11/1s THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must have ADDITIONAL INSURED provisions or 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 NAME: Anthony F.Cordeiro Insurance Agency AICONNo Ext: 508-677-0407 FAX No; 508-677-0409 171 Pleasant Street ADE Fall River,MA 02721 DRBs: HSouza@Cordeirolnsurance.com Fall INSURER(S)AFFORDING COVERAGE NAIC# INSURER A: Liberty Mutual INSURED INSURERS: Ohio Security Alternative Weatherization INSURERC: Ohio Casualty 2 Lark St INSURER D: Fall River,MA 02721 INSURER E INSURER F: COVERAGES CERTIFICATE NUMBER: REVISION NUMBER: THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. INSR AWL POLICY EFF POLICY EXP LTR TYPE OF INSURANCE INSD WVD POLICY NUMBER MM/DD/YYYY MM/DD/YYYY LIMITS X COMMERCIAL GENERAL LIABILITY EACH OCCURRENCE $ 1,000,000 F;Zoq DAMAGE TO RENTEU-- CLAIMS-MADE OCCUR PREMISES Ea occurrence $ 300,000 MED EXP(Any one person) S 15,000 A Y Y BKS58867158 06/08/18 06/08/19 PERSONAL&ADV INJURY $ 1,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: GENERAL AGGREGATE S 2,000,000 POLICY❑ PRO- ❑ JECT LOC PRODUCTS-COMP/OPAGG S 2,000,000 OTHER: $ AUTOMOBILE LIABILITY EOa aBINED SINGLE LIMIT $ 1,000,000 ccidenANY AUTO BODILY INJURY(Per person) S B OWNED X SCHEDULED Y BAS58867158 06/08/18 06/08/19 BODILY INJURY(Per accident) $ AUTOS ONLY AUTOS rXvI HIRED X NON-OWNED PROPERTY DAMAGE $ AUTOS ONLY AUTOS ONLY Per accident S - UMBRELLA LIAB X OCCUR EACH OCCURRENCE S 1,000,000 A EXCESS LIAB CLAIMS-MADE Y Y US058867158 06/08/18 06/08/19 .AGGREGATE $ 1,000,000 DED I I RETENTIONS $ WORKERS COMPENSATION PER OTH- AND EMPLOYERS'LIABILITY Y/NI STATUTE ER ANY PROPRIETOR/PARTNER/EXECUTIVE E.L.EACH ACCIDENT $ 500,000 C OFFICER/MEMBER EXCLUDED? n N/A XWO58867158 06/08/18 06/08/19 (Mandatory in NH) E.L.DISEASE-EA EMPLOYEE $ 500,000 If yes,describe under DESCRIPTION OF OPERATIONS below E.L.DISEASE-POLICY LIMIT $ 500,000 DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (ACORD 101,Additional Remarks Schedule,may be attached if more space is required) Action Inc and NGRID,USA its direct and indirect parents,subsidiaries and affiliates is added as an Additional Insured for General Liability on a Primary 1£Noncontributory basis per the terms and conditions of form CG2001 (04113),for Ongoing Operations per the terms and conditions of form CG2010(04/13),for Completed Operations per the terms and conditions of form CG2037(04/13)and Waiver of Subrogation applies per the terms and conditions of form MEGL0241-01 (04-11) Additional Insured for Automobile Liability applies per the terms and conditions of form SCA005(02/16) Excess Liability is a following form. CERTIFICATE HOLDER CANCELLATION SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN NGRID USA ACCORDANCE WITH THE POLICY PROVISIONS. 40 Sylvan Road AUTHORIZED REPRESENT Waltham,MA 02451 �,,,-r7 _., f ..__. e ©19q-2015 ACORD CORPORATION. All rights reserved. ACORD 25(2016/03) The ACORD name and logo are registered marks of ACORD t� ��li�fss gttd�t1�4�1r�� t.'>a�strulcrt 9��e�vts�x �: V Twom—u TAi:L. 3 rt 4tittti $fff 0 M/2019 Office of Consumer Affairs and Business Regulation 10 Park Plaza - Suite 5170 Boston, M chusetts 02116 Home lmproveme,47,Cbntractor Registration ` Type: Corporation Registration: 175E83 ALTERNATIVE WEATHERIZATION, INC 2 LARK ST x Expiration: 05/28/2019 FALL RIVER,MA 02721 y Update Address and return card. Mark reason for change,// ?, Y../l.:.: T�rrr!ii!!:I�f{,{{Il�d!f;j'�:�?{J.:.:(lf"ffl1.:{,•�f: Office of Consumer Affairs&Business Regulation HOME IMPROVEMENT CONTRACTOR Registration valid for individual use only TYPE:Cowation before the expiration date, If found returnto: Ra97gctratlon ExpirationOffice of Consumer Affairs and Business Regulation 0512812019 10 park Plaza-Suite 5170 a ALTERNATIVE WEXTiyEA17ATION,INC. n,MA 02116 ! TIMOTHY CABRAL �� � 2 LARK ST FALL RIVER,MA 02721 Undersecretary Ot V Ou si iturir TOWN OF -BARNSTABLE o`TM� . Permit,No. _:�F1r'Z 7,r Building Inspector cash $404.00 ma _. --- ��o rar►� OCCUPANCY PERMIT Bond "No building nor structure shall be: erected, and no land,,building or structure shall be used for a new, different, changed, or enlarged use without a Building Permit therefor first having been obtained from the