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3688 MAIN ST./RTE 6A(BARN.)
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Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH Preservation/Hyannis Project Street Address 36 89 17- Village Owner C c06 '/A Address Telephone Permit Request &L`1" 20IL-0 Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay o� Project Valuation`'tD Construction Type 1VG� Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ,� Two Family ❑ Multi-Family(# units) Age of Existing Structure Historic House: AYes ❑ No On Old King's,'Highway'' ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other ' Basement Finished Area(sq.ft.) Basement Unfinished Area (sqft) Number of Baths: Full: existing new Half: existing fl new Number of Bedrooms: existing _new -- Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No : Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑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 ❑ DCommercial L1 Yes �"o If yes, site plan review# Current Use JW Proposed Use APPLICANT INFORMATION (BUILDER OR HOMEOWNER) Name 114/l/ �i l� d Ae Telephone Number Address /2C�Gv Q�l�" l�yt�7 License # 3q/o A2w � Home Improvement Contractor# Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO 0A1 SIGNATURE DATE A )m FOR OFFICIAL USE ONLY + APPLICATION# DATE ISSUED :"r` L MAP./PARCEL NO., - { ADDRESS VILLAGE OWNER.' DATE OF INSPECTION: L>FOUNDATION. k t FRAME INSULATION is �! FIREPLACE } ELECTRICAL: ROUGH FINAL _ r PLUMBING: ROUGH FINAL ` µE GAS:- ROUGH �� I . € :��9 FINAL ;..FINAL BUILDINGVI, i DATE CLOSED OUT ASSOCIATION PLAN NO. -1 1 The Commonwealth of Massachitsetts t Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 www.mass.g ov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers . Applicant Information PIease Print Le ibl Name (Business/Organization/Individual): M Ga VC. . Address: leOlo.k,06(-� City/State/Zip: . %ypp� - L1dC 3Phone #: 00 .),q® --?32 Are you an employer?Check the appropriate box: Type of project(required): 1.❑ I am a employer with ;)—. 4. ❑ I am a general contractor and I 6. ❑New construction employees (full and/or part-time).* have hired the sub-contractors 2.❑ I 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. 9. ❑ Building addition [No workers' comp, insurance 5. '❑ We are a corporation and its required.] officers have exercised their ]0.❑ Electrical repairs or additions 3.❑ I am a homeowner doing all work right of exemption per MGL 11.0 Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4), and we have no 12.❑Roof repairs insurance required.] t 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 their workers'comp.policy information. I am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: / Policy #or Self-ins. Lie. #: W(364 3/:7- 03 Expiration Date: Job Site Address:_(9 �PE City/State/Zip: &W5,W 6Aq- 62630 Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to$1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator.. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify der th pain and penalties ofperjury that the information provided above is true and correct c7 l Si nature: Date: 11161.16 Phone#: 02--Po- L only. Do not write in this area, to be completed by city or town official n: Permit/License# hority(circle one): Health 2. Building Department .3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector son: 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 permit/license number which will be used as a reference number. In addition, an applicant that must submit multiple permit/license applications in any given year, need only submit one affidavit indicating current policy information (if necessary)and under"Job Site Address"the applicant should write"all locations in (city or town)." A copy of the affidavit that has been officially stamped or marked by the city or town may be provided to the applicant as proof that a valid affidavit is on file for future permits or licenses. A new affidavit must be filled out each year. Where a home owner or citizen is obtaining a license.or permit not related to any business or commercial venture (i.e. a dog license or permit to burn leaves etc.)said person is NOT required to complete this affidavit. The Office of Investigations would like to thank you in advance for your cooperation and should you have any questions, please do not hesitate to give us a call. The Department's address,telephone and fax number: The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 Tel. # 617-727-4900 ext 406 or 1-877-MASSAFE Fax # 617-727-7749 Revised 5-26-05 www.mass.gov/dia p-: Massachusetts- Deportment of Public SufetN Board of Building Construction Su �T pervisor Licenseh1tions and License: CS 74101 Restricted to: 00 SEAN E ANDERSONt 50 TROWBRIDGE PATH WEST"ARMOUTH, MA 02673 t Expiration: 2/24/2011 <'uorotissiirncr. 9773 -74 Office of Consumer Affairs fie Business Regulatro. 1 License or registration valid for int}ividul use only HOME IMPROVEMENT CONTRACTOR before the eXpiration date. If found return to: Registration, .,128778 Office of Consumer Affairs and Business Regulation Expiration 5/16/2011 Tr# 28736£� 10 Park Plaza-Suite 5170 Type 'Indroidualr. Boston,MA 02116 SEAN E.ANDERSON SEAN ANDERSON_ ` V',I 50 TROWBRIDGE',PATH - W.YARTMOUTH, MBA`026Z3` Undersecretary ? _ >..