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HomeMy WebLinkAbout0026 BUCKINGHAM WAY .�� �, `', � , i it } � I 1 it � � 'f d `�� 1 t �I B :i- � d 4 IiJ1 tl I� b I� i 1 4 d � _ „4 G 1 d 1 4 i i �i�� ��. 'Ifi i c � , ^I } d rn �� � . �'�l�'?' 1»i^y�ir��{4u/r �'37 ... � n. "`-���43Yr �. !.."7°.:."4.v-�"r."'gi;rh:•'s'� ,. '�t."`�+4'*t�.i+%:lw�:.A'Y:J�'S!#' oy��. `oF.MF T � Town of. Barnstable BARNSTABLE : Regulatory Services MASS. JI. t639. Building Division PrED MA'S a. 200 Main Street,Hyannis, MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Inspection Correction Notice Type of Inspection P Location 96 RuC-K1x)6*4-� A)*"rf eT Permit Number ).2 Z;-% Owner Builder One notice to remain on job site, one notice on file in Building Department. The following items need correcting: JJ-S--CCL4J7--16A) AJe—) Ce �� � / f✓�H�6L/45S K�c.0 �Oyfo' a tp�(�cq ICI Please call: 508-862- four re-inspection. Inspected by �G/ Date 14) 2 O 7 - i II i a� /�,�K��e U/.�.i , �4f�� Au€z�- dl rY'fxaP��',-�NCp'4�,*ta'.��y.,1 �4 .u..ri�,�v��=y •'{r'.�'» '�.},�{d!�;�,�Y�,!.�`"1',�`.1.��"}fy.�i�'3'�Y,. �'!`.. ., . Y, �"1t"'t+`• �y4 �'y'�^�,r.,:','.�r�� � I Town of Barnstable Regulatory Services BARNS ABLE. t639. - Building Division - 200 Main Street, Hyannis,MA 02601 Office: 508-8624038 Fax: 508-790-6230 n o$ Inspection Correction Notice Type of Inspection Location .2 UCKI ti6fb -Alk- �/�F Permit Number Owner Builder /0P%b G- C—7T One notice to remain on job site, one notice on file in Building Department. The follo� g items need correcting: Z- NC`z�rJ iVi4�c- /JdL�T�Gz'OGC �C�f z U Gt 46--S A-&J,a /il10,14)G /41 ON PI( ![,7` Gc.p WA-I- Pnaoot, — C!J/LL lGtJsl�L�T DNS � 7/O�t/. o Please call: 508-862-4038 for re- ' ectio Inspected by c Date TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION Map O2 Parcel 05-4 LoT 60 Application# Health Division 341 �9 Conservation Division Permit# Tax Collector Date Issued Z Treasurer Application Fee ' Planning Dept. Permit Fee' Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis ,(�l` Project Street Address 6 _ uc kivA"AM V Village 1�1 6'S GQ h9T — GO r0 c T 1 o-4 FURSLSY Owner f_&AvA/ cis F. �oFa�tot Address 05-rWIu,F,1�1A OZ155 Telephone i 5_8 44-28 -$:7-43- Permit Request©,,Apjz ku 73k&M TO fRAa OAA P,a FA6 1 ASTa Bawmm 0AIFti1,17bya Ti2iM ("&PAia _F9'n&T &�Ry STXP -MA-5049Y Square feet: 1st floor:existing proposed 2nd floor:existing 5% proposed " 93 Total new 93 Zoning District Rf Flood Plain' G Groundwater Overlay Project Valuation q0 AV Construction Type 6,bp.PF f Lot Size Weal s F Grandfathered: ❑Yes ❑No If yes, attach supporting documentation. Dwelling Type: Single Family,J8( Two Family ❑ Multi-Family(#units) Age of Existing Structure 30 years Historic House: ❑Yes X`No On Old King's Highway: ❑Yes &<No Basement Type: ,Full ❑Crawl O Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing 6wrl new Half:existing 6WE new Number of Bedrooms: existing 3 new Total Room Count(not including baths):existing Jr new 'First Floor Room Count Jt- Heat Type and Fuel: O Gas XOil ❑Electric ❑Other Central Air: ❑Yes XNo Fireplaces: Existing TIE New Existing wood/coal stove: ❑Yes >�No Detached garage:El existing O new size Pool:O ex�fling ❑new size Barn`O existing ❑new size Attached garage existing ❑new size Shed existing O new size Other: ,f A- Zoning Board of Appeals Authorization ❑ Appeal# Recorded O `~i Commercial O Yes XNo If yes, site plan review# t Current Use BArow fmirs..'i E Proposed Use Sman4f_ -Si►.af, Ni«y BUILDER INFORMATION N'ame'?,b�'t V ate-fi-_?Ay 9'TT 3,tLnE,9S,SiJG, Telephone Number �2e Zave Address FQ J o�c 133 License# 0qg851 4 SoiiML SEE. Home Improvement Contractor# JQD13 �FuK1co A►4ER/CA I rru 1-T 55 Worker's Compensation# 9-4l 6 A 6` / 3= ALL CONSTRUCTIO D RIS RESU TIN ROM THIS PROJECT WILL BETAKEN TO CA5.ELLA X/i4ST9 SIGNATURE 7 V DATE 10 /ZQ'� + FOR OFFICIAL USE ONCY 9 PERMIT NO. DATE ISSUED MAP/PARCEL NO. ADDRESS VILLAGE OWNER DATE OF INSPECTION: FOUNDATION FRAME ® 0 0-1 INSULATION e , FIREPLACE ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL A GAS: ROUGH FINAL FINAL BUILDING �� V/2/®, RMck T•cT DATE CLOSED OUT ASSOCIATION PLAN NO. -F �OFIMEr Town of Barnstable Regulatory Services vs MAS S. E� Thomas F.Geiler,Director Building Division Tom Perry,Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 508-790-6230 Permit no. Date AFFIDAVIT HOME IMPROVEMENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"reconstruction,alterations,renovation,repair,modernization,conversion, improvement,removal,demolition,or construction of an addition to any pre-existing owner-occupied building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements. 99 Type of Work: _RemoDE.l.I►:i 6 Estimated Cost 0,()00 Address of Work: -r p2635 2 Owner's Name:fKQ►JC,IS X cToAa M. FA F, Date of Application: I hereby certify that: Registration is not required for the following reason(s): ❑Work excluded by law []Job Under$1,000 ❑Building not owner-occupied ❑Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY FUND UNDER MGL c.142A. SI NED UNDER PENALTIES OF PERJURY I hereby apply for abt. s t age of the owner: 7 , TIJC- 3 Date Contractor Name Registration No. OR Date Owner's Name Q:fon-mhomeafdav 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 (Businessiorganization/Individual): �o CGZ'( - I�Al�C,��l"T ���E� 1 $. TM. Address: 0. I x 133 I E3t f QA taoL. ST. City/State/Zip: Carr i( 1`rl OZL-SS Phone #: C -0001 Are you an employer? Check the*appropriate box: Type of project(required): 1.❑ I am a employer with 4. [g 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 $ 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 10.❑ Electrical repairs or additions required.] officers have exercised'their 3.❑ I am a homeowner doing all work right of exemption per MGL .. 1 I.❑ Plumbing repairs or additions myself. [No workers' comp. c. 152, §1(4),and we have no 12.0 Roof repair: insurance required.)t employees. [No workers' �1red.}. 13.❑ Other comp. insurance required.] •Anv 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: _Zu191C1-A — A MGi►^Z C"Ar.-) Policy#or Self-ins.Lic. #: 1 I(P A 611 Expiration Date: !o I Job Site Address: 2.6 &C-t:1 16ElAM WAY City/State/Zip:Cary 1 T1MA ^026" 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.S�v penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised thatRarxof this statement maybe forwarded to the Office of Investigations of the D f r insurance coverage verification. " [do hereby certify 'napai n e erjury that the information provided above is true and correct 7?� Si ature: Dater 4/Id 1�4 Phone#: (�4� h-b - Goo 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#: A� RightFax Hartford 6/15/2006 9:24 PAGE 004/014 Fax Server DATE(MM\DD%f ...... ..F .......... .......... A4 01 n ............ .......... ........ ... 0 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION PRODUCER ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MYCOCK INS AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 20 SCHOOL ST ALTER THE COVERAGE AFFORDED BYTHE POLICIES BELOW. PO BOX 437 COMPANIES AFFORDING COVERAGE COTUIT MA 02635 COMPANY 297SB A AMERICAN ZURICH INSURANCE C22ANY INSURED COMPANY PADGETT BUILDERS INC B PO BOX 133 COMPANY COTUIT MA 02635 C COMPANY D .... ............ .......... ...... ............ ......... .......... . ....... ............ ............ ........... ............ ....... .......... Z 0,VERAGES.." THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED•BELOW•HAVE BEEN ISSUED TO THE•INSURED NAMED ABOVE FOA*%THE`P�� ��D INDICATED, NOTWITHSTANDING ANY REQUIREMENT, TERM 08 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTR DATE(MM\DD\YY) DATE(MM\DD\YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE F__jOCCUR. PERSONAL a ADV.INJURY $ OWNERS&CONTRACTOR'S PROT. EACH OCCURRENCE $ RRE DAMAGE(Any one tire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per Accident) PROPERTY DAMAGE $ IGARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: ............ EACH ACCIDENT $ P AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND _FSTATUTORY LIM ITS EMPLOYER'S LIABILITY (UB-9716A67-7-06) 06-01-06 06-01-07 EACH ACCIDENT $ THE PROPRIETOR/ PARTNERS/EXECUTIVE INCL DISEASE—POLICY LIMIT $ 100 ()n(l OFFICERS ARE: EXCL DISEASE—EACH EMPLOYEE 100,nnn OTHER DESCRIPTION OF 0 PERATIONS/LOCATI ON SfVEHl CLESIR EST RICTION StS PECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. O. X .T WR%L TION . .......... ......... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL TOWN OF BARNSTABLE 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE BUILDING INSPECTOR LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 367 MAIN STREET LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANNIS MA 02635 AUTHORIZED REPRESENTATIVE Z4 .......... ............ ..... .. .......... ............ .......... Padgett Builders Inc..Subcontractor Insurance Information Excavation J C Aalto P. O. Box 339 Marstons Mills, MA 02648 AWC 7011579012006 Foundation Bay Colony P. O. Box 469 Cotuit, MA 02635 WC0000753 Roof/Sidewall Todd DeBerry 228 Wood Street Middleboro, MA 02346 UB 03 81 B09006 Electric Barnstable Electric 71 Lothrop's Lane West Barnstable, MA 02668 WCC5000804012006 Carpenter D &M Construction, Inc. 5 Beaver Dam Way, P. O. Box 190 S. Dennis, MA 02660 WC231S351409016 Plumbing A-Dad's Plumbing &Heating P. O. Box 72 West Barnstable, MA 02668 WC797644 03 Heat Tavano Mechanical Systems, LLC 201 Capes Trail West Barnstable, MA 02668 0287662 Insulation Ace Insulation 12 Wenham Shores Drive Carver, MA 02330 UB0150B47205 Vicki Shaw Page 1 4/10/2007 Drywall Ed Miller& Sons Drywall Inc. P. O. Box 572 Hyannisport, MA 02647 WC5002499012006 Finish Carpentry Kempton Nickerson Building&Remodeling 13 This Way Osterville, MA 026555 8737129 Painting Brothers Enterprises P. O. Box 2061 Hyannis, MA 02601 Vicki Shaw Page 2 4/10/2007 r 780 CMR: STATE BOARD OF BUiLDfNI G REGULATIONS AND STANDARDS THE MASSACHUSETtS STATE BUILDING CODE Manual Trade-Off Worksheet Z1 IDES�P�6CT . Permit fi Z-Voi Builder Name ADGIeTT- EQ$r�IG. Date .�'t /10/ 70.13OX %33 COTvrc AA 02635 Checked By :.,. Builder Address Site Address auCKl fish � �Y&� Zone 0�2 ❑13 014 Date t �0[3 ?144�GETt � Phone Submitted By PROPOSED REQUIRED Ceilintts:Skyli¢hts and Floors Over Outside Air Required Insulation x Net Area U-Value bm-ription R-Value U-Value UA (Table 16.22b) x Area UA Ceiling (Table 1611a) •�`-�-' •O J�-� I" Floor Over Outside Air fe (Tabk J61-'-)a) . fe fl-. • .Total Arca ' ft Walls.Windows:and Doors - Inailatton x Net Required DcscriOtion RI-Value U-Value Area r •UA U-Value z Area UA (rabla J621b.c.0 b ✓ AZ 38S fe t 3 44•� (Nf1tC Tabic J1.S.3a) 3Windows ✓ ft _• 7 Doors. fe C• -[ (MC"Table 1I S36) Sliding Glass Doors (NIRC"Table 1I.5.3s) !t= tt' Total Area tt Floors and Foundations Insulation lasulatioa R- x Area or Required Description Depth Value U-Value Perimeter ..UA U-Value x Area -UA , Floor Over Unconditioned (fable fe Spam 16 21e) Basommt Wall (Table J621Q fe Unbeatod Slab It able J62.2 ) UL Heatod Slab ftl ' (Table J6.2.24 Ina —roar hnpaacd to nag lie!aa TOW �r . ---- rotal titan or egoW to rord[erAgpwco VA Proposed UA •J Po � t31t RtQuu+rd UA 4 Sat num of compl'tt =The proposed Wdtaf design rc--ted is L- +Adjusted dks+r doc umervs Jr ronrWeW wuh the badawpt-,m V-Ocadom. i and otter calculations submitted with the pamit ion. Requlrid CA (�eS(C� Ol 0 7 �1 etrildaWatsigner./ Company JVmnt � Dar � R • ' On �aDGET� 'PAM E1 c. T-Bp1LmRsil4 , t4 f(0/0 . 760.22 780 CMR-Sixth Edition 2r20/98 (Effective 3/l/98) ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION and ADDITIONS 780 CMR Appendix J Applicant Name: Eob (?A EYT Site Address: ZG L)CIC(W2,t Applicant Address: "p amm Im City/Town: C070 leTu tT I MA D Z635 Use Group: tnE�rT t F wtt. Date of Application: Im Applicant Phone: 5Qf3 -426 -000 I Applicant Signature: Compliance Path(check one): ❑ Prescriptive Package(Limited to I-or 2-family wood frame buildings heated with fossil fuels o ly) Package (A through KK from Table J5.2.1 b): Heating Degree Days (HDD65) from Table J5.2.1 a: (For items d. through i., fill in all values that apply from Table J5.2.1 b:) a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing Area' sq.ft. g. Floor R-value R- c. Glazing% (100 x b=a) % h. Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- J. Heating AFUE Component Performance: "Manual Trade-Off" (Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) Zone 12 ❑ Zone 13 ❑ Zone 14 Attach Trade-Off GVorksheet from Appendix J, nd HVAC Trade-Off Worksheet, if applicable] ❑ MAScheck Software Attach Compliance Report and Inspection Checklist printouts ❑ Home Energy Rating System Evaluation Attach Home Energy Rating Certificate(HERS rating score must be 83 or higher) ❑ Systems Analysis OR ❑ Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis ALTERNATIVE FOR ADDITIONS ONLY: a. Gross Wall+Ceiling Area sq.ft. b. Glazing Area' sq.ft. c. Glazing%(100 x b_a) % ❑ ADDITION with Glazing % (c.) up to 40% may use 780 CMR Table J1.1.2.3.1 below: MAXIMUM U-value MINIMUM R-Values Fenestration' Ceiling' Wall Floor Basement Wall Slab Perimeter,Depth 0.39' R-37 R-13 R-19 R-10 R-10,4 ft I Glazing Area may be either Rough Opening or Unit dimensions. z Based on NFRC listing. Applies either to every unit,or to area-weighted average of all units. 3 R-30 ceiling insulation may be used in place of R-37 if the insulation achieves the full R-value over the entire ceiling area (i.e.