Building_Inspector. No building shall be occupied until a certificate of occupancy has been issued by the Building Inspector." Issued to Hv, r i—'Realty Trust Address Lot is-573 Old Straviberry Hill Roads Hyannis Wiring Inspector yRf :/% r- �� Inspection date Plumbing Inspector q�;�, A Inspection date Gas Inspector ' / Inspection date a Engineering Department j�/ 1v � / /f ` Inspection date,;! THIS PERMIT WILL NOT BE VALID,/AND THE BUILDING SHALL NOT BE OCCUPIED UNTIL SIGNED BY THE BUILDING INSPECTOR UPON SATISFACTORY COMPLIANCE WITH TOWN REQUIREMENTS. Al—, Building Inspector f, ladcl wi • j ;c. -4f { ° �? CCEQTlr-Ia=) PLC)-r F�L..lalJ LoCAT1O" gjAQ&J15 �CAL �11 1-IS 1 C6iZTIFY T"AT- THE FOU4�1),Tjo>j 50A>,A/W uEQ E o&4 COAA PLl-eG W 1 T A T► G: 51 VrrE.L.l WG: Z)T g AWLU SET$ALK WC-QUlOEAAE: T'e' OF THE Q -TOW Li oG REGlS1�zcD u,No suevcY��s os-TE2vei..L�> o___ TNtS _ DLA►-t IS uoT >3nSE� o►-i AN, �tW4TQU�E�.It Sv�Vc ( T��t= OPG'SerS 6'4cwtZ> APPL.1CA."l- nr-r=Pbl1W& LoT Ll►,1` �. s' -y As?ester's map and lot number �`}�.. ..�'• LOT E� J"/ THE .. ............ . °f TOIL ,�}. SEPTIC SYSTEM MUST Sewage Permit number ...................... r """""""".................. .INSTALLED IN COMPL House number WITH ARTICLE II STA EARNSTADLE, ........ ..s'..7...� .....�, � ................ SANITARY CODE AND Mb 9• \eo REGULATIONS. -'- - e m a• TOWN OF B RNSTABLE BUILDING ,I'N-SPECT0R APPLICATION FOR PERMIT TO ...................... TYPE OF CONSTRUCTION ....W. ..............®® .. 4� :............................................................................. ................................................19... . TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to;the following information: Location ... ....... .4 ....... ��.1... 4� ..... .....`�- !�................................... _.- Proposed Use .... i C`iL....... .4-... - 44.C-1q............................................................. Zoning District ..........................I.. . . �. W...........................Fire District ✓Name of Owner .. 1.5 !� .$ . —TAddres `/Name of Builder W))AE k!pw m 4ddress �"!� .. ..j��, ...T .. ., '.. Nameof Architect ..................................................................Address :...........................................:....................................... Number of Rooms .................. .......................................Foundation 3LalELf.. � z. .. .......... Exterior �... ............. .............................................Roofng ....... c- ... ( . r . ....................r.....-..................... a......... � ...................Floors � �.. neror ........ Heating Q. (/ ..` ...[Qg?`t' �/ + T ..... .Plumbin.. g .... 5................................................................... Fireplace ....1l 1V.O.........................................p Approximate Cost ....... .C5.. Definitive Plan Approved by Planning Board ------------------_____---------19--------. Area' .... .............�./ ...I.................. Diagram of Lot and Building with Dimensions Fee l°............. ..................... SUBJECT TO APPROVAL OF BOARD OF HEALTH _1T �/d � SA, ,, V17el I hereby agree to conform to all the Rules and Regulations of the Town of B r jea.rding the above construction. Name ..... ............ Hyannis Hills Realty Trust if �� r,, 20873 1 1/2 story No°................. Permit for .................................... 't single family dwelling ............................................................................... ., 573 Old Strawberry Hill Road: Location ................................................................ - I , " Hyannis ............................................................................... Hyannis Hills Realty Trutt = - Owner .................................................................. �. I Y frame " Type of Construction .. ...... Blot .........`./.......... Lot ................18 ......... Permit Granted November.,R8.,.......19 78 Date of Inspection ....................................19 Date Completed ..... ,�/..z... ......... y19 ; " PERMIT REFUSED ................................................................ 19 ........ ................... ................ 4 ./' ^ ._ .. .�' * •\ ........................................................ ......................... .................................................. .,.S �� / •1 tyt I� ......... .................................................................. -'^c • ; ` .-..-�' f - ._� ' Y't i - i Approved'•................................................... 19 1 ! ............... ...................................................... T'- "`. Assessors ` p ar IbT'number ..f .rr''. ...f ....'' ;,.,,c w1 `��' oFTNe;To r ter- Sewage .Permit number ...... ...... :.................. ........... µf ', Z 9$SSTi►D House number ... ..'`� .. -' 7: .../ /t ................ 9� M L L 039. AEG MAj p'. • TOWN OF , ,BARNS.TABLE BUILDINk INSPECTOR APPLICATION_FOR PERMIT TO �! Tf� J .`"r !~UP t4gll... ....I L �"r .............................G TYPE: OF CONSTRUCTION �x: flr* ............................�.. v , .. ,. . .......... ........ ............................ • ............ .............................19........ TO THE INSPECTOR OF BUILDINGS: i The undersigned hereby applies for a permit according to the following information: Location ...: r? .... � i' +-. c� sa-t�.n r'� ' J,3G�C�ti.J E t...t. 5�..:.. ............ ... .............................. ............ .........'...... �.`'. ...... ProposedUse .......................................................:........ ....................................................................................... Zoning District ............... . .............................Fire District ........ . ... '.i .?'l.a.. ........... .............. 'Name of Owner Y-T- n 46TAddres�X.Q!LA b,+ ..�(*( rQ rI.Q�B Name of Builder`' ° t a l� ? Address : '�►J / `.... )' .7 Name of Architect ........ ......................................................Address ..........:.........................................................:................ ' Number of Rooms '"........................................Foundation ..i ,�?!Vic' ! r�, .r ta "rkx-`,' . Exterior ...`..:!. t Roofing ..:.... 'tIr•kFE.."�""" ... `.... ................................................. ......... ... ......... .. ......... ............ Floors .```"r�i+ t�.fi �'°-' , .......:...7�Git i t .'.....'r"..Interior ............................H................................................... Heating l .:h r7 r n g . { ' ........ ...................\�. fJ."T' A .. ......Plumbin" .... .`....................................................... Fireplace .. �..,..:�`� Approximate Cost ....... r Definitive.Plan Approved b Planning Board _________________________ 19<- ----• .. t, Pp Y 9 - - ���t�! Area .,._..•�.. ......... .... .... ...... Diagram of Lbt and Building with Dimensions ! `_Fee * .' .,. .. .................. f SUBJECT TO A PROVAL OF BOARD OF HEALTH hereby agree to conform to all the Rules and Regulations of the Town of Bdrnstable regarding the above construction. I} Name .�... ... l `....... ............... Hyannis Hills Realty,. Trust y Wi 4 `F A=273-5 , y ' 20873 1 1/2 stor No ................. Permit for .........................y........ single family dwelling ............................................................................... Location 573 Old Strawberry Hill„Rd. ............................................. Hyannis ............................................................................... Owner ......Hyannis. . ...Hills. . ...Realtyu . Trst... .... . ........ ...... . . .... . Type of Construction .............frame............................. .............................................. ................................ -Plot of ......... .................. ............................ No Permit Granted .............��A11teX...28.......19 78 Date of Inspection .......................N.....19 Date Completed ................................. ....19 E MIT USED .... ... ...... .. 1 ..... °. ............... ......... ................ r. .... .................. . t.. .�.. ............... .....................� ....... .�. ............................. Approved ................................................ 