- i N va id without sigr atu�s From:Kathy Geddis FaxID:Northwood Insurance Page 2 of 2 Date:6/29/2010 02:21 PM Page:2 of 2 �p r ATE(MM/DD/YYYY) � CERTIFICATE OF LIABILITY INSURANCE OP ID xa 06/29/10 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER.THIS CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND,EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S),AUTHORIZED REPRESENTATIVE OR PRODUCER,AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED,the policy(ies)must be endorsed. If SUBROGATION IS 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 Ileu of such endorsement(s). PRODUCER NAME: PHO Mx Northwood Ins. Agency, Inc. (A/c,No,Ext): (A/C,No): 540 Main Street, Suite 9 ADDRESS: Hyannis MA 02601 CUSTOMER ID#: ANDER-5 Phone:508-771-1632 Fax:508-393-2955 INSURER(S)AFFORDING COVERAGE NAIC# INSURED INSURER A: Hartford Insurance Co Sean E Anderson Const, LLC INSURER B: General Casualty Insurance Co. 24414 50 Trowbridgge Path W Yarmouth FIA 02673 INSURER C INSURER D: 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. rULtlytAr LTR TYPE OF INSURANCE INSR WVD POLICY NUMBER - (MM/DD/YYYY) (MM/DD/YYYY) LIMITS GENERAL LIABILITY EACH OCCURRENCE - $ 1000000 B COMMERCIAL.GENERAL LIABILITY CCX0396093 04/13/10 04/13/11 PREMISES(Ea occurrence) $ 100000 CLAIMS-MADE 7X OCCUR MED EXP(Any one person) $ 5000 X Business Owners PERSONAL&ADV INJURY $ 1000000 GENERAL AGGREGATE $2000000 GEN'L AGGREGATE LIMIT APPLIES PER: PRODUCTS-COMP/OP AGG $2000000 POLICY 7 PEa LOC CSL $ 1000000 AUTOMOBILE LIABILITY COMBINED SINGLE LIMIT (Ea accident) ANY AUTO BODILY INJURY(Per person) $ ALL OWNED AUTOS BODILY INJURY(Per accident) $ SCHEDULED AUTOS PROPERTY DAMAGE $ HIRED AUTOS (Per accident) NON-OWNED AUTOS $ UMBRELLA LIAB OCCUR EACH OCCURRENCE $ EXCESS LIAB / CLAIMS-MADE AGGREGATE $ - ' DEDUCTIBLE $ RETENTION $ A WORKERS COMPENSATION CERT WILL FOLLOW FROM CO 05/21/10 OS/21/11 - AND EMPLOYERS'LIABILITY Y/N TORY.LIMITS ER - ANYPROPRIETOR/PARTNER/EXECUTIVE W/IN 5 DAYS E.L.EACH;ACCIDENT _$ 50 TOAD OFFICERIMEMBER EXCLUDED? F7 I/A - - (Maridatory In NH). - E.L.DISEASE-EA EMPLOYEE.::$ 50Obb0 If yes;describe under - - DESCRIPTION OF OPERATIONS below - E.L.DISEASE-POLICY LIMITf`,$ 5000.0 O DESCRIPTION OF OPERATIONS./LOCATIONS/VEHICLES (Attach ACORD 101,Additional Remarks Schedule,if more space is required) h �7 sea CERTIFICATE HOLDER CANCELLATION _ - SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE i TOWNBAR THE EXPIRATION DATE THEREOF,NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS. TOWN OF BARNSTABLE - AUTHORIZED REPRESENTATIVE 367 MAIN STREET HYANNIS MA 02601 Sz ©1988-2009 ACORD CORPORATION. All rights reserved. ACORD 25(2009109) The ACORD name and logo are registered marks of ACORD Sean E. Anderson Construction, LLC. Ma.Bid.Lic.#074101 Proposal Ma.Registration#128778 TO: Deborah Scroggins FROM: Sean Anderson SUBJECT: 3-Season mom: Rt. 6A;Barnstable,MA DATE: 09/17/10 Job description: • Set of plans sighting all work for permit application is required. • Plot plan to be provided by the home owner if one is not on file. ■. Typical 4"x4"post construction w/2"x10"rafters over existing,wooden deck. ■ 10"diam.Bona tubes installed 4'under grade according to carrying load/wind(where necessary). • . :All.framing"wrapped"with primed,f/g pine trim. ■ 5-screen/glass frames fabricated(dimensions appx 47"'x 88"). Double entry door facing north. ■ All trim installed to"paint ready"matching.house's existing style and composition. ■ New roof covered with EPDM rubber roofing system. ■ New roof"tied-in"with existing windows and siding. All siding replaced to match existing. " ■ All Construction performed in accordance with Barnstable Building codes. ■ Arched arbor appx.2'x 3'installed entering from east side. ■ Square arbor,appx.2'x 3'installed entering from north side. Cost of proposed work: $ 12,000.00 (includes all materials,labor and disposal) Notes: The price quoted is an approximation which attempts to include all normal,foreseen steps to complete your screen porch and 2-from the ground up. Underground rock may be our only hindrance. One third of the noted price is due with agreement. The 2"d 2/3's are due with progress. Acceptance of Proposal: The above price and specifications are Customer's signatures satisfactory and hereby accepted. In the event of non-payment,the customer shall be responsible for all costs of collection, Sean E.Anderson �? including statutory interest and reasonable attorney's fees. Sean @(508)280-7326 sea(acaaecod.net Eric @(508)280-6600 Clyde R. & Eleanor 6.37 N/F ALICE S. HANDY g 202.0 i � +� LOT 1 i �T 3• 6 146.00 MAIN STREET • SHED DOES NOT MEET SET"®ACK {gE�UIREMENTS BUT IS NOTE: "ORANOFATNERED" WITH RESPECT TO ZONING. E LOAN INSPECTION � OAi RE SURVEY ASSOCIATES �AT • •SE EwIIE►1 IF. t'!T THOU AG sSx 2! r C. AND A6 ORE BEACH, MA. 02562 c PONT6014 sos eee •sip �..,u�. 1 CERTIFY TO CAPE C00 000'ERATIV BANK • • OF THE ®UI DIN SM THATTNLOCATIONWN HEREON CONFORMS j TO H11 CHINO OF THE TOWN 0 BARNS AOLE O0® kAZARD I CERTIFY THAT IAT ON'A1 NOT LIE WITHIN THE it 0 E A •N 44Qt-A t ps i a0. A .103 t NELSpN ARE - RICffw NARD U►W tNEEARPIC CIOR'1 i6t S�rT l/YE 1! 