- not compressed over exterior walls,and including any access openings.) ❑ "SUNROOM" addition (greater than 40% glazing-to-wall and ceiling gross area) Attach"Consumer Information Form"from 780 CMR Appendix B. Official's Name: Official's Signature: Application Approved ❑ Denied ❑ Date of Approval/Denial: Reason(s) for Denial: (provide additional details as needed on back side) I ��ie,loammzaizcuea�l� o�/�aaaac/u�aelld (�j; 00 35,000 cf enclosed space - — —— -- -t BOARD OF.BUILDINGREGULATIONS It) (MGLCi12•S60L) . � License; CONSTRUCTION SUPERVISOR 1A Masonry.only- (`k N e C 4 �� 1G.:1&2FamllyHomes_. (:_. ( ur►t � 0.8859 �h b Fallure.,to possess.a current editlon of the �y f BI. fe 0?J 1944 r Massachusetts State Building Code C. 9 Is cause for revocation o/thls Ilcen . i Ali: se 008 Tr.no:. 17133 t i• ROB_ERT R..FAQ @� ' 184 SCHQO,L'SST/BQQ QX�33 G-- i COTUIT;. MA 0263 �'-� ( Gomtpigsloner ii DIG SAFE CALL CENTER: (888)344-7233.. i Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Registration-\ 1.00131 Board of Building Regulations and Standards Expiration=='6%9/2008 One Ashburton Place Rm 1301 (pJj i_=_?Type__--vate Corporation Boston,M . 2 08 PADGETT BUILDERS,_.(NC._=., Robert Padgett PO Box 133/184 SChool�St: Cotuit,MA 02635 Deputy Administrator Not valid Without signatu 'opt , Z vn'_of Barnstable Regulatory Services gpxrtsrest , Thomas F.Geiler,Director . Building Division TomPerry, Building Commissioner 200 Main Street, Hyannis,MA 02601 Office: 508-862-4038 Fax: 509-790-6230 Property Owapr Must Complete and-Sign This Section j If.Using A Builder as Ownet of the subject property hereby.authorize �6 w r�-to act on my behalf, all na#ets-relative to work authorized by-this building permit application for: in l� 13uc-kjQGHAyvl• y. (Address of Job) f Z Z- U '1 Signatute of Owner Date � c, 2 . Print Name QFORMS:OV NERPERMISSION RESIDENTIAL BUILDING PERMIT FEES APPLICATION FEE my4e 26 8oa %46 Her,k/ay New Buildings 3100.00 Cow�T� o d2 63S I Residential Addition Alterations/Renovations S50.00 �oa�lacG�Tr�v1�DER$ Cv BuildingPeanitAmendment S25,00 FEE VALUE WORKS ET NEW LIVING SPACE 93 sgnare feet x$96/sq,foot= _S,�Z$ x,0041= '40 plus from below(if applicable) ALTERATIONS/RENOYATIONS.OF EXISTING SPACE 4d_.d—square feet x$64/sq,foot=,3$ goo x.0041 fl 5- I't plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq,ft.= x,0041= ACcEsSok.Y STRUCTURE>120 sq,ft. >120 sf-500 sf $35,00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00. >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building peraIIt: _ square fact x'$96/sq,foot= x•0041= STAND ALONE PERMITS Open Porch x 330,00= (number) Deck x$30.00= ' (number) Fireplace/Chimney x S25.00=' • (number) . Inground Swimming Pool S60.00 Above Ground Swimming Pool $25.00 Relocation/Moving S 150.00 (plus above if applicable) Projcosi Pernrit FeeA , Rev;063004 COMMONWEALTH OF MASSACHUSETTS EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 26 Buckingham Way Cotuit, MA 02635 i Owner's Name: Frank Fayne Owner's Address: Date of Inspection: April 5. 2006 Name of Inspector: (Please Print).James M: Ford Company Name: James M. Ford Mailing Address: P.O.Box 49 Osterville,MA 02655-0049 Telephone Number: (508)862=9400 CERTIFICATION STATEMENT ' I certify that I have personally inspected the sewage disposal system,at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The.system: ✓ Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: April 12;2006 The system inspector shall su)z a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 1 U,000 gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional.office of the DEP. The original should be sent to the system owner and copies sent to the buyer,if applicable,and the approving authority. Notes.and Comments ****This report only describes conditions at the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page I Page 2 of l 1 OFFICIAL INSPECTION FORM-NOT.FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 26 Buckingham Way Cotuit, MA Owner: Frank Fayne Date of Inspection: April S. 2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist: Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass: . Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound,exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution box due to broken or obstructed pipe(s)or due to a broken,settled.or uneven distribution box. System will pass inspection if (with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will pass inspection if(with approval of the Board of Health): broken pipe(s)are replaced obstruction is removed ND explain: 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 26Buckingham Way Cotuit, MA Owner: Frank Fayne Date of Inspection: Anri15. 2006 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,.safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2.. System will fail unless.the Board of Health(and Public Water Supplier,if any)determines that'the system is functioning in a'manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a j surface water supply or tributary to a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. 3. Other: 3 v Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) 'Property Address: 26Buckingham W Cotuit. MA Owner: _Frank Favne Date of Inspection: April S. 2006 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or. cesspool ✓ Liquid depth in cesspool is less than 6"below invert or available volume is less than %day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped— ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is'within 50 feet of a private water supply well. ✓ Any portion of a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DEP certified laboratory,for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No _ the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the.system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 26 Buckingham Way_ Cotuit AM Owner: _ Frank Fayne Date of Inspection: April 5. 2006 Check if the following have been done: You must indicate" es"or"no"as to each of the following: Yes No Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ Has'the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? — Were as built plans of the system obtained and examined?(If they were not available note as N/A) Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? — Were all system components,excluding the SAS,located on site? Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? . Was the facility.owner(and occupants if different.from owner)provided with information on the proper maintenance of subsurface sewage disposal systems ? The size and location of the Soil Absorption System(SAS)on the site has been determined based on: Yes No — Existing information. For example,a plan at the Board of Health. ✓ _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)]. 5 Page 6 of I I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 26 Buckingham Way Cotuit, MA Owner: Frank Fayne Date of Inspection: April S. 2006 RESIDENTIAL FLOW CONDITIONS Number of bedrooms(design): .3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 0 Does residence have a garbage grinder(yes or no): n/a Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system-inspected(yes or no): No Seasonal use(yes or no): No Water meter readings,if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last.date of occupancy: Currently unoccupied COMAMRCIAL/INDUSTRIAL Type of establishment: .Design flow(based on 310 CMR 15.203): end Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings,if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information:_ Pumped in 2004 ner owner Was system pumped as part of the inspection(yes or no): No If yes, volume pumped: _gallons--How was quantity pumped determined? Reason for pumping: TYPE OF SYSTEM ✓ Septic tank,distribution box, soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components, date installed(if known)and source of information: 6119192-per as-built Were sewage odors detected when arriving at the site(yes or no): No 6 Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 26 Buckingham Wav Cotuit, MA Owner: Frank Fayne Date of Inspection: April S. 200 5 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC _other(explain): Distance from private water supply well or suction line: Comments(on condition of joints,venting,evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 20" Material of construction: ✓ concrete _metal _fiberglass _polyethylene _other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): (attach a copy of certificate) Dimensions: 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: 5" Distance from top of scum to top of outlet tee.or baffle: 6" Distance from bottom of scum to bottom:of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations,inlet and outlet tee or baffle condition,structural integrity,liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were present. The liquid level was even with the outlet invert There did not appear to be any signs o leakage GREASE TRAP: None (locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 26 Buckingham Way Cotuit, 1M Owner: _ Frank Fang Date of Inspection: April S. 2006. TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: allons Design Flow: allons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Comments(note if box is level and distribution to outlets equal, any evidence of solids carryover,any evidence of leakage into or out of box,etc.): There were no sign ofsolids PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): 8 i Page 9 of I OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: _26 Buckingham Wav _ cot fit, MA Owner: Frank Fay Date of Inspection: April S. 2006 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ' ✓ leaching pits,number: 2-6'x 6' 1000 al. Per as-built leaching chambers,number: leaching galleries,number: leaching trenches,number, length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): Theleachvit#Jwasdry. There did not appear to be an si s orfailure froin either it. The bottom t 8.S' o rade was approximately .. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: N Depth-top of liquid to inlet invert: Depth'of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction: Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure,level of ponding,condition of vegetation, etc.): PRIVY: None (locate on site plan) Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil,signs of hydraulic failure,level of ponding, condition of vegetation,etc.): 9 "Page`10 of 1.1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 26 Buckirizham Way Cotuit, MA Owner: Frank Favne . Date of Inspection: April S. 2006 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide a sketch of-the sewage disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. Q i ao aq a 33 130 3 Yo y� 3 y 10 'Page 11 of 1.1 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 26 Buckingham Way Cotuit:MA Owner: Frank Fayne Date of Inspection: April 5. 2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to groundwater 35 +/ . feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ 'Checked with local Board of Health-explain: topographic and water contours map Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic and water contours maps. the maps were showinjz qpproximately 35'+1-to ground water at this site. This report has been prepared only for the septic system and components described herein. This septic system has been inspected and passed as of the date of Inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees,either expressed,written or implied, relating to the septic system, the inspection, this report and/or any components of the septic system which have not been located and inspected. 11 ELLIS"+. BR0S . C0NST . " CO . ' TOWN ,9,��s'—s,���Lf' -SEWAGE PERMIT No. TO-ay7 OWNER --NAME LOCATION PERMIT DATE ISSUED COMPLIANCE ISSUED!!! f •, BUILDERS NAME WATER TABLE FINAL ,INSPECTION BY : ��� " DATE NEW REPAIR DRAW "SKETCH OF" COMPLETED.-SYSTEM WITH. DIMENSIONS' ON BACK ; . i ��3�� 0K �1NE, TOWN OF BARNSTABLE Building Application Ref: 200700758* awRxsrwBi.>r, Issue Date: 02/21/07 Permit Mr MASS. �ArFG 3�A�� Applicant: PADGETT BUILDERS Permit Number: B 20070328 Proposed Use: SINGLE FAMILY HOME Expiration Date: 08/21/07 Location 26 BUCKINGHAM WAY Zoning District RF Permit Type: RESIDENTIAL ADDITION/ALTERATIO Map Parcel 021057 Permit Fee$ 419.84 Contractor PADGETT BUILDERS Village COTUIT App Fee$ 50.00 License Num 048859 Est Construction Cost$ 102,400 Remarks APPROVED PLANS MUST BE RETAINED ON JOB AND COMBINE LIVING RM&REAR BEDROOM INTO 1 RM,NEW STUDY& THIS CARD MUST BE KEPT POSTED UNTIL FINAL ADD NEW FIRST FLOOR MASTER BEDROOM WITH BATH INSPECTION HAS BEEN MADE. WHERE A CERTIFICATE OF OCCUPANCY IS REQUIRED,SUCH Owner on Record: FAYNE, FRANCIS JR&JOAN M BUILDING SHALL NOT BE OCCUPIED UNTIL A FINAL Address: 107 PARSLEY LN INSPECTION HAS BEE MADE. OSTERVILLE,MA 02655 Application Entered by: RM Building Permit Issued By: THIS PERMIT CONVEYS NO RIGHT TO OCCUPY ANY STREET,ALLY OR SIDEWALK OR ANY PART THEREOF,DITHEPIrEMPORARILY OR PERMANENTLY. ENCROACHEMENTS ON PUBLIC PROPERTY,NOT SPECIFICALLY PERMITTED UNDER THE BUILDING CODE AST BFAPPROV D BY THE JURISDICTION. STREET OR ALLY GRADES AS WELL AS DEPTH AND LOCATION OF PUBLIC SEWERS MAY BE OBTAI D FR DEPARTM T OF PUBLIC WORKS. THE ISSUANCE OF THIS PERMIT DOES NOT RELEASE THE APPLICANT FROM THE CONDITIONS OF AN PPL BLE SUBDIVISI RICT[ONS. MINMIUM OF FOUR CALL INSPECTIONS REQUIRED FOR ALL CONTSTRUCTION WOR ` 1.FOUNDATION OR FOOTINGS. 2.ALL FIREPLACES MUST BE INSPECTED AT THE THROAT LEVEL BEFO FIRST E L IS INSTALLED. 3.WIRING&PLUMBING INSPECTIONS TO BE COMPLETED PRIOR TO F INS T N. 4.PRIOR TO COVERING STRUCTURAL MEMBERS(READY TO LATH). 5.INSULATION. 