19 ............................................................................... ............................................................................... a,�)/sa o� Town of Barnstable *Permit# Expires 6 months rom issue date �T Regulatory Services Fee 7,"9 3 ■natvaTnaM MAC' Richard V.Scali,Director A Building Division Tom Perry,CBO,Building Commissioner ���►AA fl 200 Main Street,Hyannis,MA 02601 APR 14 Z015 www.town.bamstable.ma.us ®WN �� 1 Office: 508-862-4038 ax: $,7 V, `1�0��� EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X--Press Imprint Map/parcel Numbere723 Qe)S_ Property Address -1 7 l A-e—A Cy< 0.e_ � Q '— 1 �3 esidential Value of Work$ �3 Minimum fee of$35.00 for work under$6000.00 Owner's Name&AddressC Contractor's Name��-C� t--- .J�l Telephone Number �"�f `— 41"3 ��k Home Improvement Contractor License#(if applicable) Email: L93"'Ca%4_ Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must accompany each permit. Permit Request box) e-roof(hurricane nailed)(strippi old shingles) All construction debris will be taken to ❑Re-roof(hurricane nailed) not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows/doors/sliders.U-Value (maximum.32)#of windows #of doors: ❑ Smoke/Carbon Monoxide detectors 4 door plans marked with red S and inspections required. Separate Electrical&Fire Permits required. 'Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. A copy of the Home Improvement Contractors License&Construction Supervisors License is required. SIGNATURE?V;� C:\Users\DecollikWppData\Local\Microsoft\Windows\Temporary Internet Files\Content.Outtook\2PIOIDHR\EXPRESS.doe Revised 040215 Massachusetts -Department of Public Safety Board of Building Regulations and Standards Construction Supen-isor Specialty License: CSSL-10087E ter:r r, ROBERT C BRO" 563 OLD STRAVItBE ROAD ., CENTERVILLE 11�A 0 ): Ill J Expiration Commissioner 10/10/2015 Restricted To: CSSL-WS-Windows and Siding CSSL-RF-Roofing Failure to possess a current edition of the Massachusetts State Building Code is cause for revocation of this license. For DPS Licensing information visit: www.Mass.Gov/DPS i V/ze�poor�nxarzcuealG�a�C�/�lcmaac�ccoeCts . Office of Consumer Affairs&Business Regulation License or registration valid for individul use only ME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: gistration: 9.99 Type: Office of Consumer Affairs and Business Regulation xpiration: --14I15/201.5 DBA 10 Park Plaza-Suite 5170 Boston,MA 02116 ROBERT BROWN CUStOM BUILDING REMODELING ROBERT BROWN 563 OLD STRAWBERRYHILLRD._ 4 CENTERVILLE, MA 02632 Undersecretary Not valid without signature oF� BARNSTABLE, _ `""M 639.A,O Town of Barnstable 9A �' Regulatory Services Richard V.Scali,Director Building Division Thomas Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.bamstable.ma.us Office: 508-8624038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, ,as Owner of the subject property hereby authorize J to act on my behalf, in all matters relative to work authorized by this building permit application for: Cow 41 . SigGature of Owner Da "-tooul-<� Print Name If Property Owner is applying for permit,please complete the Homeowners License Exemption Form on the reverse side. C:\Users\Decollik\AppData\Local\Microsoft\Windows\Temporary Intemet Files\Content.Outlook\2PIOIDHR\EXPRESS.doc Revised 040215 i I 77re Commonwealth of Massachnselts _ Department of Industrial Accidents Office of Investigations 600 Washington Street -_ Boston,MA 02111 fmm,.n as.Lgov/daa Workers' Compensation Insurance Affida-vit:Builders/Contractors Electriciansl7Plombers APPUcant Information Please Print LetibIv Name(Bassineesstorganizatiowb&vidual)- Kc:;,u"E4 ®tea. -7 7 City/Stat&Zip=�' �$-�J'�Uf Phan 9- — l �-`-4` Are you an employer?Check the appropriate box: T project 4. affi a nerd contractor d I racor an �of F j (required): L El I am I.a employer with ❑ 6. ❑New construction Tepees(full and/or Fart-Mime)-* Dave hired the sub-contractors 2.Ell am a sole proprietor or partner- listed on the attached sheet- 7. ❑Remodeling F These sub-contractors have ship and have no employees. 8. ❑Demolition w°fig y � t3`-for me in an c ci employees and have workers' I 4. ❑Building addition.: [No workers'comp.insurance comp:insurance. required] 5- ❑ We are a corporation and its 10:❑Electrical repairs or additions I❑ I am a homeowner doing.all work officers Dave exercised their I L❑Plumbing m irs or.additions myself[No workers'comp- right of exemption per MGL 12. of repairs insurance required.]I c- 152,§1(4),and we have no � 13.