1903 DATEDo MOV• t 1 t 4� FO U E Of ®ANK ONLY. g OR 0 TAlLI H LTLIN S. 10681 d' TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map l� Parcel Application # 06 11 � 1 Health Division Date Issued Conservation Division 'Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic - OKH _ Preservation/Hyannis Project Street Address 3688 Main Street Village Barnstable Owner Colin Campbell Address 3688 MA;n street Telephone 508-744-7412 Permit Request Air sealing, duct sealing, install 170 sq ft of R-30 to floored attic 390sg ft of R-30 to open attic, insulate 1 attic door, install 300sg ft of R-6 toexposed heating and cooling ducts. Square feet: 1 st floor: existing proposed 2nd floor: existing proposed Total new Zoning District Flood Plain Groundwater Overlay Project Valuation 2868 Construction Type Lot Size Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family ❑ Two Family ❑ Multi-Family (# units) Age of Existing Structure Historic House: ❑Yes ❑ No On Old King's Highway: ❑Yes ❑ No Basement Type: ❑ Full ❑ Crawl ❑Walkout ❑ Other Basement Finished Area (sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full: existing new Half: existing new .Number of Bedrooms: existing _new Total Room Count (not including baths): existing new First Floor Room Count Heat Type and Fuel: ❑ Gas ❑ Oil ❑ Electric ❑ Other Central Air: ❑Yes ❑ No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑ No Detached garage: ❑ 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 ❑ r. N-.� j Commercial ❑Yes ❑ No If yes, site plan review# C) Current Use Proposed Use IO APPLICANT INFORMATION c (BUILDER OR HOMEOWNER) co rn Name RISE Engineering Telephone Number 401-784-3700 Address 1341 Elmwood Avenue Cranston, RI 02910 License # 100459 Home Improvement Contractor# 120979 Worker's Compensation # ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO RT Resni1rca RI-I-Q17Pry SIGNATURE DATE 2/23/10 Erik Nerstheimer for RISE Engineering FOR OFFICIAL USE ONLY APPLICATION# DATE ISSUED MAP/PARCEL NO, ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME INSULATION FIREPLACE ELECTRICAL: ROUGH FINAL 'r PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. 1 The (Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, M4 02111 w>w W.Mass.gov1dita W®ll-ke>rs9 Compensaflon Insurance Affidavit B> ilde>rs/Contc>ractolrs/Electt>ricians/PRu>r beers A pficaarntt Information �➢e��e l�lr><n�g e��h➢� Flame (Business/Organization/Individual): RISE Engineering; A Division of Thielsch Engineering Address: 1341 Elmwood Avenue City/State/Zip: Cranston, RI 02910 Phone #: 401-784--3700 or 1-800-422--5365 Are you an employer?Check the appropriate box: Type of project(required): 1.® I am a employer.with 4. ❑ I am a general contractor and I 6 ❑New construction employees (full and/or part-time).* have hued the sub-contractors 2.❑ 1 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. 9. ❑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 MGL 11.❑ Plumbing repairs or additions .myself.:[]\To workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.] t employees. [No workers' 13.❑x Other Insulation comp. in required.] -- *Any applicant that checks box#I must also fill out the section 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 a new affidavit indicating such. 'Contractors that check this box must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. 1 ate an employer that is providing workers'compensation insurance for tray employees. Below is the policy and job site information. Insurance Company Name: The Preston Agency Policy#or Self-ins. Lic. #: WC2—Z11-259874-019 Expiration Date: 04/01/ 10 Job Site Address: (� � .e 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 certo�n r' the Rgins an `penalties of perjury that the information provided above is true and correct. Signature: =��'� P�^. -' - -- Date: e Erik Nerstheimer for RISE Enggineering Ph one#: 401-784-3700 or 1-800-422-5365 Ext. 133 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#: rage I0II The Official Website of the Executive Office of Public Safety and Security (EOPS) Mass.Gov Home Public Safety Department of Public Safety Licensee Complaints License Type Construction Supervisor License# 100459 Restriction WS,IC Name Erik Nerstheimer City, State,Zip North Scituate, RI,02857 Expiration Date 3/28/2012 Status Current No complaints found for this Licensee. Back To Search Jam.-P���u�� .,. . _. . ...:. ...... ... . ... Board of Building Regulations and Sta'ndari{s I •` LRense or registration valid for individ,ul use only HOME IMPROVEMENT CONTRACTOR i. before the expiration date. If found return to: Registrati;on,:. 120979 Board of Building Regulations and Standards Ez_pigatiro:ri_�31.25/2010 One Ashburton Place Rm 1301 T' e Su^`"Iement Card �^t'sfe31,Amfa.02108 -HIELSCH ENGINE�E_RI:NG,E==_' -RIK NERSTHEIMER_ -_`=_;r;r' 341 ELMWOOD.AVE_ :RANSTON, RI 02910 Admin.isti ntor Not valid without signa#rre hctp://db.state,ma.us/dps/licdetails.asp?tXtSearchLN=CSL100459 a/,)A/,nnn -,CERTIFICATE OF LIABILITY INSURANCE O=-110/15/09 (MMIDDmrY) PRODUCER T The Preston Agency, Inc. THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATIO 1350 Division Rd Suite 303 ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOIMEPO Sox 810 —ALTER C01.THIS ERgGE A D It DOES g POLICIES BELOW East Greenwich RI 02818-0810 Phone: 401-886-8000 Fax:401-885-1700 INSURERS AFFORDING COVERAGE NAIC# INSURED INSURER A: g$#ord UhderwriteX8 rns. Co Thielsch Engineering, Inc INSURER B: Ba=tfoxd casualty Inauranoe Co Thielsch Group Inc. Rea Hi Tech lty Inc. INSURER C: Liberty nutual insurance Group 195 Frances Avenue Cranston RI 02910 INSURER D: North American Cranston Capacity INSURER E: COVERAGES THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED.NOTWITHSTANDING ANY REQUIREMENT,TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN,THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,EXCLUSIONS AND CONDITIONS OF SUCH POLICIES.AGGREGATE LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. LTR NS TYPE OF INSURANCE POLICY NUMBER DATE DATEOMW LJ1NiS GENERAL LIABILITY EACH OCCURRENCE $1,000,000 A X COMMERCIAL GENERAL LIABILITY 02UUNM5678 04/01/09 04/01/10 PREMISES aomrrenw $300,Op0 CLAIMS MADE a OCCUR MED EXP(Any one person) $10,000 PERSONAL&ADV INJURY $1,000,000 GENERAL AGGREGATE S2,000,000 GEN'L AGGREGATE LIMIT APPLIES PER: POLICY X EEC LOC PRODUCTS-COMP/OPAGG $2,000,OOO AUTOMOBILE LIABILITYEmp Ben. 11000,000 B X ANY AUTO 02UENTD4850 04/01/09 04/01/10 (EaCO &a lj NED SINGLE LIMIT $1,000,000 ALL OWNED AUTOS SCHEDULED AUTOS BODILY INJURY $ (Per person) HIRED AUTOS NON-OWNED AUTOSBODILY INJURY $ (Per accident) PROPERTY DAMAGE $ (Per accident) GARAGE LIABILITY ANY AUTO AUTO ONLY-EA ACCIDENT $ OTHER THAN EA ACC $ AUTO ONLY: AGG $ EXCESSIUMBRELLA LIABILITY EACH OCCURRENCE $10,000 000 B X OCCUR E]CLAMS MADE 02XHUUF6573 04/01/09 04/01/10 AGGREGATE $10,000,000 HDEDUCTIBLE $ X RETENTION $10 000 WORKERS COMPENSATION AND EMPLOYERS'LU1&L1TY X TORY LIMITS ER C ANYPROPRIETOR/PARTNER/EJCECUTIVE 2-Z11-259874-019 04/01/09 04/01/10 EL EACH ACCIDENT $500,000 OFFICERIMEMBER EXCLUDED? nyes,descnbeunder E.L DISEASE-EAEMPLOYE $500,000 SPECIAL PROVISIONS below OTHER E.L.DISEASE-POLICY LIMIT $500,000 D Professional Liab DVL000025902 04/13/09 04/01/10 Prof Liab 2,000,000 A Leased/Rented E-W 02UUNTD5678 04/01/09 04/01/10 E It 100 000 DESCRIPTION OF OPERATIONS I LOCATIONS/VEHICLES/EXCLUSIONS ADDED BY BLDO gR/SPECIAL PROVISIDIIS *Except 10 days for non payment of premium. Holder is included as an additional insured when required by a written contract with respect to the General Liability coverage. CERTIFICATE HOLDER CANCELLATION TWNOAE B SHOULD ANY OF THE ABOVE DESCRIB®POLICIES BE CANCB.LW BEFORE THE EXPIRATION DA'm THEREOF,THE Ou uIG>M5m WILL ENDEAVOR TT)Mlle. *30 DAYS wRITTEN NOTMM TO THE CEBTNWATE HOLDBt MIMED TO THE LEFT,BUT FAILURE TO DO SO SHALL WPM NO OBLIGATION OR LIABILITY OF ANY IWO UPON THE WSIIRIEK ITS AGENTS OR REPR�ENTATNES. AUTHOOMD ACORD 25(2001108) 0 ACORD CORPORATION 1 RISE ENGINEERING Federal ID os oaosszs RI Contractor Registration No 8186 A division of Thieisch Engineering MA Contractor Registration No 120979 ontractor Registration No 620120 . � �1.341 Elmwood Avenue,Cranston,R10 0 w' p (401)784-3700 FAX(401)78 NTRAC 1T CONTRACT IS ENTERED INTO BETWEEN RISE NEERING AND THE CUSTOMER FOR WORK AS ENGINEERING DES RIBED BELOW CUSTOMER DATE Client# Colin Campbell (508)744-7412 01/25/2010 106810 SERVICE STREET BILLING STREET 3688 Main Street P O Box 675 SERVICE CITY,STATE,ZIP BILLING CITY,STATE,ZIP Barnstable,MA 02630 Barnstable,MA 02630 JOB DESCRIPTION RISE Engineering will provide labor and materials to seal areas of your home against wasteful,excess air leakage. This work will be performed in concert with the use of special tools and diagnostic tests to assure that your home will be left with a healthful level of air exchange and indoor air quality.Materials to be used to seal your home can include caulks,foams,weatherstripping and other products. Primary areas for sealing include air leakage to attics,basements and other unheated areas(windows are not generally addressed.) This work will be performed at the rate of$66 per man per hour,which includes materials and testing. 8 man hours. $528.00 RISE Engineering will provide labor and materials to seal heating and/or cooling ducts within designated unheated areas. This work will be performed at the rate of$75 per man per hour,which includes materials. 3 man hours. $225.00 RISE Engineering will provide labor and materials to install a—8.5"layer of R-30 Class 1 Cellulose added to 170 square feet of floored attic space. $636.00 RISE Engineering will provide labor and materials to install a 8"layer of R-30 Class 1 Cellulose added to 390 square feet of open attic space. $429.00 RISE Engineering will provide labor and materials to insulate the back of the attic door with I"rigid foam board and seal the door edge with weatherstripping to restrict air leakage. $300.00 RISE Engineering will provide labor and materials to iiistall'R-6 faced fiberglass insulation to the exposed heating and/or cooling ducts in certain non conditioned areas. Total to be installed is 300:0 square feet. $750.00 RISE Engineering will apply all applicable,eligible incentives to this contract. You will be billed only the Net amount. Currently,for eligible measures,the Cape Light Compact offers 75%incentive,not to exceed$2,000 per calander year. 42,000.00 WE AGREE HEREBY TO FURNISH SERVICES-COMPLETE IN ACCORDANCE WITH ABOVE SPECIFICATIONS.FOR THE SUM OF ***Eight Hundred Sixty-Eight&00/100 Dollars $868.00 UPON FINAL INSPECTION AND APPROVAL BY RISE ENGINEERING.CUSTOMER AGREES TO REMIT AMOUNT DUE IN FULL.INTEREST OF 1%WILL BE CHARGED MONTHLY ON ANY UNPAID BALANCE AFTER 30 D YS.SEE REVERSE FOR IMPORTANT INFORMATION ON GUARANTEES,RIGHTS OF RECISION,SCHEDULING,AND CONTRACTOR REGISTRATION. DO NOT SIGN THIS CONTRACT IF THERE ARE ANY BLAN PACES Y 7N6TE:;�CONTRACT E-RISE ENGINEERING STOMER ACCEPTANCE/HEREBY MAYBE WITHDRAWN BY US IF NOT EXECUTED WITHIN DATE OF ACCEPTANCE "' ACCEPTANCE OF CONTRA "PR/ES,SPECIFICATIONS AND CONDITIONS ARE SATISFACTORY TO US ANACCTED.YOU ARE AUTHORIZED TO DO THE WORK DAYS. AS SPECIFIED.PAYMENT WILL BE MADE AS OUTLINED ABOVE Town of Barnstable *Permit Expires 6 months from is, re date X-PRESS PERMIT Regulatory Services Fee Thomas F.Geiler,Director ' JUN 1 5 2006 � Building Division �-- TOWN OF BARNSTABLE Tom Perry,CBO, Building Commissioner 200 Main Street,Hyannis,MA 02601 www.townbamstable.