6.FINAL INSPECTION BEFORE OCCUPANCY. WHERE APPLICABLE,SEPARATE PERMITS ARE REQUIR R EL I BING ND A AL INSTALLATIONS. WORK SHALL NOT PROCEED UNTIL THE INSPECTO OVED IOUS STAG 0 C i UCTION. PERMIT WILL BECOME NULL AND ID ST CTI WORK IS NOT RTED WITHIN SIX MONTHS OF DATE THE PERMIT IS ISSUED A OTED PERSONS CONTRACTING WITH UN IS DC CTORS DO NOT HAVE\ACSS TO GUARANTY FUND s ort ' MGL c.142A). --- _ i BUILICG IWC_N AP OVALS PLUMB SPE PPROVALS - ' AL INSPECTION APPROVALS 1 1 1 2 2 2 3 1 HeatIffnsp tion p_ ovals Engineering Dept Fire Dept 2 Board of Health e , TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION f— - 7 A Map Parcel 05-1 LOT (00 Application# a?6670 Health Division Conservation Division Permit# Tax Collector Date Issued Treasurer Application Fee Planning Dept. Permit Fee Date Definitive Plan Approved by Planning Board Historic-OKH Preservation/Hyannis Project Street Address Swcyl6•lC�l��-+� �� q�► Villages 5 Crzn..r"� - �(uaT y�.r 0-1 P(3RS�i l.tJ . Owner F �. &,3`0 &A J �'1. +tjg Address OS-%;RsA� r/\a 02655 Telephone (508 etZ� eay �-IJTD 3cu R < w1,.oPermit Request �wa 4V4i4 bwA Mr+� ( M LTV i c� wm �►J 5-TIJkal 0 �bo s-T Euma- rn1r3T c 1ef_)PwYv\ rill �Ja-t+� `- Square feet: 1st floor:existing Cafe c proposed 41I- 2nd floor:existing 51 lo proposed Total new �Iti " Zoning District F Flood Plain C Groundwater Overlay Project Valuation 0?— 40 Construction Type cD t Cri Lot Size 2.10 at Grandfathered: ❑Yes ❑ No If yes, attach supporting documentation. o N cx, Dwelling Type: Single Family )d Two Family ❑ Multi-Family(#units) �. ;;. Ln Age of Existing Structure 36`tvy25 Historic House: ❑Yes A No On Old King's Hig way: ©;Yes ti.t�No Basement Type: E-Full ❑Crawl ❑Walkout ❑Other Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) Number of Baths: Full:existing ONt new OAF— Half:existing O�-M new _O je TD i?)E ELIVn1JflTZ0 Number of Bedrooms: existing new or►e — t4eu3 TiSrft ST0-L 3 Total Room Count(not including baths):existing IS _� First Floor Room Count FH�� 0_6m c, Of L, 1 Heat Type and Fuel: ❑Gas Oil ❑Electric ❑Other Central Air: ❑Yes ).No Fireplaces: Existing [-A-419 New Existing wood/coal stove: ❑Yes Wo / IJ/ Detached garage:❑existing ❑new size Pool:❑existing ❑new size Barn:❑existing ❑new size Attached garage:Aexisting ❑new size Shed:J9existing ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes 94No If yes, site plan review# e Current Use Sit-Tc�LF_ Fi Mi L,�l Proposed Use s— ice`( jl_ �JCe BUILDER INFORMATION - - Name_113T �1 J1lY;G]LAUc;>rf[ ►-hRS- Telephone Number Z�-boo I - Address �-U �� 133 License# 30 Wz t_ `�_,`I . Home Improvement Contractor# 100131 aTwT. l� 0r_(o3S Worker's Compensation# -71 to Q - I(�L ALL CONSTRUCTIO BRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO OAS". " SIGNATURE t DATE Z v D7 FOR OFFICIAL USE ONLY PAMIT NO. D;t ETE ISSUED MAP/PARCEL NO. ?. ..ADDRESS VILLAGE OWNER t° ' DATE OF INSPECTION: FOUNDATION FRAME `INSULATION rC; FIREPLACE > j ELECTRICAL: ROUGH FINAL •PLUMBING: ROUGH FINAL �1 GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. ' /TME -.L V TT11 v1 lJaA JLLO -CLLY- i Regulatory Services Thomas T.Geiler,Director N,ss. ' Building Division QED N� - Tom.Perry,Building Commissioner ` .200 Main Street, Hyannis,MA 02601 www.towA.barnstable,mz.us fice: 508-862-4039 Fax; 508-790-6230 Permit no. Date AFFMAYIT HOME IMPROVEMENT CONTRACTOR LAW -SUPPLEMENT TO PERMIT APPLICATION MGL c. 142Arequiies thatthe"reconstruction, alterations,renovation,repair,modernization, conversion, improvement;removal, demolition,or construction of an addition:to any pre-existing owner-occupied building containing at least one but not more than four dwelling units.or to structures which'are adj scent to such residence or building be done by registered contractors,with certain exceptions,along with other requirements- W 6oD Q)1tSTktA-c-r1 awl Type of WorkrJrJ1`Tia.-i Estimated Cost� z �� Address of'Work: 2 to �t�IC�C f i�,L,4A-Y--% wk Owner's Name: F2(h-1 G1 S L` A,1t� 1._! � T-�?Je Date of Application I hereby certify that: Registratign is not required for the following reason(s); Work excluded by law F•Job Under$1,000 Building not owner-occupied []Owner pulling own permit Notice is hereby given that: OWNERS PULLING THEIR OWN PERMIT OR DEALING WITH UNREGISTERED CONTRACTORS FOR APPLICABLE HOME IMPROVEMENT WORK DO NOT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTYFUND UNDER MGL c. 142A. SIGNED UNDER PENALTIES OF PBRJURY I hereby apply for a p t th a ent a owner; 6�'A Pty�Ur Date Contractor Signature. RegistrationNo, OR Date Owner's Signature Q.wpfiles.fD=:homeafn"day Rev 060606 ��ie.�arrrmzaruuealt�i a��cr4oac�iudetla r I�j 00 35,000 cf enclosed space j -- — -- -- t BOARD.OF. BUILDING.REGUtATIONS F License: CONST RUCTIONSUPERVISOR & 1A Masonry only, �( 10 1&2 Famll Homes NUrnpe CAS 0.8859 i G e Fallure,to possess a current edltiQn of the n Massachusetts§fate Building Code '` to�2Z 1944: Is cause for revocation of this license f 0 2 008 . Tr.no:. 17133 jl' . i 1 ROBERT R PARS �� � I. - •�'' 184 SCHQOL SST/R� r 133` �— �A CQTUIT MA,02C73 ommlgsiorier `:. i� DIG:SAFE CALL.CENTERr (888)344-7233 I ✓/ze 't�ammzovuve¢� o�✓�aaoaclwcella - - Board of Building Regulations and Standards License or registration valid for individul use only HOME IMPROVEMENT CONTRACTOR before the expiration date. If found return to: Reg istration!_jQ0131 Board of Building Regulations and Standards jT Ezpiratt ri:=6/9/2008 One Ashburton Place Rm 1301 rn'f—Type:=P�jvate Corporation Boston,M . 2 08• " _^ _ I; PADGETT BUILDER Robert Padgett PO Box 133/184 ScFiool Cotuit,MA 02635 CDeputy Administrator Not valid without signatu The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations 600 Washington Street Boston, MA 02111 ,.•`' www.mass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers Applicant Information Please Print Legibly Name (Business/Organization/Individual): R0PJCR1 I�A47C,��j ���tE� ILL S-Tnsc- Address: }� 0 x 1 � �_�{ SQAaoX.. �T - City/State/Zip: QjTa f OZ(Q?�S Phone #: (Soi) Z$-000 1 Are you an employer? Check the-appropriate box: Type of project(required): 1.ElI am a employer with 4. E I am a general contractor and I 6. ❑ New construction employees(full and/or part-time).* have hired the sub-contractors 2.El am a sole proprietor or partner- listed on the attached sheet $ Remodeling ship and have no employees These sub-contractors have 8. 0 Demolition working .for me in any capacity. workers' comp. insurance. 9.. Building addition [No workers' comp. insurance 5: 0.We are a corporation and its 10.[:1 Electrical repairs or additions required.] officers have exercised'their re 3.El I qu a homeowner doing all work right of exemption per MGL .. 11.El Plumbing repairs or additions ,and we have no myself. [No workers' C. 152,comp. � §l(4) 12.0 Roof repairs insurance required.]t employees. [No workers' 13.[:1 Other: comp. insurance required.] Any applicant that checks box#1 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 bok must attached an additional sheet showing the name of the sub-contractors and their workers'comp.policy information. am an employer that is providing workers'compensation insurance for my employees. Below is the policy and job site nformation. asurance Company Name: P,I-c I — A MG�► e,CAtJ 'olicy#or Self-ins. Lic. #: 1 I (A 6-n Expiration Date: 6 I ob Site Address: Ulc City/State/Zip: OU3:E> ►ttach a copy of the workers' compensation policy deel ration page(showing the policy number and expiration date). ailure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a ine up to$1,500.00 and/or one-year imprisonment, as well as.,�e penalties in the form of a STOP WORK ORDER and a fine f up to $250.00 a day against the violator. Be advised that a=c ' ) of this statement may be forwarded to the Office of ivestigations of e DIA for insurance coverage verification. do hereby c der he p n and enaltie of perjury that the information provided above is true and correct: i afore: 0"3 IJ Date:fi I-L-toI hone# LSo16� tI Lb 00© 1 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#: RightFax Hartford 6/15/2006 9:24 PAGE 004/014 Fax Server AC h DATE(Mk A DDIY fIA-1 4—QA PRODUCER I THIS CERTIFICATE IS ISSUED"Xg'A'MATTER. .- - OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE MYCOCK INS AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND EXTEND OR 20 SCHOOL ST ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. PO BOX 437 COMPANIES AFFORDING COVERAGE COTUIT MA 02635 COMPANY 297SB A AMERICAN ZURICH INSURANCE COMPANY INSURED COMPANY PADGETT BUILDERS INC B PO BOX 133 COMPANY COTUIT MA 02635 C COMPANY D . ...... ... ......... ............ . .......... ................... ......... • • • • THIS IS TO CERTIFY THAT THE POLICIESOF INSURANCE"LISTE D BELOW HAVE BEEN"ISSU'E"D 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. co TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LTR DATE(MM\=YY) DATE(MM\DD\YY) LIMITS GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE F___jOCCUR. PERSONAL&ADV.INJURY OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE LIABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) $ HIREDAUTOS BODILY INJURY $ NON-OWNED AUTOS (Per Accident) 71 PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY-EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: EACH ACCIDENT $ N AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ RUMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM WORKER'S COMPENSATION AND . ITS ..... A TTATUTORY LM EMPLOYER'S LIABILITY (UB-9716A67-7-06) 06-01-06 06-01-07 THE PROPRIETOR/ EACH ACCIDENT $ I on.,000 PARTNERVEXECUTIVE INCL DISEASE—POLICY LIMIT $ un,nnn OFFICERS ARE: EXCL DISEASE—EACH EMPLOYEE $ 100-.000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONS(VEHICLES/RESTRIC'nONSISPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL TOWN OF BARNSTABLE 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE BUILDING INSPECTOR LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR 367 MAIN STREET LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. HYANNIS MA 02635 . AUTHORIZED REPRESENTATIVE ......... ....... 4, Padgett Builders Inc. Subcontractor Insurance Information Excavation J C Aalto P. O. Box 339 Marstons Mills, MA 02648 AWC 7011579012006 Foundation Bay Colony P. O. Box 469 Cotuit, MA 02635 WC0000753 RooVSidewall Todd DeBerry 228 Wood Street Middleboro, MA 02346 UB 03 81 B09006 Electric Barnstable Electric 71 Lothrop's Lane West Barnstable, MA 02668 WCC5000804012006 Carpenter D &M Construction, Inc. 5 Beaver Dam Way, P. O. Box 190 S. Dennis, MA 02660 WC231S351409016 Scott Melanson RSM 72 Gully Lane Sandwich, MA -2563 Plumbing A-Dad's Plumbing &Heating P. O. Box 72 West Barnstable, MA 02668 WC797644 03 Heat Tavano Mechanical Systems, LLC 201 Capes Trail West Barnstable, MA 02668 0287662 I i Page 1 of 2 a Insulation Ace Insulation 12 Wenham Shores Drive Carver, MA 02330 UB0150B47205 Drywall Ed Miller& Sons Drywall Inc. P. O. Box 572 Hyannisport, MA 02647 WC5002499012006 Finish Carpentry Kempton Nickerson Building&Remodeling 13 This Way Osterville, MA 026555 8737129 Painting Dover Bay Company 14 Bodfish Place Hyannis, MA 02601 I Page 2 of 2 'Town'of Barnstable Regulatory Services Thomas F.Geller,Director . 9�p1. �.�� Building Division TomPerrp, Building Commissioner 200 Main Street, Hyannis,MA 02601 Fax: 509-790-6230 Office: 505-862-403 9 Property Owner Must Complete and Sign'This Section if.Using A Builder as Ownet of the subjectpropertp hereby.a I�oa�� nr-TencvaT uthorizev 'U W Tikto act on MY behalf, matters relative to work authorized by this building permit application for: l�,rr o rr CYl (Addtess of Job) Signature of Owner Date � G 2 , Print Name QFORMS:OW NWF,RMIS SI0N RESIDENTIAL BUILDING PEPWaT FEES APPLICATION FEE _ �y -{-{,,47,n WA`1 New Buildings $100.00 Fr Residential Addition $50.00 ' • co-r� Alterations/Renovations $50.00 Building Permit Amendment $25.00 FEE VALUE WORKSHEET NEW LIVING SPACE square feet x$96/sq.foot= SS Z x.0041= plus from below(if applicable) —71 ALTERATIONSS//�RENOVATIONS.OF EXISTING SPACE Q V square feet x$64/.sq.foot= v x.0041= t0 plus from below(if applicable) GARAGES(attached&detached) square feet x$32/sq,ft.= x.0041= ACCESSORY STRUCTURE>120 sq.ft. >120 sf-500 sf $ 35.00 >500 sf-750 sf 50.00 >750 sf- 1000 sf 75.00 >1000 sf- 1500 sf 100.00 >1500 sf-Same as new building permit; square feet x$96/sq.foot= x.0041= STAND ALONE PERMITS Open Porch x S30.00= (number) Deck x$30.00= (number) Fireplace/Chimney x$25.00=' (number) Inground Swimming Pool $60.00 Above Ground Swimming Pool $25,00 Relocation/Moving S150.00 (plus above if applicable) Projcov Permit Fee Rev;063004 r ENERGY CONSERVATION APPLICATION FORM FOR LOW-RISE RESIDENTIAL NEW CONSTRUCTION Applicant Name: Site Address: Applicant Address: 0, Rcg t?,^t> City/Town: c &LE,TMr>t p21,35 % 's0-gflbL ST Use Group: CcTTiacT T„\R 07-10�5 Date of Application: I rL, 04 Applicant Phone: (sa8 44 0 -000 1 Applicant Signature: Compliance Path (check one): ❑ Prescriptive Package(Limited to 1-or 2-family wood frame buildings heated with fossil fuels only) Package(A through 1CIC): Heating Degree Days Base 65 (HDD65)from Table J5.2.1a: (For items d.through i., fill in all values that apply from Table J5.2.1 b:) a. Gross Wall Area sq.ft f. Wall R-value R- b. Glazing R.O.Area q.ft. g. Floor R-value R- c. Glazing%(too x b_a) % h: Basement wall R- d. Glazing U-value U- i. Slab Perimeter R- e. Ceiling R-value R- j. Heating AFUE Component.Performance: "Manual Trade-Off' (Limited to wood or metal framed buildings only) Climate Zone(from Figure J6.2.2) Zone 12 Zone 13 Zone 14 Attach Trade-Off Worksheet from Appendix J, [and HVAC Trade-Off Worksheet, if applicable] MAScheck Software Attach Compliance Report and Inspection Checklist printouts. Systems Analysis OR Renewable Energy Sources Attach Mass Registered Architect or Engineer Analysis Official's Name: Official's Signature: Application Approved Date of Approval: Application Denied El Date of Denial: Reason(s).for Denial: (provide more details, if needed, on opposite side) MRS 0122/98 • IYV Vi•••�. Y•AaLiLVL'aaW yr uvaa.l./L`fV l�LVVLr►aaVriJ['al`1L J1t11VLt11CiJJ THE MASSACHUSETTS STATE WELDING CODE Manual Trade-off Worksheet r«>aic� Builder Name PA��� V I �5 lie Z, l�—I 0-7j Buader Address?, bOV, 3 3 l 5e wi.5-r o z(03 S q �By Site Address -ZG Eur—CawM44(WAv Co-wtT ,4- I Zoce( 12 013 [314 Submitted- Pbm 081VI-8 —D6C 1 P90POSED REQUIRED CeiliRS Skvlitthts,and Floors Over Outside Arc -Insulation Deserf" Xt , B 'on it Vatoe U-Vahte = UA (Table)6.22b) x Area UA abkJt zu) 30 `ens40- 6.Z ,O Z � Z. Floor oreroutsiae•Airfe abk J622a) Tool Area walls windows and Doors Dawiption R - U-Value Area UA UVaWe xArea UA A2.2bed, 3 r�gZ �'- $I,9 t -lapt . qz; , fe -[M wrTableJ133a) ,3 of —7G f, .S IK , t�Doors — • '^fNF7tCoiTableJ133b) . ?