❑Other employees-[No workers' comp.insurance required-] Any spplicautthat checks box#1 man alto fill ant ft section below showing their meters'compeumtian policy iafotination. Homeowners who submit this affidavit iadimtmg they are doing all wink and then hire outtids contractors mast submit a new affidavit indicating such Contractors dw check this box must attached an additional met showing the name of die sub-cmitnxtors and state wliether at not those eutitiea bs%T employees. If the sob-contiactors have employees,they must provide their watkers'comp.policy number.. I am an wnptoyer that isproiieffirg workers'cotrrpensatiorr irtsraraitce for my etiTfo wm Below is the paiicb and job site irrfoYrrratiOn, Insurance Company Name: . Policy 4 or Self-ins.Lic.#: Expiration Bate: Jab Site Ate: S t `'i'AA<--�'t f l t. 4ity/State/zip: VL--4. Attach a oopy of the workers"compensation policy declaration page(showing the policy:number and expiration date). 0 Q 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 hemby certify under the pains acid penalties of peduty that the information pror-ded abinv is trite and correct Sienature � -. Date: Phone#: S ..-P -4-7"S -7 Official use onty. Do not write in this area,to.be evinpleted by.city or town o,(j`iciat City or Town: PermitMicense# Issuing Authority(circle one): 1.Board of Health 3.Building Depaekdent 3.City1rown Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.other Contact Person: - Phone#: 6 f t - �� Town of Barnstable *Permit�O 0'6 a( 6 q/ CGExpires 6 mondis from issue date Regulatory Services `7 �e ' AM f ' Thomas F.Geiler.IDirector, _ n °i B 2 6 Building Division 3�71d 4114- TQv/nt op 2008 Tom Perry,CRO, Building Commissioner B/-� 200 Main Street,Hyannis,MA 02601 R�STgBC� www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number Property Address 5 7 S , t--j P, L-4 t �� y r rs "A c f g n 1 esidential Value of WOTD- o — NYinimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name_ �1 C, (lice, ,f� Telephone Number(157-0y) 7ZI"7 Home Improvement Contractor License#(if applicable) ' Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check.. am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on fde. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) Re-side ❑ Replacement Windows. U-Value (maximum.44) *Where required: Issuance of this permit does not exempt compliance with other town department regulations,,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. SIGNATURE:_ Q:Forms:expmtrg Revise071405 OAfA dingy Beau/ Uq tMP •.Regjgt� �1►QVE�A!IE,�y�•`�9�� Rdar�ds �s t:x tlon 148999 {, �P1►'atip RqB aTYp D %1g12009 . R0yy ( gqj. S#:'25998,j g gR �N�ICUSTspM1 i r: 563 pop G�n►g r�BUI�D111/G/3E • Y �Y a + CENT S:TR,gwBE �+ OPtUNG , a ERVI �E HILL M4 02632... -: r i � � " �r` o r am •- ^� F wz r ''I ,..�.,_„_,,,_�-,. Ad�iq, r. '�`' r ua�x T �•��,e xr� ,.,x �"� '�`� s�` �� y � t����i `� *� Fyry,�� _\-�.- a�:n �a;ti �s�2�'°:n�^"'w�j t��'Y��*„ �'+�a,.y`y�,r ��,r Far• ��� - °�'�' ''a rl"7i..1"� �R3"�.a'� ky$r"�«m '�' " •�' K & �!" ate° ."''4� , fta "+f�'ft-1r n -i.,n•k 4rv�Al x i'� rs e v ' ae.pse or registry fiWe the ex_ ra an a a11d fop jjjdlWduF. P ,oa h aril of Buildin a If found retura�/o: ' g Regu1$ ons a 'w; a ' ¢hliurton Place : 301 �vahrl wfthopY ure Y FY yaw. F 'I J` ffse or ceg,strapon the exp,ration d talid jQp 1ntividul; A Itfo`und-r ueto,r of Building Re !fi4rn to: � - gul�t�gps adKshliurtop Place 1301 R16a, A.02108 al,d with . gn.torej N The Commonwealth-of Massachusetts Department of Industrial Accidents Office of Investigations U 600 Washington$freet - Boston,MA 02111 �} www.mass.gov/dia Workers' Compensation Insurance Affidavit: Build ers/Contractors/Eleciricians/Plumbers Aimlicant Information Please Print Legibly Name (Business/0rganizationdndividual): 14".0 (s C�L fJ 1 , Address: �� ���-,�, .� 1,�r{. j�— City/state/Zip: C t/CL �/ ; Phone#: `Z-S Are you an employer? Cbeck.the appropriate bog: Type of project(required): 1.❑ I am a employer with 4. ❑ I am a general contractor and I 6. ❑New construction employees(fall and/or part-time).