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 31:7 b Z Y Property Address 5�)q q till 5 1. C2&,r y)SA ),e MA. o z Uo Residential Value of Works Minimum fee of$25.00 for work under$6000.00 Owner's Name&Address U$_ Contractor's Name Telephone Number �,O - 760b 'Z Home Improvement Contractor License#(if applicable) 3 0 53 Construction Supervisor's License#(if applicable) ❑Workman's Compensation Insurance Check one: ❑ I am a sole proprietor I am the Homeowner _ I have Worker's Compensation Insurance Insurance Company Name ,41 . Workman's Comp.Policy# 3 L) 5 3 — 6— 3 r Copy of Insurance Compliance Certificate must be on file. Permit Request(check box) [.� Re-roof(stripping old shingles) All construction debris will be taken to ❑Re-roof(not stripping. Going over existing layers of roof) ❑ Re-side ❑ 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. lipme Improvement Contractors License is required. SIGNATURE: Q:Forms:expmtrg Revise071405 1 ne_+t,ommonwealrn of massacnusetts Department of Industrial Accidents ti Office of Investigations 600 Washington Street Boston,MA 02111' www-mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/P'lumbers Applicant Information Please Print Legibly Name (Business/orpnizationdndividual): . Address: 5 q " L dwer 6rceei" PD. City/State/Zip: 56- Ucfma�l 02 6 ti Phone#: 5 0k 760 A 2.20 Z Are you an employer? Check the"appropriate box:. Type of project(required): 1.❑ I am a employer with / 4. ❑ I am a general contractor and I employees(fu and/or part-time).* have hired the sub-contractors 6 New construction ll 2.❑ I am a sole proprietor or partner- listed on the attached sheet. $ 7• ® Remodeling ship and have no employees These sub-contractors have 8. ❑ Demolition working for mein 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 MGL 11.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.❑ Roof repairs insurance required.]t employees. [No workers' comp.insurance required.] 13.❑ Other.'. 'Any applicant that checks box#1 must also fill out the section below showing their workers'compensation policy information r Homeowners-who submit this affidavit indicating they are doing all work and then hire outside contactors must submit a new affidavit indicating such KContractors that check this box must attached an additional sheet showing the name of the sub-contactors and their workers'_comp.policy.information. _ r am an employer that is providing workers'compensation insurance for my employees."Below is the policy and job site rnformation. , Insurance.Company Name: AI Policy#or Self-ins.Lia #: -7.3"(� 5,45 y- hl -� Expiration Date:_ /yllU Job Site Address: 11144• N S`T City/State/Zip:_C_54/,nth 4)2 .sd 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. 15.2 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$250.00 a day against the violator. Be advised that a copy of this statement maybe forwarded to the Office of Investigations of the DIA for insurance coverage verification. I do hereby certify under the pains and penalties of perjury that the information provided above is true and correct: Si Date: f� S Phone#: eo - 27� Official use only. Do not write in this area,to be completed by city.or town official. City or Town: Permit/License# Issuing Authority(circle one): I.Board of Health 2..Building Department 3.City/Town Clerk 4.Electrical Inspector 5.Plumbing Inspector 6.Other Contact Person: Phone#• Information and Instructions Massachusetts General Laws chapter 152 requires all employers to provide workers' compensation for their employees., Pursuant to this statate, an employee is defined as"...every person in the service of another under any contract of hire, express or implied,oral or written." An employer is defined a$:`_`au 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 en ,employing employees. However.t4e owner of a dwelling house having not more than three apartments and who sides therein, or.the occupant of the dwelling house of another who employs persons to do maintenance,cons ction or repair woikvu such dwelling house or on the grounds or building appurtenant thereto shall not because of su employment be deemed to be employer." MGL chapter 152, §25C(6)also states that"every state or local licen g agency shall withhold the issuance or renewal of a license or permit to operate a business or to constru buildings in the commonwealth for any applicant who has not produced acceptable ev�idence•of complian a with the insurance coverage required." Additionally,MGL chapter 152, §25C(7)states"Neither the connn wealth nor any of its political subdivisions shall enter into any contract for the performance of publi work until acc table evidence of compliance with the insurance requirements of-this chapter have been presented to ih contracting uthority. 