•�8�Doors — g=_� . CbrTaWJIJ3a) Ile. Total'Ana ? 9 Floors-and Foundations Insukdon Insulation R- x Area or Required. Description tenth Value U,Vahte Paimeta UA U-Value x Area =UA Floor Ova Unconditioned (fable fe J6.2.2e) W-3 2 L3.5 AS *l 2 Basement wall (Table J621) fe • Unheaced slab (fable J6.22 in Heated able hi=e) in. fe Total Proposed UA mast be less Total ^� � —+ Total than or equal to rood(orA4¢#4 RcgWirnd cu Pi6pokd UA [. oft Regarrrd UA Statement ofCompfiaace:The poposed building design represeumd in L--I Afrated Omw doerrrr cnor is oo msteat wM the budldirtBp&m ipeddfreario= and otha akulatim wbmiaed wbb die 'on. Regained UA ao plc CDR)r &, DES IQQ� z 11 0 Brr• igrr Company Name Dare 'RO qt- �? 760.22 780 CMR-Sixth Edition 2/20/98 (Effective 3/1/98) COMMONWEALTH OF MASSACHUSETi'S EXECUTIVE OFFICE OF ENVIRONMENTAL AFFAIRS DEPARTMENT OF ENVIRONMENTAL PROTECTION TITLE 5 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM FORM PART A CERTIFICATION Property Address: 26Buckin am We COWL MA 02635 Owner's Name: _ Frank Favne Owner's Address: Date of Inspection: April 5. 2006 Name of Inspector: (Please Print) James M. Ford Company Name: James M. Ford Mailing Address: P.O.Box 49' Osterville,MA 02655-0049 Telephone Number: (508)862=9400 CERTIFICATION STATEMENT I certify that I have personally inspected the sewage disposal system at this address and that the information reported below is true,accurate and complete as of the time of the inspection. The inspection was performed based on my training and experience in the proper function and maintenance of on site sewage disposal systems. I am a DEP approved system inspector pursuant to Section 15.340 of Title 5(310 CMR 15.000). The system: ✓ Passes Conditionally Passes Needs Further Evaluation by the Local Approving Authority Fails Inspector's Signature: Date: Anri112;2006 The system inspector shall sub a copy of this inspection report to the Approving Authority(Board of Health or DEP)within 30 days of completing this inspection. If the system is a shared system or has a design flow of 10,000 a gpd or greater,the inspector and the system owner shall submit the report to the appropriate regional.office of the DEP. The original should be'sent to the system owner and copies sent to the buyer, if applicable,and the approving authority. Notes-and Comments ****This report only describes conditions 9t the time of inspection and under the conditions of use at that time. This inspection does not address how the system will perform in the future under the same or different conditions of use. Title 5 Inspection Form 6/15/2000 page 1 • f Page 2 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 26 Buckingham Way Cotuit MA Owner: _Frank Fayne Date of Inspection: April S. 2006 Inspection Summary: Check A,B,C,D or E/ALWAYS complete all of Section D A. System Passes: ✓ I have not found any information which indicates that any of the failure criteria described in 310 CMR 15.303 or in 310 CMR 15.304 exist. Any failure criteria not evaluated are indicated below. Comments: B. System Conditionally Passes: One or more system components as described in the"Conditional Pass"section need to be replaced or repaired. The system,upon completion of the replacement or repair,as approved by the Board of Health,will pass. Answer yes,no or not determined(Y,N,ND)in the for the following statements. If"not determined",please explain. The septic tank is metal and over 20 years old* or the septic tank(whether metal or not)is structurally unsound, exhibits substantial infiltration or exfiltration or tank failure is imminent. System will pass inspection if the existing tank is replaced with a complying septic tank as approved by the Board of Health. *A metal septic tank will pass inspection if it is structurally sound,not leaking and if a Certificate of Compliance indicating that the tank is less than 20 years old is available. ND explain: Observation of sewage backup or break out or high static water level in the distribution b pipe(s) box due tobroken or obstructed t e s or due to a broken,settled or uneven distribution box. System will pass inspection if with approval of Board of Health): broken pipe(s)are replaced obstruction is removed distribution box is leveled or replaced ND explain: { The system required pumping more than 4 times a year due to broken or obstructed pipe(s). The system will 'pass inspection if(with approval of the Board of Health): I broken pipe(s)are replaced } ND explain: obstruction is removed j ,A 2 Page 3 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 26Buckin ham Wav Cotuit MA Owner: _ Frank Favne Date of Inspection: April 5, 2006 C. Further Evaluation is Required by the Board of Health: Conditions exist which require further evaluation by the Board of Health in order to determine if the system is failing to protect public health,safety or the environment. 1. System will pass unless Board of Health determines in accordance with 310 CMR 15.303(1)(b)that the system is not functioning in a manner which will protect public health,safety and the environment: Cesspool or privy is within 50 feet of a surface water — Cesspool or privy is within 50 feet of a bordering vegetated wetland or a salt marsh 2.. System will fail unless.the Board of Health(and Public Water Supplier,if any)determines that the system is functioning in a manner that protects the public health,safety and environment: _ The system has a septic tank and soil absorption system(SAS)and the SAS is within 100 feet of a surface water supply or tributary to'a surface water supply. The system has a septic tank and SAS and the SAS is within a Zone 1 of a public water supply. The system has a septic tank and SAS and the SAS is within 50 feet of a private water supply well. The system has a septic tank and SAS and the SAS is less than 100 feet but 50 feet or more from a private water supply well". Method used to determine distance "This system passes if the well water analysis,performed at a DEP certified laboratory, for coliform bacteria and volatile organic compounds indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form. r 5 3. Other: 3 .Page 4 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART A CERTIFICATION (continued) Property Address: 26 Buckingham Wav _ Cotuit, MA Owner: Frank Layne Date of Inspection: April 5. 2006 D. System Failure Criteria applicable to all systems: You must indicate either"yes"or"no"to each of the following for all inspections: Yes No ✓ Backup of sewage into facility or system component due to overloaded.or clogged SAS or cesspool ✓ Discharge or ponding of effluent to the surface of the ground or surface waters due to an overloaded or clogged SAS or cesspool ✓ Static'liquid level in the distribution box above outlet invert due to an overloaded or clogged SAS or cesspool ✓ Liquid depth in cesspool is less than 6" below invert or available volume is less than ''/z day flow ✓ Required pumping more than 4 times in the last year NOT due to clogged or obstructed pipe(s). Number of times pumped_. ✓ Any portion of the SAS,cesspool or privy is below high ground water elevation. ✓ Any portion of cesspool or privy is within 100 feet of a surface water supply or tributary to a surface water supply. ✓ Any portion of a cesspool or privy is within a Zone 1 of a public well. ✓ Any portion of a cesspool or privy is within 50 feet of a private water supply well. ✓ Any portion of.a cesspool or privy is less than 100 feet but greater than 50 feet from a private water supply well with no acceptable water quality analysis. [This system passes if the well water analysis, performed at a DAP certified laboratory,for coliform bacteria and volatile organic compounds . indicates that the well is free from pollution from that facility and the presence of ammonia nitrogen and nitrate nitrogen is equal to or less than 5 ppm,provided that no other failure criteria are triggered. A copy of the analysis must be attached to this form.] No (Yes/No)The system fails. I have determined that one or more of the above failure criteria exist as described in 310 CMR 15.303,therefore the system fails. The system owner should contact the Board of Health to determine what will be necessary to correct the failure. E. Large System: To be considered a large system the system must serve a facility with a design flow of 10,000 gpd to 15,000 gpd. You must indicate either"yes"or"no"to each of the following: (The following criteria apply to large systems in addition to the criteria above) Yes No the system is within 400 feet of a surface drinking water supply the system is within 200 feet of a tributary to a surface drinking water supply the system is located in a nitrogen sensitive area(Interim Wellhead Protection Area-IWPA)or a mapped Zone II of a public water supply well If you have answered"yes"to any question in Section E the system is considered a significant threat,or answered "yes"in Section D above the large system has failed. The owner or operator of any large system considered a significant threat under Section E or failed under Section D shall upgrade the system in accordance with 310 CMR 15.304. The system owner should contact the appropriate regional office of the Department. 4 Page 5 of I I OFFICIAL INSPECTION FORM—NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART B CHECKLIST Property Address: 26Buckin ham Way Cotuit MA Owner: Frank Fayne _ Date of Inspection: Apr?5. 2006 Check if the following have been done: You must indicate" es"or"no"as to each of the following: Yes No Pumping information was provided by the owner,occupant,or Board of Health ✓ Were any of the system components pumped out in the previous two weeks? ✓ Has the system received normal flows in the previous two week period? ✓ Have large volumes of water been introduced to the system recently or as part of this inspection? _ Were as built plans of the.system obtained and examined?(If they were not available note as N/A) ✓ Was the facility or dwelling inspected for signs of sewage back up? Was the site inspected for signs of break out? Were all system components,excluding the SAS,located on site? Were the septic tank manholes uncovered,opened,and the interior of the tank inspected for the condition of the baffles or tees,material of construction,dimensions,depth of liquid,depth of sludge and depth of scum? . Was the facility.owner(and occupants if different.from owner)provided with information on the proper maintenance of subsurface sewage disposal systems ? d The size and location of the Soil Absorption System (SAS)on the site has been determined based on: Yes No y Existing information. For example,a plan at the Board of Health. + 6 _ Determined in the field(if any of the failure criteria related to Part C is at issue approximation of distance is unacceptable)[310 CMR 15.302(3)(b)]. 5 Page 6 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION Property Address: 26 Buckin ham W ay Cotuit MA Owner: _Frank Fayne Date of Inspection: April 5. 