*- have hiredthe'sub-contractors• 2; am a sole proprietor or partner- listed on the attached sheet.1 7. ❑Remodeling ship.and have no employees These sub-contractors have 8. ❑Demolition. working for me in.any-capacity. workers' comp:insurance. g. ❑Building addition [No workers' comp.insurance 5. ❑ We are a corporation and its required.] officers have exercised their 10.❑Electrical repairs or additions 3,❑ I am a homeowner doing all work right of exemption per MOL 11,0 Plumbing repairs or additions. myself. [No workers' pomp. a 1521 §1(4),and we,have no 12.[]Roof repairs insurance required.] t employees.[No workers' comp.insurance required.] 'Any applicant that checks box#1 must also fill oqt the seotlon below showing their workers'compensation policy information, Homeowners who submit this affidavit indicating they are doing all work and then hire outside contractors must submit anew affidavit indicating such. Contractors that check this box must attached an additional sheet sbowing the name of lbe sub-contractors and their workers'comp,polity information. dam an employer that isproviding workers'compensation insurance for-my employees. Below is the policy and job site. 'nformation. hsurance Company Name: 'olicy#or Self-ins.Lie.#: Expiration Date: 'ob Site Address: City/State/Zip: attach a copy of the workers' compensation policy declaration page(showing the-policy number and expiration date). . failure to.secure coverage as required under Section 25A of MOL 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 lime if up to$250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of avestigations of the DIA for insurance coverage verification. •do hereby certify under the pains and penalties of perjury that the information provided abo ve is true and correct ;i nature: Date: ' 0 � 0V 'hone Official use only. Do not write in this area,.to be completed by city or town official City or Town: IFermitUcense# 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#: Town of Barnstable ` Regulatory Services p Thomas F.Geiter,Director Building Division Tom Ferry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstabte.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner bust Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize �� to act on my behalf, in all matters relative to work authorized by this building permit application for: (Address of Job) r� Signature Efate Print Name Q:Forms:expmtrg Revise071405 Town of Barnstable *Permit# -;Z a6 Expires 6 months from issue dale Regulatory Services Fee Thomas F.Geiler,Director Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 1_ EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Imprint Map/parcel Number ", Property Address ® 1 4 � L"'�U �4 1 Lj,— esidential Value of Work G-,Q�� - Minimum fee of$25.00 for work under$6000.00 Owner's Name&Addresst1�� ` S? c7 C.r� S ff'�-4-c� Gam" A2 V LL" Contractor's Name �-x-/ -�-�' � f�'Uc,�-�'�� J Telephone Numbe/�SD7) Home Improvement Contractor License#(if applicable) - 4 / Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Chec I am a•sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance X-® PERMITRESS Insurance Company Name 1" 2 7 2007 Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. TOWN OF BARNSTABLE Permit Request(check b ) Qzee-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side Replacement Windows/doors/sliders. U-Value iv (maxim=n-44)-- -_-. *Where required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permasidn.` - A copy of the Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise061306 The Commonwealth of Massachusetts Department of lndustrialAecidents Office oflnvestrgations ' d 600 YYashington Street Boston, M14 02111 , www.mass.gov/dia Workers' Compensation rn.surgnce.Afridavit;.Builders/Contr.actors/Electrieians/PIumbers Applicant Information p Please Print Legibly Name(Business/Organization/Individual):. •Actctress: �(o`:2� c� (�S`�t��t��� � y4 Y c.�( -City/State/Zip: CY U! Phone.#: Are you an employer? Check the appropriate box: general contractor and I 'Type of project(required):, 1.DI am a employer with 4. ❑ I am a g employees (full and/or part-time). . have hired the st*b-contractors 6. Q New construction . .2. am a'sole proprietor or partner- listed on the-attached sheet. 