11 Applicants Please fill out the workers' compensation affidavit completely, • checking the boxes that apply to your situation and,if necessary,supply sub-contractor(s)name(s),address(es)and pho numbers)along with their certificate(s) of insurance. Limited Liability Companies(LLC)or Limited Liab' artaerships(LLP)with no employees other than the members or partners; are not required to carry workers' comp ens * 'insurance. If an LLC or LLP does have employees,a policy is required. Be advised that this affidavit " y be subr tted to the Department of Industrial Accidents for confirmation of insurance coverage. Also be sur to sign an date the affidavit. The affidavit should or town that the application for the permi or license is B 1 9 requested,not the Department of be returned to the city Industrial Accidents. Should you have any questions regarding a law or if you a required to obtain a workers ensationpolicy,please call the Department at the number ' ted below, Self- ed companies-should enter their comp . self-insurance license number on the appropriate line. Criy or Town Officials . Please be sure that the affidavit is complete and printed legi'bl . The Department has provide a space at the botm of the affidavit for you to fill out in the event the Office of In estigations has to contact you reg ding the applicant Please be sure to fill in the permit/license number which will a used as a reference number. In a 'lion, an applicant that must submit multiple permit/license applications in any en year,need only submit one affida ' indicating current policy information(if necessary)and under"Job Site Addre "'the applicant should write"all locations ' (city or town)."A copy of the affidavit that has been officially s ed or marked by the city or town may pro ded to the applicant as proofthat a valid affidavit is on file for.fixture p 'ts or licenses..Anew affidavit must be fil�d�out each PP year.Where a home owner or citizen is obtaining a license o permit not related to any business or commerce venture (i.e.a dog license or permit to burn leaves etc.)said person' NOT required to complete this affidavit. The Office of Investigations would like to thank you in adv ce for your cooperation and should you have any questions, please do not hesitate to give us a call. 1 The Department's address,telephone and.fax number. The Commonwealth of Massachusetts . Department of Industrial.Accidents Office of Investigations ? - 600 Washington S eet� . Boston,MA 0211 L. 'Tel. #617-727-4900 ext 406 or-1-.877-MASSAFE Fax#617-727-7749 Revised 5-26-05 www.mass.gov/d.i.a Town of Barnstable ° Regulatory Services Thomas F.Geiler,Director 9`bf1,639. .`�� Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 www.town.barnstable.ma.us Office: 508-862-4038 Fax: 508-790-6230 Property Owner Must Complete and Sign This Section If Using A Builder as Owner of the subject property hereby authorize ����,fi G1{�S ✓ 6'� to act on my behalf, # in all matters relative to work authorized by this building permit application for: (Address of Job) Signature of Owner Date Print Name Q:FORMS:OWNERPERMIMION r� v Town of Barnstable *Permit# 7 Expires 6 niondis from isLae date r3' � V v o � • Regulatory Services Feel ? �uvsreac,E, r ashes Thomas F.Geller,Director 9� ibgD• ��6 Building Division Tom Perry, Building Commissioner 200 Main Street, Hyannis,MA 02601 X-PRESS PERMIT Office: 508-862-4038 Fax: 508-790-6230 JUL 8 - 2004 EXPRESS PERMIT APPLICATION - RESIDENTIAL ONLY Not Valid without Red X-Press Lnprint TOWN OF BARNSTABLE Map/parcel Number Property Address �idential Value of Wor Owner's Name&Address Contractor's Name /[J Telephone Number�6 z Home Improvement Contractor License#(if applicable) Construction Supervisor's License#(if applicable) ❑Worlanan's Compensation Insurance Check one: I am a sole proprietor ❑ I am the Homeowner ❑ I have Worker's Compensation Insurance t Insurance Company Name 1v G 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 ❑Re- of(not stripping. Going over existing layers of roof) 0�- Re-side Replacement Windows. U-Value Rep (maximum.44) '� l ❑ *Where required: issuance of this permit does not exempt compliance with other town department regulations,i.e.Historic,Conservation,etc. ***Note: erty O u gn Pr erty Owner Letter of Permission. ome t Co ntr ors License is required. Signature Q:Forms:expmtrg Revise053003 i Town of Barnstable Regulatory Services Thomas F,Geiler,Director 9� "sl p,� Building D1vIsIOn AlFD � Tom Perry, Building Commissioner - 200 Main Street, Hyannis,MA 02601 . wym,town.b arnstable.ma,us Fax- 509-790-6230 office: 508-862-4038 Property Owner Must: t_.. . .� —= Complete and Sign.This .Section - - if Using g ABuilder �� to act as Owner of the subject property _ _.. _ on e ,myb half hereby authorize hers`relative to work authorized by this buildingermit-application for: _ in ma P (Address of Job) LO O VO Date S' a a Owner ti Print N e 1 Application lto: 1� Old King s Highwayegional' iscic District Committee in the Town of Barnstable for a CERTIFICATION.OF EXEMPTION )placation is hereby made, in triplicate,for the issuance of a certificate of exemption under Section 6 and 7-of..Chapter 470,. :ts and Resolves of Massachusetts, 1973, as amended for proposed work as described below and on plans,drawings,or photo. sphs accompanying this application. . (PE OR PRINT LEGIBLY ' DATE e )DRESS OF PROPOSED WORK �o �' �. ASSESSORS MAP NO. NNER �e ASSESSORS LOT NO, DME ADDRESS TEL.NO. ��� �' GENT OR CONTRACTOR I DDRESS ®`�b ��' TEL.NO.