2006 RESIDENTIAL FLOW CONDITIONS Number of bedrooms(design): 3 Number of bedrooms(actual): 3 DESIGN flow based on 310 CMR 15.203 (for example: 110 gpd x#of bedrooms): 330 Number of current residents: 0 Does residence have a garbage grinder(yes or no): n/a Is laundry on a separate sewage system(yes or no): n/a [if yes separate inspection required] Laundry system inspected(yes or no): No Seasonal use(yes or no): No Water meter readings, if available(last 2 years usage(gpd)): Unavailable Sump Pump(yes or no): No Last.date of occupancy: Currently unoccupied COMMERCIALANDUSTRIAL Type of establishment: Design flow(based on 310 CMR 15.203): gpd Basis of design flow(seats/persons/sgft,etc.): Grease trap present(yes or no): Industrial waste holding tank present(yes or no) Non-sanitary waste discharged to the Title 5 system(yes or no): Water meter readings, if available: Last date of occupancy/use: OTHER(describe): GENERAL INFORMATION Pumping Records Source of information: P_ umped in 2004 Der owner Was system pumped as part of the inspection(yes or no): No If yes, volume pumped: gallons--How was quantity pumped determined? Reason for pumping: f TYPE OF SYSTEM ✓ Septic tank,distribution box,soil absorption system Single cesspool Overflow cesspool Privy Shared system(yes or no) (if yes,attach previous inspection records, if any) Innovative/Alternative technology. Attach a copy of the current operation and maintenance contract(to be obtained from system owner) Tight Tank Attach a copy of the DEP approval Other(describe): Approximate age of all components,date installed(if known)and source of information: 6119192-per as-built Were sewage odors detected when arriving at the site(yes or no): No 6 i Page 7 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 26 Buckin ham Way Cotuit MA Owner: Frank Fayne Date of Inspection: April S. 2016 BUILDING SEWER(locate on site plan) Depth below grade: Materials of construction: _cast iron _40 PVC other(explain): Distance from private water supply well or suction line_ Comments(on condition of joints,venting;evidence of leakage,etc.): SEPTIC TANK: ✓ (locate on site plan) Depth below grade: 20" Material of construction: ✓ concrete _metal _fiberglass _polyethylene —other(explain) If tank is metal list age: Is age confirmed by a Certificate of Compliance(yes or no): certificate) (attach a copy of Dimensions: 1000 gal. Sludge depth: 2" Distance from top of sludge to bottom of outlet tee or baffle: 30" Scum thickness: S" Distance from top of scum to top of outlet tee or baffle: 6" Distance from bottom of scum to bottom of outlet tee or baffle: 10" How were dimensions determined: Measuring stick Comments(on pumping recommendations, inlet and outlet tee or baffle condition,structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): Tees were P,esent. The li uid level was even with the outlet invert. There did not a ear to be an si ns o leaka e. GREASE TRAP: None (locate on site plan) Depth below grade: Material of.construction: _concrete _metal _fiberglass _polyethylene _other (explain): Dimensions: Scum thickness: f Distance from top of scum to top of outlet tee or baffle: Distance from bottom of scum to bottom of outlet tee or baffle: Date of last pumping: i Comments(on pumping recommendations, inlet and outlet tee or baffle condition, structural integrity, liquid levels as related to outlet invert,evidence of leakage,etc.): 1 7 Page 8 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 26Buckinvham IV y _ Cotuit,MA Owner: _ Frank Favne Date of Inspection: April S. 2006 TIGHT or HOLDING TANK: None (tank must be pumped at time of inspection)(locate on site plan) Depth below grade: Material of construction: _concrete _metal _fiberglass _polyethylene _other(explain): Dimensions: Capacity: gallons Design Flow: allons/day Alarm present(yes or no): Alarm level: Alarm in working order(yes or no): Date of last pumping: Comments.(condition of alarm and float switches,etc.): DISTRIBUTION BOX: ✓ (if present must be opened)(locate on site plan) Depth of liquid level above outlet invert: Even Comments(note if box is.level-and distribution to outlets equal,any evidence of solids carryover,any evidence of leakage into or out of box,etc.): There were no sign ofsolids PUMP CHAMBER: None (locate on site plan) Pumps in working order(yes or no): Alarms in working order(yes or no) Comments(note condition of pump chamber,condition of pumps and appurtenances,etc.): i I " I i 8 I Page 9 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION (continued) Property Address: 26 Buckingham Way Cotuit, MA Owner: Frank Fayne Date of Inspection: April S. 2006 SOIL ABSORPTION SYSTEM(SAS): ✓ (locate on site plan,excavation not required) If SAS not located explain why: Type ✓ leaching pits,number: 2-6'x 6'(1000 QaL Per as-built leaching chambers,number: leaching galleries,number: leaching trenches,number,length: leaching fields,number,dimensions: overflow cesspool,number: Innovative/alternative system Type/name of technology: Comments(note condition of soil,signs of hydraulic failure,level of ponding,damp soil,condition of vegetation, etc.): The leach it#3 was v. There did not a ear to be an si ns o allure ron7 either it. The bottom to rade was a roximatel 8.5'.. CESSPOOLS: None (cesspool must be pumped as part of inspection)(locate on site plan) Number and configuration: Depth,-top of liquid to inlet invert: Depth of solids layer: Depth of scum layer: Dimensions of cesspool: Materials of construction- Indication of groundwater inflow(yes or no): Comments (note condition of soil,signs of hydraulic failure, level of ponding, condition of vegetation,etc.): PRIVY: None (locate on site plan) . Materials of construction: Dimensions: Depth of solids: Comments(note condition of soil, signs of hydraulic failure, level of ponding,condition of vegetation,etc.): 9 r Page`10 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: 26 Buckingham Way Cotuit MA Owner: _Frank Fayne Date of Inspection: April S; 2006 SKETCH OF SEWAGE DISPOSAL SYSTEM Provide'a sketch oflthe sewage,disposal system including ties to at least two permanent reference landmarks or benchmarks. Locate all wells within 100 feet. Locate where public water supply enters the building. r C3 _ l ao aq o a- a 33 30 y 10 I Page 11 of 11 OFFICIAL INSPECTION FORM-NOT FOR VOLUNTARY ASSESSMENTS SUBSURFACE SEWAGE DISPOSAL SYSTEM INSPECTION FORM PART C SYSTEM INFORMATION(continued) Property Address: _ 26 Buckingham Wav Cotuit, MA Owner: Frank Layne Date of Inspection: April 5, 2006 SITE EXAM Slope Surface water Check cellar Shallow wells Estimated depth to ground water 35 +/- feet Please indicate(check)all methods used to determine the high ground water elevation: Obtained from system design plans on record-If checked,date of design plan reviewed: Observed site(abutting property/observation hole within 150 feet of SAS) ✓ 'Checked with local Board of Health-explain: topographic and water contours maps Checked with local excavators, installers-(attach documentation) Accessed USGS database-explain: You must describe how you established the high ground water elevation: Using Barnstable topographic and water contours maps the maps were showing approximately 35'+/ to ground water at this site. This report has been prepared only for the septic system and components described herein. This septic system has been inspected and passed as of the date of inspection. This report is not a warranty or guarantee that the system will function properly in the future. There have been no warranties or guarantees, either expressed, written or implied, relating to the septic system, the inspection, this report and/or any components of the septic system which have not been located and inspected. 11 w.. :E. L+LIS BR0S . C 0 N S T CO . TOWN ./?9,p SEWAGE PERMIT NO. 7V'✓ / OWNER=NAME LOCATION ..�::�:. .��c:.f'.,� PERMIT DATE ISSUED COMPLIANCE I'SSUEO BUILDERS ;,'NAME WATER TABLE FINAL;.;,INSP,E C'T ION BY,;' j_��' . DATE _f.•• _ ?:... . NEW :. _.. ...._. REPAIR 1 , t �,....,... . ..,....... �' ,.. .' _ ' _._ 1. � : ! - :.. z DRAW"SKETCH 'OF,`COMPLETED''SYSTEM WITH; DIMENSIONS:: ON :BACK' . TF • r __. �;�<. �/eV/ .URA.`. ' Lt iAy s �� �•�' ' � � �' �' �� { I i� �� ;t � �' `i �` .. .. ...., .S/,fie 9�, .cJr.•/��;veC i. S + , � =.�..-.:,', � i ' ',t 1 ' _r r .' it - ` • r. r._....,.• .. .. ,:. ,I, ' � ( 1r r�•`i 1 � t � i 3,.YY� ��t t .�.:. j�yl. Y ( t r • � 1 1 h t t r ...... .. _ . ... ..... ...... .. , �... ..; , _. .'y 1 i� 1 j v�u.�r�1 �1 ,l ip'w�-l••-r_.�-....i , r i • 1 Triple 1-3/4" x 11-7/8" VERSA-LAM®2.0 3100 SP Floor Beam117602 BC CALC®9.3 Design'Report-US 1 span I No cantilevers 1 0/12 slope Thursday, February 08,2007 08:06 Build 057 File Name: R Padgett Fayne.BCC Job Name: Frank&Joan Fayne Description: Beam Above Living/Study Address: 26 Buckingham Way Specifier: City, State, Zip:Cotuit, MA Designer: Joe Madera Customer: Padgett Builders Company: Shepley Wood Products Code reports: ESR-1040 Misc: I I I I I I I I I t 14-oa-00 B0,3.1/2" B1,3-1/2" LL 3813 Ibs LL 3813 Ibs DL 1082 Ibs DL 1082 Ibs Total Horizontal Product Length=14-08-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 14-08-00 40 10 13-00-00 Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 16845 ft-Ibs 52.8% 100% 1 1 -Internal Completeness and accuracy of input must End Shear 4040 Ibs 34.1% 100% 1 1 -Left be verged by anyone who would rely on Total Load Defl. U408(0.418") 58.8% 1 1 output as evidence of suitability for Live Load Defl. U524(0.325") 68.7% 1 1 particular application.Output here based Max Defl. 0.418" 41.8% 1 1 on building code-accepted design properties and analysis methods. Span/Depth 14.4 n/a 1 Installation of BOISE engineered wood - products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x f Value Support Member Material building codes.To obtain Installation Guide BO Post 3-1/2'x 5-1/4" 4895 Ibs 36.7% 35.5% Spruce-Pine-Fir or ask questions,please call B1 Post 3-12"x 5-1/4" 4895 Ibs 36.7% 35.5% Spruce-Pine-Fir (800)232-0788 before installation. BC CALC®,BC FRAMER®,AJST"-, Cautions ALLJOISTO,BC RIM BOARD- BCIO, Column at Bearing BO analyzed for bearing only, column analysis has not been performed. BOISE ,VERS SIMPLE FRAMING SYSTEMM®O, Column at Bearing B1 analyzed for bearing only, column analysis has not been performed. A-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, VERSA-STRAN M,VERSA-STU DO are Notes trademarks of Boise Wood Products, Design meets Code minimum(U240)Total load deflection criteria. L.L.C. Design meets Code minimum(U360)Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Connection Diagram r•lb d a • oT i o • c e 0 0 0 a minimum=Z' c=7-7/9' b minimum=3" d= 12" e minimum=3' Nailing schedule applies to both sides of the member. Member has no side loads. Connectors are:16d Common Nails .Page 1 of 1 i Ba$�- Double 1-3/4" x 9-1/2" VERSA-LAM®2.0 3100 SP Floor Beam\F1301 BC CALCO 9.3 Design Report-US 2 spans I No cantilevers 1 0/12 slope Thursday, February 08,2007 08:06 Build 057 File Name: R Padgett Fayne.BCC Job Name: Frank&Joan Fayne Description: New Basement Beam Address: 26 Buckingham Way Specifier: City, State, Zip:Cotuit, MA Designer: Joe Madera Customer: Padgett Builders Company: Shepley Wood Products Code reports: ESR-1040 Misc: 6 7 8 I 121 1 1 1 1 I I 3I I I I I I I 1 I 141 07409.00 07-09-00 BO,3-1/2" B1,3-1/2" B2,3-1/2° LL 1056 Ibs LL 2837 Ibs LL 1046 Ibs DL 458 Ibs DL 2104 Ibs DL 447 Ibs SL 109 Ibs SL 1606 Ibs SL 49 Ibs Total Horizontal Product Length=15-06-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 116% 133% 1260/6 Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 15-06-00 40 10 07-04-00 2 Unf. Lin. (plf) Left 00-00-00 02-06-00 60 n/a 3 Unf. Lin.(plf) Left 05-02-00 08-10-00 60 n/a 4 Unf. Lin.(plf) Right 00-00-00 04-00-00 60 n/a 5 Conc. Pt. (Ibs) Left 02-06-00 02-06-00 27 108 150 n/a 6 Conc. Pt.(Ibs) Left 05-02-00 05-02-00 27 108 150 n/a 7 Conc. Pt. (Ibs) Left 08-10-00 08-10-00 27 108 150 n/a 8 Conc. Pt.(Ibs) Right 04-00-00 04-00-00 27 108 150 n/a 9 Conc. Pt.(Ibs) Left 07-09-00 07-09-00 686 1165 n/a Controls Summary Value %Allowable Duration Load Case Span Location Disclosure POS. Moment 2225 ft-Ibs 15.9% 100% 16 2-Internal Completeness and accuracy of input must Neg. Moment -3190 ft-Ibs 22.9% 100% 18 1 -Right be verified by anyone who would rely on End Shear 1042 Ibs 16.5% 100% 14 1 -Left output as evidence of suitability for Cont. Shear 1730 Ibs 27.4% 100% 18 2-Left particular application.Output here based Total Load Defl. L/2105(0.043") 11.4% 13 1 on building d d design properties ann d analysis a methods. Live Load Defl. U2658(0.034") 13.5% 13 1 Installation of BOISE engineered wood Total Neg. Defl. -0.008" 1.5% 14 2 products must be in accordance with Max Defl. 0.043' 4.3% 13 1 current Installation Guide and applicable Span/Depth 9.5 n/a 1 building codes.To obtain Installation Guide or ask questions,please call %Allow %Allow (800)232-0788 before installation. Bearing Supports Dim.(L x" Value Support Member Material BC CALCO,BC FRAMERO,AJS-, BO Post 3-1 2"x 3-12" 1624 Ibs 18.3% 17.7% Spruce-Pine-Fir ALLJOISTO,BC RIM BOARD-,BCIO, B1 Post 3-12"x 3-12" 6547 Ibs 73.7% 71.3% Spruce-Pine-Fir BOISE GLULAMTM,SIMPLE FRAMING B2 Post 3-1/2"x 3-12" 1542 Ibs 17.4% 16.8% Spruce-Pine-Fir SYSTEM®,VERSA-LAM@,VERSA-RIM PLUS@,VERSA-RIMO, VERSA-STRAND@,VERSA-STUD@ are Cautions trademarks of Boise Wood Products, Column at Bearing BO analyzed for bearing only,column analysis has not been performed. L.L.C. Column at Bearing B1 analyzed for bearing only,column analysis has not been performed. Column at Bearing B2 analyzed for bearing only,column analysis has not been performed. Notes Design meets Code minimum(U240)Total load deflection criteria. Design meets Code minimum(U360)Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Page 1 of 2 Double 1-3/4" x 9-1/2" VERSA-LAM®2.0 3100 SP Floor Beam1F13O1 BC CALC®9.3 Design Report-US 2 spans No cantilevers 0/12 slope Thursday, February 08,2007 08:06 Build 057 File Name: R Padgett Fayne.BCC Job Name: Frank&Joan Fayne Description: New Basement Beam Address: 26 Buckingham Way Specifier: City, State,Zip:Cotuit, MA Designer: Joe Madera Customer. Padgett Builders Company: Shepley Wood Products Code reports: ESR-1040 Misc: Connection Diagram Disclosure r�l b d Completeness and accuracy of input must L� be verified by anyone who would rely on a output as evidence of suitability for • r• • particular application.Output here based T on building codeaocepted design c properties and analysis methods. Installation of BOISE engineered wood • • products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=Z' c=5-1/7 (800)232-0788 before installation. b minimum=3' d= 12" BC CALC®,BC FRAMER®,AJSTM' Connection design assumes point load is top-loaded'. For connection design of'side-loaded'point loads, ALLJOIST®,BC RIM BOARD-,BCIO, please consult a technical representative or professional of Record. BOISE GLULAMTM,SIMPLE FRAMING Member has no side loads. SYSTEM®,VERSA-LAM®,VERSA-RIM Concentrated loads are not considered in side load analysis. PLUS®,VERSA-RIM®, Connectors are:16d Common Nails VERSA STRAND®,VERSA-STUD®are trademarks of Boise Wood Products, L.L.C. Page 2 of 2 Single 9-1/2" AJSTm 20 MSR Joistlj01 BC CALC®9J Design'Report-US 1 span I No cantilevers 0/12 slope Thursday, February 08,2007 08:07 Build 057 15'OCS I Repetitive Glued&nailed construction File Name: R Padgett Fayne.BCC Job Name: Frank&Joan Fayne Description:Joist at MAster Bathroom Address: 26 Buckingham Way Specifier: City, State,Zip:Cotuit, MA