7. Q Remodeling. ship and have no employees These sub-contractors have S. Q Demolition working for me in any capacity. employees and have workers' 9 Q Building addition mp[No workers' co . insurance comp.insurance.$' required.] 5. Q We are a corporation and its 10.Q Electrical repairs or additions 3.Q I am a homeowner doing all work officers have exercised their 11.Q Plumbing repairs or,additions myself; [No workers' comp. right of exemptionper MGL 12.E]Roof repairs insurance required.]t c, 152, §1(4),and we have no employees, [No workers' 13.Q Other comp. insurance required.] , '`Any applicant that checks box#I 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. rf the sub-contractors have employees,they must pravidb their workers'comp.policy number. , ram an employer that is providing workers'compensation insurance for my employees Below is.the'policy and fob site information. Insurance Company Name: ` Policy#or Self-ins,Lic.#: Expiration Date: Job Site Address: City/State/Zip: Attach a copy of the workers' compensation policy declaration page(showing the policy number and expiration date),• Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine iip to$1,500.00 and/or one-year imprisonment; as well as civil penaltns in the form of a STOP WORK ORDER and a fine of up to$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigationsthe b of L4 for insurance coverage verification. Ido hereby certify under thepains•andpenalties ofperjurp that the information provided above is true and correct Sienature•,_� Date: /? —2 G Phone # Official use only. Do not write in this area,'tb be completed by city or town ociaZ City or Town: Permit/License# Issuing Authority(circle one): 1.Board of Health 2.Building Department 3. City/Town CIark 4.Electrical Inspector S.Plumbing Inspector 6. Other Contact Person: Phone#: �.r a- � Bt+Bf�tl���gt�tnglt�g��titt7fa:s��.'tdaat2�� -., �Si NiK I GY1 S,I- - `F MaaaOfst�r��►� r aF Town of Barnstable a: a f BA BM a. pfp�a; Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, L/ ,as Owner of the subject property hereby authorize FJ:)k d 4 to act on my behalf, in all matters relative to work authorized by this building permit application for: 0A11A ignature of Owner D to !&JSa4 Print Name Q:Forms:expmtrg Revise071405 lot Town of Barnstable *Permit# Expires 6 months from issue date dam. nnmvs-aar e : Regulatory Services Fee � MA Thomas F.Geiler,Director s57q� Building Division Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 PERMIT rn www.town.bastable.ma.us Rill1 Office: 508-862-4038 FUAR012710MO EXPRESS PERMIT APPLICATION - RESIDENTIAL I OF BARNSTABL Not Valid without Iced X-Press Imprint Map/parcel Number Z 7 9 J o S Properly Address � 7�j © L � �J � ('}t L,C� (2-C-4 CA- V b esid OUential Value of Work �c���, Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address Contractor's Name `1— � l�1l/1 Telephone Numbe(-S®y-3 `r. Q01 Home Improvement Contractor License#(if applicable) 1 T� -l Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check o am a sole proprietor f; ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance Insurance Company Name Workman's Comp.Policy# Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) ❑ Re-roof(stripping old shingles) All construction debris will be taken to 21 re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ Replacement Windows. U-Value (maximum.44) *When:required: Issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: Property Owner must sign Property Owner Letter of Permission. Home Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 Iva- Town►ohy ,4* IiARNSTABLE..� Town of Barnstable ibgq.• 1�, Regulatory Services Thomas F.Geiler,Director Building Division Tom Perry,CBO Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder I, W-e-c -<� ,as Owner of the subject property hereby authorize (-?-O bk-r4 C &1-0(-J(I to act on my behalf, in all matters relative to work authorized by this building permit application for: � 4A V Job) L2� Signature of Owner Date Print Name Q:Forms:expmtrg Revise071405 �� Board of Building Regulations and Standards HOME IMPROVEMENT CONTRACTOR Registrafion\_146999 li�ai�€_ 5/2007 <,$ ROBERT BRO DING REMODELING ROB'ERT BROW 563 OLD STRAWBEEt D. CENTERVILLE,MA 02632 Administrator