•._� ais application is for exemption of proposed exterior construction on the ground that: 4-0 It will not be visible from any way or public place. (2) It is within a category declared entitled to exemption by Old King's Highway Regional Historic District Commission. (Check applicable box) ROPOSED WORK: Describe and furnish plan of proposed work,showing location on lot, and, if an addition Is involved,show, :g location of existing building. - ,r=7 k%T LO K U� Ad, ow SIGNED Dace below line for Committee use. . wner•Con actor-Agent eceived by H.D.C. The Certificate is hereby ate !0"1 ime y Date Ads ec' Office' 1 st floor) Map Lot Permit# `� 0 Conservation Office 4th floor 'W 9 1+laY Date Issued Board of Health(3rd floor 14��p�® Engineering Dept. Ord floor) House# �4V� "��� . PlanningDept. 1st floor/School Admin.Bldg.): ® ® �4, I sAmwrA8M 'r q �.. NAM Definitive Plan Approved by Planning Board 19® �°� ®�� rp� ;N0 Md (Applications processed 8:30-9:30 a.m.& 1:00-2:00 p.m.) J� �q - Z% � �� . �*& 04 TOWN OF BARNSTABLE 3 � ° ® Building Permit Application> Proiect Street Address (o� t4iwr Village t 1 l �I Fire District Owner 1 at7�t STKt'aPop-fJ -CANcpyl C1 LLV"_ s Address S4 E Telephone (6 2 — h O,5--7 Permit Request: Z Ctv .Pr(ZC,)t� Zoning District Flood Plain Water Protection N - Lot Size t +- ��'-+/ Grandfathered Zoning Board of Appeals Authorization Recorded Current Use 12eD �T� Proposed Use Construction Type j!0j j> Existing Information Dwelling Type: Single Family ✓ Two family Multi-family Age of structure k 0o Basement type/ Historic House q es Finished V Old Kings Highway Unfinished Number of Baths 3 No. of Bedrooms � Total Room Count(not including baths) 6 Z First Floor (a Heat Type and Fuel t)I Lr 40T- 1�- O Central Air Fireplaces Garage: Detached ✓ Other Detached Structures: Pool Attached Barn None Sheds Other Builder Information Name 5 �� nS j'�. /� Telephone number Address �)G ;� 2 License# O l '0 akRP 3 s—\)4 V-:5 c G \R C) c� Home Improvement Contractor# r(J 0 1170 Worker's Compensatioit # NEW CONSTRUCTION OR ADDITIONS REQUIRE A SITE PLAN (AS BUILT) SHOWING EXISTING, AS WELL AS PROPOSED STRUCTURES ON THE LOT. ALL CONSTRUCTION DEBRIS RESULTING FROM THIS PROJECT WILL BE TAKEN TO E5 L P Project Cost 9(� ._ Fee SIGNATURE DATE /e Zzz Z&-4-9 BUILDING PERMIT DENIED FOR THE FOLLOWING REASON(S) BPERM T Permit #..qr fi ��� FOR OFFICE USE ONLY AJbDRESS 3688 Main Street VII.LAGE Barnstable OWNER Toni Stanford/Ralph Gillies DATE OF LNLSPECTION: FO*O�ON FRAME r INSULATION_ FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: A • ROUGH FINAL j FINAL BUILDING: DATE CLOSED OUT: ASSOCIATE PLAN NO. i y i / Bw N'� BL�1 /M yc'"` D6�v'p4.cw i PLAN OP LAND IN S H.•n' BAF2N1STA5LF-- 5C LO"Ol"a To Rlu-IARD S.8.E-EANoc2 S.GALLAGHER S Sc^LEI IN. 30f-T" Srpr.18.1963 ao-+genceea-R�o""�I„nw,5.xtve rocs ;.PDRCVLL"'S .ED UNDER ..in.OL LAW N .7.� "...•.^.:,CIE � L U �r L k I2 A 0 66+Acres I . >l9 ; 0 d/.cc S h'andy 56/2' " 230?: l s ce 202.96 c a I I� l � 99 Z ll.Jt „vi L 0. c: � , v 3956o f° V I 90.00 r� 69,36 /t'1�A//V $T. Sr r-- NioNwA�' dole fekn fo..+ale^br q"b"f R�cbo.d:... Q S . ri33 Assessor's office (1st floor): = y � FTHEro Assessor's«na `c;nd lot number .......... L p_ 3/ ...........tZ .....t.........:. Board `of Health (3rd floor): Sewage Permit number, ............................................................ i B8HB9TaDLE, S Engineering Department, (3rd floor): - 90o Mb& Housenumber ..................... ................................................ ON APPLICATIONS PROCESSED 8:30-9:30 A.M. and;1:00-2:00 P.M. only TOWN OF BA;RNSTABLE BUILDING INSPECTOR APPLICATION FOR PERMIT TO ........rRA"''::9v. .....G4&aa -.......................................................................... TYPE OF CONSTRUCTION .........h•2 fn;o f$r o N ........................................................................................ ......................7- ...7.............. ,9 S TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: Location ........3.G..8g......(1)./ f?: )....ar........... :�.19................................................................................ Proposed Use ........ f!2'n'°� i t—rcti ......................... ...................................................................................................................................... ZoningDistrict ........................................................................Fire District .............................................................................. Name of Owner . exC .�Op!' ... Address S.4?'n.e................................................................ Nameof Builder ..........0.WNe.9..........................................Address .................................................................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ..................................................................Foundation .............................................................................. Exlerior ....................................................................................Roofing .................................................................................... Floors ......................................................................................Interior .................................................................................... L Heating .................Plumbing Fireplace ..................................Approximate Cost .................................................................... ................................................ Definitive Plan Approved by- Planning Board -----�__ ___7-------------19_ __ . Area Diagram of Lot-and Building with Dimensions Fee SUBJECT TO APPROVAL OF BOARD OF HEALTH l� t J • 1 � i OCCUPANCY PERMITS REQUIRED FOR ,NEW DWELLINGS I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. 4 Name ....... /.�. . . ..��—.....f....... . ...... ...4,44 ...................... Construction Supervisor's License .................................... LILL, KENNETH C. & LUCILLE t No 2892.j.... Permit for .................... .... ....... Locatign ..-.3.6.88..M.a.in...Street......................... ................... Barns table ........................................... Owner ......K & Lucill' Lill ......................... ............... Type of Construction ..........Frame. . ....................... ............................................................... i - ` Plot ........................ Lot ................................ Permit Granted ........ b.....ua.r.y,..7..........19 86 Date of Inspection .......... . ......19 Date, Completed ........... 19 4N, t _ r I I �- t L P ♦ ORION. ... _ wAu INSTALL N.V PSL MST IN EXIST.EXTER.WALL AND EUIWNATE CONE.FTO.&PIER. EXIST. _ VEHI ATS(IE-- EXIST OR. WALLS _ I ` - - C41a0ANGLESS SASE POST OF POST TD IXIST.SILL - 8 b b _ N (2)2XA I- 4 :POST Na ..: .. -.. SEASON . MET RO M Ez _ (zl vca y' b ;.... ..-... __ _..: __.... POST - POSPTS'I, OPirON. __ ._. INSTALL NEW—PSL PDST EUMINATE CONIC FTG S PIER D — VERIFY AT SITE EXIST.HOUSE -' '{' `; —EXIST.HOUSES I EXIST.HOUSE NOTE:CUSTOM SCREEN/WINDOW k---- - omFP'�asrro�Tos�riBASi CUNITSONTRACTOR. FLOOR A SELECTED BY OWNER/ A CONTRACTOR FLOOR PLAN _1 SCALE 1/4°=1'-0' ILE EXIST.HOUSE i i - I _j I - EXIST.FOUNDATION � WALLS 777 NEW THREE SEASON ROOM �I NEW THREE SEASON ROOM 12, NEWWXW%12•D. I SIDE ( EAST ) ELEVATION REAR ( NORTH ) ELEVATION �Rw2) VFAT. W/SIMPSON POST RASE(SEE OPTION SCALE 1/4°=V-0° SCALE 1/4"=V-0" ON FLOOR PLAN) TO REMAIN IF SOUND § I EXIST.DELI(FRAMING VERIFY AT SIM-MODIFY T - P.T.2 X ES @ 1 B`C.C.W/1/2" I AS REGUIRED FOR NEW till I �••� (t,';yy�° (,.-^: I j /)((` �-fl{"'( SIMPSON#TS - CDXSHTG.OVER-EPDM FOQ""� TWIST STRAP - RIBBER ROOFING OVER SHT'G. )._.._�-I , _ � NEW SD'X30•X IYD. }. NEW 30•X SOr%129. PIER W//F(0A VERT. RUDDER ROOFING s MIN. MATCH ALL SOFFIT AND FASCIA PIER W/(2)fa VERT. - —-—-—-—- W/SIMPSON POST P.T.2X1D W/(4)1/4° UP BOTH EXIST.WALLS I W/SIMPsoNPOST X 6'SCREWS EA - --- _ DETAILS OF EXIST.REAR PORCH �E DASE(SEEOPnON f dS ENO INTO STUDS -------__ t2 -EXTER.TRIM TO MATCH HOUSE I: ,ra•n• I ON FLOOR PLAN) --I_ S H2.5A @ EA.RAFTER ,,..D,h GENERAL CONTRAOTOR/OWNER SHALL INSURE sff°�'� THAT ALL WORK CONFORMS TO THE LATEST MASS.- `i DRAWING (2)P.T.2XID 'q STATE BUILDING CODE(SEVENTH EDITION)&THE I. (2)9 1/2'P.T.-LVL WFCM 110 M.P.H.-8 WIND CODE CONSTRUCTION& —- - 50 NGLES @ EA. (2)LTS12 STRAPS 4 ALL OF THE LATEST LOCAL CODE AND ZONING REGULATIONS.GENERAL CONTRACTOR&OWNER I; FINISH- - RAFTER @HIP -- -- FOUNDATION PLAN SHALL VERIFY ALL SfTECONDITIONS AND ALL (t CIEL.MATERIAL AS I# P.T.2 X 4 FRAMED WALL W/ INFORMATION ON ALL DRAWINGS IN THIS SET SELECTD ON iX3 SIMPSON# 4X4 PSL POST AT HOUSE &MAKE CORRECTIONS AS REQUIRED AND/OR @ 24°C.C.ON 2X8 HUC210-2 &@ CORNER SCALE 1/4"=1'-W NOTIFY DESIGNER PRIOR TO START OF ANY WORK S'I+I;��Y. •:11i'4 `-� CIEL.JOISTS @ 15'C.C. srff DETAaTws r , wuwwG . .��. ,,,�•I` P- •� CUSTOM SCREEN/WINDOW UNITS L� • .+ EXIST.mWALLS& fi z7 4X4 PSL P_. OSTS NEW THREE m w1NDows— z.,maELaN®FA WALL @ EXIST.HOUSE SEASON ROOM § - - I SCREWED To E"IsT.WALL 7 H ro-ucz z 1"'•-- : —\ STUDSW a 1 n'X65CREW5 LOCATIONS O S 30 gSLL I wm,mv.mm �FA t.STUD �. (,E-(SASOPPED cp Iln (2)L30 ANGLES @ - �� SIDE-(STAGGc"TiED 12')- 1 , Iwo EXIST.COn.WALL BASE OF EA.POST I ___ EXIST.DECK FRAMING TO REMAIN o CONNECTORS REQUIRED: , STUDS W/Tss RE E0.SIDE L };r F t TO IXIST.SILL —b I -ADJUST AS REO.FOR NEW FOUND. I �4 @�E iV PROVIDE METAL SIMPSON CONNECTORS @ ALL ` SIMPSON#C844 - � - --- - �; g� LSSOANGLESp POST TO BEAM LOCATIONSI POST BASES 8 ALL I +}- Y BASE FOR 4X4 PSL I x - Ek RAFTER FLUSH FRAME LOCATIONS.CONNECTORS TO BE APPROK EXIST.FIN.GRADE 1 __ ___ EXIST.WALL& f OST,BEAM AND RAFTER POST - - UNDISTURBED MATERIAL b a •`I' I wlNDows SIZED INSTALLED PER MFRS. I ' -•- — - Pr zxeaEL..rolsrs INSTRUCTIONS f T 0 �.RBEI(n•/h _ NEW FILL m I n r y OT OLSON DESIGN ASSOCIATES r A E�ctjy __ L _. ._ _. - ' w NEW r - s DENNIS PORT MA 02639 DETAIL HIP / HOUSE COR. CONNECTION : s ___ I P.r la 1 I.I I, -. 50&77543� enroll-"olsondesgrg§wdzon net NO SCALE - - {L NAILING- —3o°X 30'X 12°D.CONC.FTG. y _I I - L3o9SILL NEW THREE SEAON ROOM "`e W/12'CONC.PIER W/(2)#4 HUC2m-2 IT L r a• VERT.&SIMPSON#C644 (2)LTS12STRAPS@— Y a sApEnPAFTER as 3688 MAIN STREET ROOF SHEATHING 8d @ 4 CC EDGES/12' CC FIELD sARNSTASLE,MA u , POST BASE FOR 4X4 PSL POST WALL SHEATHING 8d @ 4"CC EDGES/ 12"CC FIELD SEANE.ANDERSAON CONSTRUCTION,LLC CON WALL SHEATHING NAILING- A, 4� 'EFLOORPLAN-ELEVATIONS-FOUNDATION 1st Fir.-ROOF @ 6"cc EDGES/ FRAMING SECTION uMxaP" flPLAN-ROOF FRAMING PLAN-SECTION BLOCK NAIL ALL BUTT JOINTS A ROOF FRAMING PLAN STRUCTUA0. = —te� :K� ��• ., °�."•BX D.O. ALL WALL SHEATHING VERTICAL-TO OVERLAP TOP SCALE are•=1'-0' "F�SIEa� SCALE.1/4"=V-0° \ ? /� 1 PLATE&SILL-7/16"MIN.THK. 11�� g riov.ls,2oto �1— 1 OTED 1 "