Designer: Joe Madera Customer: Padgett Builders Company: Shepley Wood Products Code reports: ESR-1144 Misc: N23 15-06.00 Dng BO,2-1/2" B1,2-1/2- ILL 457 Ibs LL 463 Ibs DL 163 Ibs DL 171 Ibs Total Horizontal Product Length=15-06-00 Load Summary Live Dead snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 125% OCS 1 Standard Load Unf.Area(psf) Left 00-00-00 15-06-00 40 10 16" 2 Conc. Lin. (plf) Left 08-03-00 08-03-00 70 35 16" 3 Conc.Lin. (plf) Left 08-03-00 08-03-00 60 16" Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 2752 ft-Ibs 81.0% 100% 1 1 -Internal Completeness and accuracy of input must End Reaction 620 Ibs 54.2% 100% 1 1 -Right be verified by anyone who would rely on Total Load Defl. U405(0.451") 59.3% 1 1 output as evidence of suitability for Live Load Defl. U577(0.315') 62.4% 1 1 particular application.Output here based Max Defl. 0.451" 45.1% 1 1 on building code-accepted design properties and analysis methods. Span/Depth 19.2 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x y1) Value Support Member Material building codes.To obtain Installation Guide BO Wall/Plate 2-112'x 2-12" 619 Ibs 23.3% n/a Spruce-Pine-Fir or ask questions,please call B1 Wall/Plate 2-1/2"x 2-12" 634 Ibs 23.9% n/a Spruce-Pine-Fir (600)232-0788 before installation. BC CALCO,BC FRAMER®,AJS-, Notes ALLJOISTO,BC RIM BOARD-,BCI®, Design meets Code minimum(U240)Total load deflection criteria. BOISE GLULAM-,SIMPLE FRAMING Design meets Code minimum(U360)Live load deflection criteria. SYSTEM®,VERSA-LAMS,VERSA-RIM PLUS®,VERSA-RIM®, Design meets arbitrary(1") Maximum load deflection Criteria. VERSA-STRAND®,VERSA-STUDO are Composite El value based on 23/32"thick sheathing glued and nailed to joist. trademarks of Boise Wood Products, L.L.C. Page 1 of 1 Ba'SrE- Single 9-1/2" AJST1° 20 MSR JoistIJ02 BC CALCO 9.3 Design'Report-US 1 span I No cantilevers 1 0/12 slope Thursday, February 08,2007 08:07 Build 057 15'OCS Repetitive Glued&nailed construction File Name: R Padgett Fayne.BCC Job Name: Frank&Joan Fayne Description:Joist at Master Bedroom Address: 26 Buckingham Way Specifier: City,State,Zip:Cotuit, MA Designer: Joe Madera Customer: Padgett Builders Company: Shepley Wood Products Code reports: ESR-1144 Misc: I i I 14-08-00 Bo,2-1/2' B1,2-1/2" LL 391 Ibs LL 391 Ibs DL 98 Ibs DL 98 Ibs Total Horizontal Product Length=14-08-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 115% 133% 1250/6 ocS 1 Standard Load Unf.Area(psf) Left 00-00-00 14-08-00 40 10 16" Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 1722 ft-Ibs 50.7% 100% 1 1 -Internal Completeness and accuracy of input must End Reaction 475 Ibs 41.5% 100% 1 1 -Left be verged by anyone who would rely on Total Load Defl. U641 (0.269") 37.5% 1 1 output as evidence of suitability for Live Load Defl. U801 (0.215') 44.9% 1 1 particular application.Output here based Max Defl. 0.269' 26.9% 1 1 on building code-accepted design properties and analysis methods. Span/Depth 18.2 n/a 1 Installation of BOISE engineered wood products must be in accordance with t %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x Value Support Member Material building codes.To obtain Installation Guide BO Wall/Plate 2-12"x 2-12" 489 Ibs 18.4% n/a Spruce-Pine-Fir or ask questions,please call 131 Wall/Plate 2-1/2"x 2-12" 489 Ibs 18.4% n/a Spruce-Pine-Fir (800)232-0788 before installation. BC CALCO,BC FRAMER®,AJSTM, Notes ALLJOISTO,BC RIM BOARD-,BCIO, Design meets Code minimum(U240)Total load deflection criteria. BOISE GLULAMTM SIMPLE FRAMING SYSTEDesign meets Code minimum(U360)Live load deflection criteria. PLUS@,®,VERSA-LAM®,VERSA-RIM LUS® VERSA-RIM®, Design meets arbitrary(1") Maximum load deflection criteria. VERSA-STRAND®,VERSA-STUDO are Composite El value based on 23/37'thick sheathing glued and nailed to joist. tradernarks of Boise wood Products, L.L.C. Page 1 of 1 Double 1-3/4" x 9-1/2" VERSA-LAM®2.0 3100 SP Roof Beam\11601 BC CALC®9.3 Design'Report-US 2 spans No cantilevers 0/12 slope Thursday, February 08,2007 08:07 Build 057 File Name: R Padgett Fayne.BCC Job Name: Frank&Joan Fayne Description: New Master Bath Ridge Address: 26 Buckingham Way Specifier: City, State,Zip:Cotuit, MA Designer: Joe Madera Customer: Padgett Builders Company: Shepley Wood Products Code reports: ESR-1040 Misc: 12 I I I I I I I 1 121 1 11 1 1 1 I I I I 1 I I I I I I I 10-00-00 07 oa 00 BO,3-1/2- B1,3-1/2- B2,3-1/2- DL 149 Ibs DL 686 Ibs DL 169 Ibs SL 230 Ibs SL 1165 Ibs SL 350 Ibs Total Horizontal Product Length=17-04-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 116% 133% 126% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 17-04-00 15 30 01-00-00 2 Unf.Area(psf) Left 00-00-00 10-00-00 15 30 01-00-00 3 Trapezoidal(plf) Left 10-00-00 59 117 n/a 17-04-00 0 0 n/a 4 Trapezoidal(plf) Left 10-OD-00 59 117 n/a 17-04-00 0 0 n/a Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 1026 ft-Ibs 6.4% 115% 194 2-Internal Completeness and accuracy of input must Neg. Moment -1343 ft-Ibs 8.4% 115% 3 1 -Right be verified by anyone who would rely on End Shear -432 Ibs 5.9% 115% 194 2-Right output as evidence of suitability for Cont Shear 869 Ibs 12.0% 115% 195 2-Left particular application.Output here based Total Load Defl. U4519 0.019" 4.0% 194 2 on building and a analysis m design ( ) properties and analysis methods. Live Load Defl. U6106(0.014") 3.9% 194 2 Installation of BOISE engineered wood Total Neg. Defl. -0.006, 0.7% 194 1 products must be in accordance with Max Defl. 0.019, 1.9% 194 2 current Installation Guide and applicable Span/Depth 12.3 n/a 1 building codes.To obtain Installation Guide or ask questions,please call %Allow %Allow (800)232-0788 before installation. Bearing Supports Dim.(L x f Value Support Member Material BC CALC®,BC FRAMER®,AJS-, BO Post 3-1/2'x 3-12" 379lbs 4.3% 4.1% Spruce-Pine-Fir ALLJOISTO,BC RIM BOARD-,BCIO, B1 Post 3-12"x 3-12" 1852 Ibs 20.8% 20.2% Spruce-Pine-Fir BOISE GLULAMTM,SIMPLE FRAMING 62 Post 3 12"x 3-1/2" 519 Ibs 5.8% 5.6% Spruce-Pine-Fir SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, VERSA-STRAN DO,VERSA-STU DO are Cautions trademarks of Boise Wood Products, Column at Bearing BO analyzed for bearing only, column analysis has not been performed. L.L.C. Column at Bearing B1 analyzed for bearing only, column analysis has not been performed. Column at Bearing B2 analyzed for bearing only,column analysis has not been performed. Notes Design meets Code minimum(U180)Total load deflection criteria. Design meets Code minimum(U240)Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Member Slope=0,consider drainage. i Page 1 of 2 i Double 1-3/4" x 9-1/2" VERSA-LAM® 2.0 3100 SP Roof Beam1R1301 BC CALL®9.1 Design'Report-US 2 spans No cantilevers 0/12 slope Thursday, February 08,2007 08:07 Build 057 File Name: R Padgett Fayne.BCC Job Name: Frank&Joan Fayne Description: New Master Bath Ridge Address: 26 Buckingham Way Specifier: City, State, Zip:Cotuit, MA Designer: Joe Madera Customer: Padgett Builders Company: Shepley Wood Products Code reports: ESR-1040 Misc: Connection Diagram Disclosure �+1 Completeness and accuracy of input must b d Li be verged by anyone who would rely on a output as evidence of suitability for • r• • particular application.Output here based T on building code-accepted design c properties and analysis methods. Installation of BOISE engineered wood • • products must be in accordance with current Installation Guide and applicable building codes.To obtain Installation Guide or ask questions,please call a minimum=2" c=5-1/2' (800)232-0788 before installation. b minimum=3' d=12" BC CALCGaI,BC FRAMER®,AJSTM, Member has no side loads. ALLJOISTO,BC RIM BOARDTM,BCIO, Connectors are:16d Common Nails BOISE GLULAMTM,SIMPLE FRAMING SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, VERSA-STRANDO,VERSA-STUDO are trademarks of Boise Wood Products, L.L.C. Page 2 of 2 i BO�SE- Double 1-3/4" x 11-7/8" VERSA-LAM® 2.0 3100 SP Roof Beam\RB02 BC CALCO 9.3 Design'Report-US 1 span No cantilevers 0/12 slope Thursday, February 08,2007 08:07 Build 057 File Name: R Padgett Fayne.BCC Job Name: Frank&Joan Fayne Description: Ridge Over Master Bedroom Address: 26 Buckingham Way Specifier: City,State,Zip:Cotuit, MA Designer: Joe Madera Customer: Padgett Builders Company: Shepley Wood Products Code reports: ESR-1040 Misc: 12 T Il1 ! 1111111 ! 1 ! 1111111111111111111111111111J. f 15-06-00 BO,3-112" B1,3-1/2" DL 1028 Ibs DL 1028 Ibs SL 1880lbs SL 1880lbs Total Horizontal Product Length=15-06-00 Load Summary Live Dead Snow Wind Roof Live Tag Description Load Type Ref. Start End 100% 90% 116% 133% 126% Trib. 1 Standard Load Unf.Area(psf) Left 00-00-00 15-06-00 15 30 07-04-00 2 Conc. Pt. (Ibs) Left 07-09-00 07-09-00 169 350 n/a _Controls Summary Value %Allowable Duration Load Case Span Location Disclosure Pos. Moment 11613 ft-lbs 47.5% 115% 3 1 -Internal Completeness and accuracy of input must End Shear 2470 Ibs 27.2% 115% 3 1 -Left be verified by anyone who would rely on Total Load Defl. U386(0.468") 46.7% 3 1 output as evidence of suitability for Live Load Defl. U595(0.303') 40.3% 3 1 particular application.Output here based Max Defl. 0.469' 46.8% 3 1 on building d a design properties and anallysisysis methods. Span/Depth 15.2 n/a 1 Installation of BOISE engineered wood products must be in accordance with %Allow %Allow current Installation Guide and applicable Bearing Supports Dim.(L x f Value Support Member Material building codes.To obtain Installation Guide BO Post 3-12"x 3-12" 2908 Ibs 32.7% 31.6% Spruce-Pine-Fir or ask questions,please call B1 Post 3-12"x 3-12" 2908 Ibs 32.7% 31.6% Spruce-Pine-Fir (800)232-0788 before installation. BC CALCO,BC FRAMER®,AJS-, Cautions ALLJOISTO,BC RIM BOARD-" BCI®, Column at Bearing BO analyzed for bearing only, column analysis has not been performed. BOISE GLULAMTM SIMPLE FRAMING Column at Bearing B1 analyzed for bearing only,column analysis has not been performed. SYSTEM®,VERSA-LAM®,VERSA-RIM PLUS®,VERSA-RIM®, VERSA-STRANDS,VERSA-STUD®are Notes trademarks of Boise Wood Products, Design meets Code minimum(U180)Total load deflection criteria. L.L.C. Design meets Code minimum(U240)Live load deflection criteria. Design meets arbitrary(1") Maximum load deflection criteria. Member Slope=0,consider drainage. Connection Diaaram ,+1b d a c a minimum=2" c=7-7/8" b minimum=3" d=12" Connection design assumes point load is`top-loaded'. For connection design of'side-loaded'point loads, please consult a technical representative or professional of Record. Member has no side loads. Concentrated loads are not considered in side load analysis. Connectors are:16d Common Nails Page 1 of 1 i TOWN OF BARNSTABLE BUILDING PERMIT APPLICATION • ' oS7 Map 021 Parcel Permit# �1,!5 3 Health Division 0 Date Issued v� Conservation Division Z 2s0 Fee Tax Colley �, a Treas rw �� IINSTP LLED IN COF,0P lAINCE Planning Dept. WITH TITLE 5 Date Definitive Plan Approved by Planning Board ENVIRONMENTAL CODE AND TOWN REGULATIONS Historic-OKH Preservation/Hyannis Project Street Address 2 Q 1xkr-GWC H Village &jC,S CARh)-Xf - cz-ywrr Owner -RANYIJ5 iZ, Ajo32A--sM, r� P� Address z� c�' ru�r7�vvvy 0;Z-(-35 Telephone Permit Request(D. iilzoc,a 4,1 ANc4y5do 110.5*A Its tiSC .t'gg-ck WR0 o x i`f S - ITN GI+P-nt.L= "D&JA 05TP-P A.J0'R0S,ro6 ATI*?, c (0 u).c.SN,--zLes o,,J WxTeak-y- Square feet: 1 st floor: existing� A proposed _ 2nd floor: existing proposed Total new 4, 'Valuation hj4g�2 c Zoning District RF Flood Plain NCY, Groundwater Overlay —Construction Type VJgv �i Lot Size 'S ACWe5 Grandfathered: 4Yes ❑ No If yes, attach supporting documentation. Dwelling Type: Single Family,)(J Two Family ❑ Multi-Family(#units) Age of Existing Structure 22 'form-5 Historic House: ❑Yes Flo On Old King's Highway: ❑Yes Flo Basement Type: Wull ❑Crawl ❑Walkout ❑Other Is Basement Finished Area(sq.ft.) Basement Unfinished Area(sq.ft) 8lo = Number of Baths: Full: existing Z new Half:existing new Number of Bedrooms: existing_ new Total Room Count(not including baths): existing new First Floor Room Count-3 r Heat Type and Fuel: ❑Gas 90il ❑ Electric ❑Other Central Air: ❑Yes 4No Fireplaces: Existing New Existing wood/coal stove: ❑Yes ❑No Detached garage:❑existing ❑new size Pool: ❑existing ❑new size Barn:❑existing ❑new size Attached garage:i4xisting ❑new size Shed:YCbxisting ❑new size Other: Zoning Board of Appeals Authorization ❑ Appeal# Recorded❑ Commercial ❑Yes ko If yes, site plan review# Current Use sNag LA h&ha►ae _Proposed Use lt�rn BUILDER INFORMATION Name 27 Pffiae7T -?6049tt YlohDeS,IJcTeIephone Number � UB� -00o Address f'0• &-X 133 License# 04 88 51 akk),- 57 Home Improvement Contractor# 10013 � I C'aTw—r, MA OZ-35 Worker's Compensation# (Ali- 355K317- I-QD ALL CONSTRUCTIO BRIS RESULTING FROM THIS PROJECT WILL BETAKEN TO R FZ /0 SIGNATURE DATEA'I FOR OFFICIAL USE ONLY PERMIT NO. DATE ISSUED : MAP/PARCEL NO. �_ ADDRESS VILLAGE e OWNER DATE OF INSPECTION: FOUNDATION E FRAME INSULATION FIREPLACE F - ELECTRICAL: ROUGH FINAL PLUMBING: ROUGH FINAL GAS: ROUGH FINAL FINAL BUILDING DATE CLOSED OUT ASSOCIATION PLAN NO. L EST/MATED PROJECT COST WORKSHEET LIVING SPACE Value (high end construction) square feet X$115/sq. foot= (above average construction) square feet X$96/sq. foot= (average construction) square feet X$57/sq. foot= GARAGE (UNFINISHED) square feet X.$25/sq. foot=/ PORCH 5Cp4 ,j- wAcq t cS3 -SF square feet X$20/sq. foot= 0" ,DECK 8`7 0 square feet X$15/sq. foot New GMt/Kc- D. 00—/ OTHER G`# rk-rertgag 611X1 S4 square feet X$??/sq. foot= Z� Total Estimated Project Value i LOT 69 LOT 70 S88 39`4O'E' 13200, i 1 O LOT 60 f+ O 0 Q0 `" LOT 59 eo cKRcH o 36. 7'==== 12. 0' =24.2'_ . Q0 rn U W U LOT 61 I L = 10. 0 ' 115.98 R = 1 579. 98 - 00,05, W y WA BUCKING14AM RES. ZONE- 'RF" � This MORTGAGE INSPECTION Plan is For FLOOD ZONE- "C" Bank Use Only TOWN: -'OT1I1T_ — _ _ REGISTRY OWNER: ZR_4N.CS' �&�ALv�Lf FAYIVE DEED REF: -27� — — _BUYER: -BEElYM E DATE: _ 16/93 PLAN REF: 27�56_ — — _ SCALE:1' = 30 _FT. I HEREBY CERTIFY TO B _yEAbv f�yQBTfA_ E________ CORPORATION ______THAT THE BUILDING ��N OF Mks• YANKEE SURVEY SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS ��``� �ycy SHOWN AND THAT ITS POSITION DOES ____ CONFORM FADL J. . CONSULTANTS TO THE ZONING LAW SETBACK REQUIREMENTS OF THE A. 40B (SUITE 5) TOWN OF __-B9R.N.SL4,FLE AND THAT' MERIT14VI N INDUSTRY ROAD No. 3,.098 e IT DOES_ NOT _ LIE WITHIN THE SPECIAL FLOOD HAZARD Q `� MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_V_Z/ �__ s9r�'''`ST%B4 ��` TEL: 428-0055 Co unit —Panel 250001 0021 D dqt I.;,tao`'�' FAX 420-5553 THIS PLAN NOT MADE FROM A NSTRUMENT P.a MERITN UL A. PLS SURVEY NOT TO BE USED FOR FENCES ETC. 11816 KJH HONE INPROVENENI CONTRACTOR License or registration valid for individual Registration: 100131 use only before expiration date. If found Expiration: 06/09/2002 / return : One Ashburton lace Rm 1301 Type: Private Corporatio Bosco a.021 I 1 PADGE1i BUILDERS, INC. Robert Padgett 7 Box 133/184 School St ADMINISTRATOR Cota11 - - --- -, NA 02635 ? p� 00 35OOC1denGosedspace =--_ ✓lie �aa o� (MGL C.112 S.60L) i BOARD OF BUILDING REGULATIONS 1A-Masonry only I-1 8 2 Family Homes License: CONSTRUCTION SUPERVISOR 7. Failure to possess a current edition of the NumbeCS O48859 Massachusetts State Building Code $irthdate .02/2'2/1.944 i• is cause for revocation of this license. 1 Exps•0 2/22/2002 Tr.no: 15721 ire Restricted ROBERT R PADGETT ';:_; 184 SCHOOL ST/PO:BOX 733 �.•�r�i I DIG SAFE CALL CENTER: (888)344-7233 COTUIT, MA 02635 Administrator f I � f ;;1:4r10 MUM — -jLjle JL (JWJLL. .IUL ""AAALi 41 • t0 Services ThomasRed F Gveiler,Director Building Division Elbert Ulshoeffer, Building COmmissloner 367 Main Street.Hyannis MA 02601 off-Ice: Fax: 508-790-6230 O � Permit no. Date AFFIDAVIT HOME IMPROVEtVIENT CONTRACTOR LAW SUPPLEMENT TO PERMIT APPLICATION MGL c. 142A requires that the"teconstn=on.alterations.renovation.repair*modernization.conversion. improvement.removal.demolition,or consuucdOn of as addition to any pre-exisnng owns-oc�Pi� building containing at least one but not more than four dwelling units or to structures which are adjacent to such residence or building be done by registered cmwactom,with certain exceptions.along with other moments. )C.� ?o2Grt 4-ID ; Type of Work: O-W=-r �'f^ Estimated Cost ry c Address of Work Owner's Name: Date of Application• T'Y1iH 22, 2uv 1 . I hereby certify that: Registration is not required for the following reason(s): C]Work excluded by law []Job Under$1.000 []Building not owner-occupied Owner pulling own permit - Notice is hereby given that: OWNERS PULLING THEIR OWN PERNnT OR�DEALING V �w NREGRK DO M' CONTRACTORS FOR APPLICABLE FUND UNDER MGL c.142A. OT HAVE ACCESS TO THE ARBITRATION PROGRAM OR GUARANTY SIG ER PE-14ALT&ES OF PERMY I hereby apply for a permit'as the'age o e o i ooad Registration No. Date Conuz=-NamO Ao Qe77 c OR Date Owner's Name g1orms:Affidav the Commonwealth of Massachusetts ��.�. Department of Industrial Accidents Office of Investigations 600 Washington Street Boston,MA 02111 Workers' Compensation Insurance Affidavit Applicant Information: PLEASE PRINT NAME e -lzr � t. l `rT FyR ?/\D6j7 7T LOCATION 7-O, --Lox, 113 A el fJO 7 ST CITY CuTi- lT STATE IA ZIP CODE ©Z(o iS PHONE O I am a homeowner performing all work myself. O I am a sole proprietor and have no one working in any capacity. !� I am an employer providing workers' compensation for my employees working on this job. Company Name _ f�M f` �S hf�IyC- Address City State Zip Code Phone>r Insurance Co. Policy R_(A_()—Q555KJ I-7—`I—CO Expiration Date 0(o— OI -OI O I am a sole proprietor, general contractor, or homeowner(circle one)and have hired the contractors listed below who have the following workers' compensation policies: Company Name Address City State Zip Code Phone R Insurance.Co. Policy' Expiration Date Company Name :address City State Zip Code Phone T Insurance Co. Policy# Expiration Date Failure to secure coverage as required under Section 25A of NIGL 152 can lead to the imposition of criminal penalties of a fine up to S 1,500.00 and/or one years' imprisonment as.well as civil penalties in the form of a STOP WORK ORDER and a fine of S 100.00 a day against me. I understand that a copy of this statement may be forwarded'to' the Office of Investigations of the DIA for coverage verification. do hereby cer.fy er t e i nd ena of perjury that the information provided above is true.and correct. ti. Z Signature Date r)A1 2. 001 Print name '90t"6M-f •�/t�JC� l Fbi2?MOGM Tf Phone R bWUJ�, Irk Official use only—do not write in this area—to be completed by city or town official Ciry or town Permit/license O Building Department O Licensing Board O Selectmen's Office 7 O Health Department O check if immediate response is required O Other Contact person Phone K I MM D\D \ /I :>:;: .<::, . 'iiii;;i; .,..i:::i< ;. :;` :i :i ..-.: :. ( YYI //1.11 Ff:CAT'E: . :.F: � 00 PRODUCER THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON "THE CERTIFICATE MYCOCK INS AGCY HOLDER. THIS CERTIFICATE DOES NOT AMEND, EXTEND OR P 0 BOX 437 ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. 20 SCHOOL ST COTUIT MA 02635 COMPANIES AFFORDING COVERAGE COMPANY 29756 A RELIANCE INSURANCE COMPANY INSURED COMPANY PADGETT BUILDERS. INC. B P.O. BOX 133 COMPANY COTUIT MA 02635 C COMPANY D Cpxx 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. CO TYPE OF INSURANCE POLICY NUMBER POLICY EFFECTIVE POLICY EXPIRATION LIMITS LTA DATE(MM\DDWY) DATE(MMWD\YY) GENERAL LIABILITY GENERAL AGGREGATE $ COMMERCIAL GENERAL LIABILITY PRODUCTS-COMP/OP AGG. $ CLAIMS MADE a OCCUR. PERSONAL&ADV.INJURY $ OWNER'S&CONTRACTOR'S PROT. EACH OCCURRENCE $ FIRE DAMAGE(Any one fire) $ MED.EXPENSE(Any one person) $ AUTOMOBILE UABILITY COMBINED SINGLE $ ANY AUTO LIMIT ALL OWNED AUTOS BODILY INJURY SCHEDULED AUTOS (Per Person) $ HIRED AUTOS BODILY INJURY $ NON-OWNED AUTOS (Per Accldent) PROPERTY DAMAGE $ GARAGE LIABILITY AUTO ONLY.EA ACCIDENT $ ANY AUTO OTHER THAN AUTO ONLY: ..................... EACH ACCIDENT $ AGGREGATE $ EXCESS LIABILITY EACH OCCURRENCE $ UMBRELLA FORM AGGREGATE $ OTHER THAN UMBRELLA FORM A WORKER'S COMPENSATION AND STATUTORY OMITS EMPLOYER'SLIABILITY (UB-955K917-7-00) 06-01-00 06-01-01 ................................... THE PROPRIETOR/ EACH ACCIDENT $ 100,000 PARTNERS/EXECUTIVE X INCL DISEASE-POLICY LIMIT S 500,000 OFFICERS ARE: EXCL DISEASE-EACH EMPLOYEE Is 100,000 OTHER DESCRIPTION OF OPERATIONS/LOCATIONSNEHICLES/RESTRICTIONS/SPECIAL ITEMS THIS REPLACES ANY PRIOR CERTIFICATE ISSUED TO THE CERTIFICATE HOLDER AFFECTING WORKERS COMP COVERAGE. ::::iiiir::<i::;:%;;'%?ia:::>;:Y;y:iiisi:::c::::::::......::;•:::.:;:isir;:i:>;:::::i:::i:i:ii:i:i:i::i ,..;. ...::.;»:;s;:.;::>::;::::<.;>i::i:::CERTIFICATE..HOLDER.>'.::::,,,;.: .....................:..:.:::::::::::::..:.:::::::::: ...................... .. :.. :. . :.:.:.::.::.:::............................:.:::::::::::.::.:::.::: ::::.:.;;:.;:.;:;;;: C :.:::.::.::::::::::.............................:.:::::::::::::..:::.::::::.................................::::::::::::.:ANCELCATtON...........:::::::.::::::::::::::::...,......................:...:::::.::::.::.:.:.:::............... SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO MAIL TOWN OF B INSPECTORARNSTABLE 10 DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER NAMED TO THE BUILDING INSPECTOR 367 MAIN STREET LEFT, BUT FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR HY ANN I S MA 02601 LIABILITY OF ANY KIND UPON THE COMPANY,ITS AGENTS OR REPRESENTATIVES. AUTHORIZED REPRESENTATIVE A . : ORD;GO.R.FORA ..:i 10 _.:...:: ; 9 ® Reliance 1000 LEGION PL k. ORLANDO FL 32801 x TOWN OF BARNSTABLE BUILDING INSPECTOR 367 MAIN STREET HYANNIS MA 02601 ... o 0 0 N N N ACORD CERTIFICATE OF 0 INSURANCE (On Reverse) t - 006106 I .. kEIV 7.4 FOI.W AM ed w/...+IWL T". C u7♦.txz51 [--,9£I:NVi:+9K15 Ar E'orE11C9.NAfCN RJRFkF C15..�W/Y.W CCAR alwvA4D5 to .�1 Z / IMialtl7YIV:•1G1H. I Z ACl lll J: Z Q Ld s ¢ v<Cc, VYQ O rFr. L39EZE AY Eesr. Q o, w m Wc\l EXN ISf EXI5f. _ A GAPAGE N E-m in m �1vz.,ntuFnwR.. 1V/W.C.9W.4.t 9%\6 �� A1E%iFPr?2,MRf01EYEPOl URY4l'M E%15f. 'kUJGb.V 7'•KY' 7'�10' ' WL: NEW 5 crnfwvOCO1stEa1E14e5 PECK EV ft FeLV'M IWA.N11R1 a NEW II sin M,tz 5MENEn 'Q J z•�rFCVC N FEcow, FIp5f FLOOp PLAN m a51V//1.5 PAn0 1,6usax oUQ wQ- W zzQ - w � C � voz � zU ® ® ® IVSUL CNC%ti w w-tm wo 7 VIfC}FS:kEf z U. N 1z uEwFA:aA� SCALE: e� 'wAsrAtr9+n�s FeezEeoFa7sto 1/4 f0YA1C,E151C,G 1MRH EG51. DATF.: 2/ 20 r• � i4j�. :'s JOB NO NO.: FEB] FAYNE l �: �.,. 1.5/1.6 CW46 Z � Y DRAWING NO.: ��Ap �I.�VA110N Al i 669z-699(809) VW `IlfllO:) AVAk WVHONDI3f18 9Z Q Z N 60910 'VW'33dHSVW GV02f HUSMTA se 3I�AVJ I yor '8 ?III VH 3 n N o z i3 lNOIS3Q AVH Lull:) Z �a rrn���aia�n><�is�a :HW HDMOd Q3N33HOS MOM <I= o N o� o 6 � V 57< s fl F N Z / 4 I rTh _ N _ 1 z � � ---!lam •.e't'.d-� �� _� NM w "L fWNI • ">` .. ^mil u. X� AF, Ifill I sax•kQ<.'?�. �f z O O � s i� J m a i SHED REGISTRATION C11 � location of shed(address) property owner's name y' size of shed s signature date Old King s Highway Historic District Commission jurisdiction? �a THIS FORM MUST BE ACCOMPANIED BY A PLOT PLAN 'i!1? shed LOT 69 LOT 70 S88°39'40'E 132. 00' - i LOT 60 LOT 59 c1; o � 14.2 � ----- 9 34f ===-36. 7'____ 36t 41 12. 0' --24.2 = co Q0 a� C.J U LOT 61 L = 10.00 , _ . 5"W 115 y8 R 19 8.22 \ - S79O00 0 V Y Y A1VI I� B UCKISG RES. ZONE- "RF" This MORTGAGE INSPECTION Plan is For FLOOD ZONE.. "C" Bank Use Onl TOWN: —CO.MT — — — REGISTRY OWNER: -fR_ANCLS A JOAN M. F_4 YNE — DEED REF: BUYER: -EEMAN-CE _ — — _ _ _ _ — DATE: 6/93 — — — PLAN REF: 27�6_ — — _SCALE:1' = 30'__FT. I HEREBY CERTIFY TO BAYBALVIf._"B1GA_ E_-____-_ _C_O_R_POR_A_T_ION ____________THAT THE BUILDING �P��� YANKEE SURVEY �L SHOWN ON THIS PLAN IS LOCATED ON THE GROUND AS ��� q�y CONSULTANTS SHOWN AND THAT ITS POSITION DOES _ — CONFORM P ��� TO THE ZONING LAW SETBACK REQUIREMENTS OF THE ;a�E 1T i-Evi 4 40B (SUITE 5) _ ,098 Q INDUSTRY ROAD TOWN OF B�RNSTABLE_____________AND THAT � -� No,3� IT DOES_ 1VOT_ LIE WITHIN THE SPECIAL FLOOD HAZARD �. MARSTONS MILLS, MA. 02648 AREA AS SHOWN ON THE H.U.D. MAP DATED_ __ Ate` '�``�'tSTt�tia na`` TEL: 428-0055 Co uni —Panel ,250001 00,21 D � �� `f� rgt �. tan�° FAX 420-5553 J _____ THIS PLAN NOT MADE FROM AN" STRUMENT 11816 KJH PAUL A. MERITH PLS SURVEY NOT TO BE USED FOR FENCES ETC. �", � �,__ ��: .,::_� �'_.,,.� - •� � - 7 "t�. ``'�' Weir-c-`i/, ✓'-�..- ^�,�r _v..v� .r� ���`�•� Assessor's map and lot number Sewage ;Permit number ............... 7..:.... ................................ T"Er°� TOWN OF BARN-STABLE ! BasasTsnie" . PY BUILDING INSPECTOR . �O M a' �-���� ��� i��.........��:...S .... ......................... . APPLICATION FOR. PERMIT TO ..............................................................r.. 7 7' / d TYPE OF CONSTRUCTION ��� ��...:.....................................::...�-�... �� ........................ .........1917 TO THE INSPECTOR OF BUILDINGS: The undersigned hereby applies for a permit according to the following information: / Location .. ��„! r��,G� 1��--�>.s� � i�� (..... l .r�•1,�9 IL�.....'... •rs iJ/•......................................................... �. ProposedUse ......../ ........................... ..............................................:......................I......................... Zoning DistrictP..F........................................................Fire District ....1.. ..A/4 I........................................................ Name of Owner ...................� .....;.,...w.,...... .......y.,......................Address ..... .....,......�?h..':..,..Yl..,..C..cy �.Y.�,..........,. .� Nameof Builder ..............................:............:........................Address .................................................................................... Nameof Architect ..................................................................Address ...........�........................................................................ Numberof Rooms ................. ............................................Foundation ................................................... Exterior ..+. s/�.�7�?. ?�xa7�?° ��, vs�rL t?® h ...Roofing Ak.fJ!?c�'!'-/... Floors Interior .... /�/,/�r��� .....67 ................................................. -- Heating —777!.....?..fx ........... .............:...::....:.::.:.......: ::::Plumbing ....................:............................................................. .. -.: Fireplace .......... .............................................................Approximate Cost ......`.a��r. t ... t.. Definitive Plan Approved by Planning Board -------------------------- yS` STO�y ------19--------. Area .�....................................... 00 Diagram of Lot and Building with Dimensions Fee ..................................... SUBJECT TO APPROVAL OF BOARD OF HEALTH -X/I r/'T1 I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name ...V!j:...�;!'I.,......... .�� .,. � ..... „ ......................... DiPersio, L57 i No ...L89&Z... P_grmit for ••••.. f • ,fs ' s lag be..family...dwal l iim....................... Location Lot-460..& t Z..�.1lCkingham f ............00 Wi,t............... .................................. Owner Gas14..M... , 1'sssiA....................... Type of Construction ........frame....................... E 6 - Plot .................... ....... L t,9 D........................ a Permit Granted .....MAx.C.hl..................19 77 Date of Inspection .......... .....................19 'Date Completed ........Z,:........................19 PERMIT REFUSED ........................... ................................ 19 .................... ..................................... ..... ................................................................................ ................................................................................ Approved ................................................ 19 ........................................................... .. .1........ ............................................... ? ... ............... ~ Assessor's map and lof number /�, / v` � .`�� �l '7 7 ... SEPTiO SYSTEM! MUST BE / i�G � B � ewagePermit number ....... .........:............. ............:........ I' I �Q �`J�6", 0� ��sd5 ti : S�a�39`-!SAY C�;"E AND 1OV^JN =� THE.r � TOWN OF BAR : �� �� i�AIME Z DWSTAI 4 o63 WILDING , INSPECTOR j� 1...: a... ........ �� Q�......................... APPLICATION FOR PERMIT TO ....(.rl!f< ... /� .., ll.l.... .Yl TYPE OF CONSTRUCTION .......(.x/ 1..1.fi� �............................. ......................................................... off , ......19..�✓.. TO THE INSPECTOR OF BUILDINGS: The undersigned hereby/applies for a permit according to to the following information: Location 1�.11 -s...(7,rc7.1'1 .f....,G�IIL'15•J.f1. hffW..G� .....'... .aIV.1 .............:�.�....�.�............... y � ProposedUse ......� d`�J ?�f/d�f ....................................................................................................................................... . ZoningDistrict ..... ........................................................Fire District .....t�d. ..................................................... Name of Owner ... L�/ ..I-e,., 1..� Y.S.I.Q..........Address ./:-7e/.1......�Jd'�1�!/l.L!� l/ Nameof Builder ....................................................................Address ...............................................:.................................... Nameof Architect ..................................................................Address .................................................................................... Numberof Rooms ................. ............................................Foundation ... D.IIC'I-e ................................................... Exierior Roofing ................................................� ITC�/�- Floors ......ovk...................................................................Interior ....,/..�/�l.�.C��/....................................°................. Heating .... Q././........................................Plumbing ........!`'........................................................................ Fireplace ..........v.....................:..............................................Approximate. Cost ....... .14?�..t. . ....... ... �. 6a 4 Ayr Definitive Plan Approved-by Planning Board ________________________________19_______ . Area S.yS.�t... . . .. �00 Diagram of Lot and Building with Dimensions Fee ..3........................................ SUBJECT TO APPROVAL OF BOARD OF HEALTH 3� ,moo I hereby agree to conform to all the Rules and Regulations of the Town of Barnstable regarding the above construction. Name . .......................... s• t DiPersio, Carlo M. �No ...1.8982.... Permit for ...one..I12..., toxy..... ... .s ing.Le..f ami l y...dwelL iag..................... Location •Lot..$60..Xing-s...Grant-n............... Buckingham Drkve y t ...............................catuit................................... Owner ...Car.Lo..D-LP.ersia................... Type-of Construction r........frame........................ .......................................... 'Plot ......................... Lot ....................../1171 ✓ L , 1 Permit Granted ��?C .�.:.�......jn....�9 77 -r r - 71 Date of Inspection ... .. ..119 Date Completed ,.. i�J PERMIT REFUSED �..� ........................................... 19 ....................................... ................................... • ' - % "� !n ................. ... . ................................................................... _ !'✓ + �fl Approved ................... .......... ........................................ ........................................ ..............................V e(• A 6 3 r �, �3 '�� � ry eF*� `pp�g, s>-�.N. Tr -Y �v Vol �r•� +ma`s f 3 � ,1''. � �_`..r,., �4'ii _ � ��` ., %e, �,SJ.:i,. • y r r r YFF i b, :, _ � may::,+-.. �.::•s ' +-•ems _ i` i T In yxi r / � � � •-fib' !. � .� tN 6 � r T � a r; .. � .h ...:� xP,.�fi �;.. ... -a+w, ,�..,y.c'w.,a.yye• .rahT�r^vi;• (EXISTING) (EXISTING) _ (EXISTING) LQ 0�* SMOKE DETECTORS REVIEWED BARNSTABLE BUILDING DEPT. DATE F� a-00 Z 0 Ca CJce) < F FIRE DEPARTMENT EXIST. EXIST. EXIST. ^X DATE PORCH W BOTH SIGNATURES ARE REQUIRED FOR PERMITTING EXIST. I I DECK 1 ry M CARBON MONOXIDE ALARMS.. U EXIST. EXIST. MUST BE INSTALLED PER EXIST MAS ACHUSETTS BUILDING CODE N w y r—I—JI � 0 W I O Z EXIST. I EXIST. coos y GARAGE KITCHEN . EXIST. I EXIST. � BATH EXIST. BEDROOM HALL C-Os. EXIST. �yy WEXIST: wEXIST. ExtsT. wHALLEXIST. oi _—_-----_ ON. by EXIST. I I NEW ?4 1 CROWN MOULDING EXIST. DINING ICLOS. @PERIMETER OF THIS ROOM ONLY I EXIST. ! NEW FIREPLACE l MANTLE SURROUND O X EXIST. U W LIVING 0 > \j ZQ REPAIR 8 TIGHTEN UP EXIST. EXISTING STAIR TO b F U SECONDFLOOR �; 5 X W W r`1•�! - EXIST. RESTORE EXIST. EXIST. MASONRY STOOP, Q O REPLACE b REP.OINT AS REQUIRED (EXISTING) (EXISTING) 24 0' � . '(EXISTING) FIRST FLOOR PLAN w L" CV NOTES: EXIST.FIRST FLOOR =1410 S.F.EXIST.SECOND FLOOR =578 S.F. SCALE 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS SECOND FLOOR ADDITION =100 S.F. 1 I4" = 1"-0" &DIMENSIONS IN THE FIELD QS SMOKE DETECTOR t 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, DATE: DETAILS,&FINISHES IN THE FIELD WITH OWNER ©CARBON MONOXIDE DETECTOR ETHE RRORS IOR OMISSIONS BE SAREFOUN O ANY 4/9/2007 ERRORS OR OMISSIONS ARE FOUND ON 3.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS LEGEND THESE DRAWINGS PRIOR TO START OF CONSTRUCTION. .THE BUILDING CONTRACTOR STATE BUILDING CODE(SIXTH EDITION) WILL BERESPONSIBLE FOR THE CONTENT DRAWING NO.: IN THESE DRAWINGS IF CONSTRUCTION 4.) CONTRACTOR TO REMOVE EXISTING DOORS"WINDOWS, 0 EXISTING WALLS COMMENCES WITHOUT NOTIFYING THE WALLS.&ROOFING AS REQUIRED FOR NEW CONSTRUCTION. DESIGNER OF ANY ERRORS OR OMISSIONS. r--, CONSTRUCTION'�TO BE REMOVED THESE DRAWINGS ARE SOLELY FOR THE USE ON THE PROPERTY NOTED.ANY OTHER USE OF •�%r NEW CONSTRUCTION THESE DRAWINGS REQUIRES THE WRITTEN p CONSENT OF THE DESIGNER.THESE DRAWINGS A -1 " ARE PROTECTED UNDER THEARCHITECTURAL " COPYRIGHT PROTECTION ACT OF 1990. c I i 27.0't 6'$3 (EXISTING) (EXISTING) N j.3 z61 m L1 X•. �q 1 ) (EXISTING) �f XISTIISTI NG) m z� 0 mX z I I p C/) T m —N I O• y 1a'•64 -�I �n (EXISTING) O I ti O IE%I STI a:NG) N IO Tjih r m Z =m � D q ID X z �Cn �J -- _ Q Iq II - DD I A _ N �o rs I I I I 9 m>X DDz ,I �7—iD ii p o- Omz 4 �y o x p II o m II z 3 II 11 y D I Ii N m � q it N I II N I Y - EXIST. EXIST. LL� ?6'-0"! (EXISTING) NEW ADDITION FOR: EEIZONCOTUIT BAY DESIGN 43 BREWSTER ROAD 'FRANK & JOAN FAYNE MASHPEE,MA. 02649 PEI.(508)274-1166 N 26 BUCKINGHAM WAY COTUIT, MA FAX(508)539-9402 f. I 1 DOOR EEOF] (MATCH EXISTING) (MATCH EXISTING) ❑❑a -1 Nfn �p O Cm I-u �o I I0? I0 s D m O m D mm I L I X N r N NNQQ�11111111flllll TL- G) T S � � -� � z o m o �® m '- oo® m m < r . '_ m < I_ �_1"� om D J N A_ O m � D fn�+ i O T C-1'j )t V �_ y� Z � D ON z go IN �f 0 1 =N =Z ®® i i �=m A z� �O Zm 3Z �N O � O H n mm N O x Z NMI 90 Z O O I m (40 N CT OCT N TN m mn O O I IAA T 1 p Im 1 O Im (MATCH EXISTING) A (MATCH EXISTING) y a NEW ADDITION FOR: COTUIT BAY DESIGN ry m 43 BREWSTER ROAD 0 CD FRANK & JOAN FAYNE MASHPEE,MA. 02649 o 5 ?53919402 C� 0 26 BUCKINGHAM WAY COTUIT, MA FAX508 (MATCH EXISTING) i 1NT �y ImN 17 ~ O rocs T p0 Is S N y I I �N II I 1 I I 1 I I I 11 1 I p2 I I Ayy D O� I I NN 22 ~n ��w y_y n n p Ll Z y Z I I Ism m m 1N � � ! --I D o m m rn < a � o z C� 0 0 0 0 z �N � JN x p Z O Z Z 3� irk Or9 ' < Y2 32 U O y 2 Z X A m X N m yx 3 L) yo y� 00 � � p I NEW ADDITION FOR: EE70MCOTUIT BAY DESIGN o 43 BREWSTER ROAD FRANK 0 ANK & JOAN FAYNE MASHPEE,MA. 02649 26 BUCKINGHAM WAY COTUIT, MA `AX(50827�9402 (MATCH EXISTING) mon !Ao % Z ti m� ap m Om (C>. D A� 9�C4K- M 0 s o E ON D A E5 r _C m C) r z n r s 6- 0 0 = Z C m x 0 4 0 � . oogm „_ � z M>X N Ta(Ig �- N—ID Do N N Omz O;0 m N a D 0 `j o N w , O I , O , , � / o N 'Z T� �D 3 N Z C 3 4'.(rt - (EXISTING) z��-Di3(g1 m(g�=��na: Z y.DSO S:11m p C go. OZM ".00 C mz;a:002NTNO O 6yc— ao O z z H o� A O z ; n //Z�� N NIO N y VI q I 10 — JI I0 — � o I 1 c TI I (EXISTING) V z O I L ( c= 0 — ---- -m 1� Z> m O 1 OT >m mr v) Q rtn gn)O q I -I0 .1 -I--- m ;0 m� i ,n mN= �m x �M n K O O L" ca= z--I+� I C 0 _ c DnD my N Z � o- D 1 D m C) �^ r lT/ ly N v A r D m o Z 0`) o 3 m I 1 9 . I 1 9 26'•0't (EXISTING) u a NEW ADDITION FOR: COTUIT BAY DESIGN Nm r EaER043 BREWSTER ROAD L II m FRANK & JOAN FAYNE MASFIPEE,MA. 02649 / o 550808)�539 J402 C.jI 0 26 BUCKINGHAM WAY COTUIT, MA FAX AX z c� • LJo!�? 00o a , >- 10 Qto �¢_ OC] FLo� Lo 3 L.3 N CO INSTALL NEW VELUX SKYLIGHTS Lz]=O Lo VS 101 IN S.F.BEDROOM,SLOPED CEILING CONT.RIDGE VENT �=m X ALIGN W/LIVING ROOM WINDOWS BELOW m Q �UP�oL¢L El NEW ASPHALT SHINDIES TO MATCH EXISTING - M it it u TOP OF PLATE ® ® ® NEW SHUTTERS p^ TO MATCH Z EXISTNG vFi 000asz w U oaoo 0 �Hj FIRST FLOOR oaoo SUBFLOOR FRONT ELEVATION Q NEW CEDAR CLAPBOARD SIDING AT FRONT OF ADDITION TO MATCH EXISTING CONDITIONS. L� l / VERIFY NEW ROOF PITCH IN THE FIELD TO O AVOID ANY CONFLICT W/EXISTING WINDOWS O w a 12 IMPORTANT - UPGRADE REQUIRED Z Q �EXIST. STATE BUILDING CODE REQUIRES THE UPGRADING OF LINE OF EXISTING SMOKE DETECTORS FOR THE ENTIRE DWELLING WHEN 0 HOUSE BEYOND ONE OR MORE SLEEPING AREAS ARE ADDED OR CREATED. �y 1 NOTE: A SEPARATE PERMIT IS REQUIRED FOR THE Z Q EXIST. F ® ® I INSTALLATION OF SMOKE DETECTORS-THE ELECTRICAL FM FM NEW RAKE d TRIM BOARDS PERMIT DOES NOT SATISFY THIS REQUIREMENT, O TO MATCH EXIST. /1 � z t 1(—ll 72 NEW FASCIA b FRIEZE CARBON MONOXIDE ALARMS 2 MATCH EXIST. A MUST BE INSTALLED PER U BOARDS TO MATCH EXIST. TOP OF PLATE MASSACHUSETTS BUILDING CODE Z w Q G10 ® FFH 0 Z E.L. N NEW CORNER BOARDS y TO MATCH EXIST. X M FM w SCALE: NEW W.C.SHINGLE SIDING /,1 _ •_0" TO MATCH EXISTING `3 SIIh4 S D ECT®RS REVIEWED DATE: 2/7/2007 BARNSTABLE BUILDING DEPT DA E DRAWING NO.: RIGHT SIDE ELEVATION FIRE DEPARTMENT DATE Al BOTH SIGNATURES ARE REQUIRED FOR PERMITTING (MATCH EXISTING) C;o / ImN I'cyO Z I00 T~ I✓ 0� T °V) A m r o= �N rn , 9 0 N y _= U_ 0� n y m cn J z � -Zi mEff] m r m < OT �Z oZ >� , An D 2' ',O(� 0 p gx xZ - m a im z L1 O 3 O m O p° ° N LEI- yz C K N< 2y gm /_ O Z m _ r N~ _ m N z A <r °Im Im m D m o z o rn �N r m 0 0 0 a z N Iy y NEW ADDITION FOR: COTUIT BAY DESIGN m 43 BREWSTER ROAD ' u �' MASHPEE,MA. 02649 o FRANK & JOAN FAYNE PH.(508)274-I 166 FAX 26 BUCKINGHAM WAY COTUIT, MA z Q Q N N �O (ADDITION) (ADDITION) La 00 10$ 4'•iQ Lil Z CO,117 POST UP TO RIDGE m X 8 DOWN TO FOUND. BASEMENT O M . ----------- WINDOW -- V v �aT[¢s —————— I A A yots, I o A § A5j A5 A5 I W I A5 EE I Z IBASEMENT Z II I p o Z I "' t^ NEW30'x37x IT WINDOW b p. Z ° W �� o ^ � CONCRETE FOOTING I ^ �E �I NEW 4 x 6 WOOD POST UP c N F I m '/� NEW ire DIA TO RIDGEBEAM&DOWN I I ; a STEEL IALLY CO MN I b TO FOUNDATION Z O ! 1-P .. i T.g T.g Iif-If I I MULTI LVL GIRT I _ i I I BEAM POCKET I POCKET I 1 I I a NEW 2 x B RAFTERS @ 16 o.c. TO BE BUILT OVER MAIN INSTALL NEW DOOR M NEW ROOF SRUCTURE.FLASH 8 MATCH ROOF SHINGLES TO �l I JQy POST UP TO RIDGE NE ULATE WALLS b EXIST. FULL PREVENT LEAKS 8 DOWN TO FOUND. b °" BASEMENT I MULTI LVL RIDGEBEAM OI Z '<F INSTALL NEWS"BATT. TANK (4'CONC..ILAS) I i WINDBASOW 8�0 o INSULATION(R=19)IN l[`1- 1 ^F3 THE FIRST FLOOR JOISTS NEW 9 1?ENGHCEERED OISTS @ 16 o.e. I a I SAWCUT 3'0"OPENING I I b IN EXIST.FOUNDATION FOR BASEMENT 0NEW -I I I � NEW V CONC.BLOCK —— — — — — — I FF Ir TO FILL EXIST.WINDOW O EXIST.3.2 x 12 GIRT ---- — ------ --- _e NEW 6 CONC. B FOUND.WALLS B A5 NEW6x16 CONC.FOOTINGS A5 ^ ILA O DRILL&PIN NEW FOUNDATION TO EXIST. EXIST. FOUNDATION WAIL O 0� TOP 8 BOTTOM r T § NOTE:DROP TOP OF NEW FOUNDATION BASEMENT e ~� Sn TO MATCH NEW SUBFLOOR W1 THE �+ EXISTING SUBFLOOR.(VERIFY IN FIELD IF REQUIRED). O EXIST.FOUND.WALLS z &FOOTINGS TO REMAIN W 0� co �.. Cv ,sP ,ea SCALE: (ADDITION) (ADDITION) 1/A w_ 1._0n ROOF FRAMING PLAN FOUNDATION PLAN DATE: 2/7/2007 NOTES: 1.) ALL ROOF RAFTERS TO BE 2 x 19s DRAWING NO.: UNLESS OTHERWISE NOTED 2.) USE SIMPSON H 2.5 HURRICANE CLIPS AT ALL RAFTERS ENDS 3.)VERIFY GUTTER TYPE/LAYOUT W/OWNERS A4 z�c 31'.4- (EXISTING) (EXISTING) (ADDITION) ¢N O N ANDERSEN ANDERSEN TW24310 TW24310 m <=T 1 8' (VAULTED) TIT I [-- V)L..3 LINEN NEW =) owI o A ASTER SHELVES I y A m U)`n x A5 BAT—Hf NEW+ I A5 o V ezt¢ EXIST. EXIST. EXIST. o .9 LVx 1 T W.I.V. I a o PORCH N p I KruGHTlSHOWER i g EXIST. I I DECK ,�o � /'15 M / RWN � EXIST. EXIST. ANDERSEN MST. NEW . MASTER i� CENTER ON EXIST. BEDROOM ANDERSEN y WINDOW OPENING TW 2446 W1 x O O a w I � NEW (VAULTED CEILING) ANDERSEN ;I SHELVES ________________ TWT2415ABOVE _ a EXIST. I EXIST. d ANDERSEN b Z GARAGE I KITCHEN EXIST. ° NDER COVE °�o BATH NEW EXIST. STUDY44- ---�----------- (vELUX� �LUX� (FORMER BEDRVS 304 VS 304 HALL :A, cLos. LIN. ® fino`I�G"'I iAe L "EXIST. 11EXIST. _ NEW 10•DIA COLUMNL—J L_JEXIST. �'S W HIGH HALFWALLW/CAP -USEHALL '°ORtd'$2 EXIST. Lr==NEWi✓bLTI LVL OR STEEL BEAM_ ANDERSEN ANDERSEN___________ DN. ___ __ __ __ TW 2446 TW 2446 EXIST. 4Vx- NEW 10•DIA COLUMNI BIFOLD � &36 HIGH HALF WALL W1 CAP NEW COLUMN TO BEEXIST. DINING znCLOS. -� >r.o DIRECTLY ABOVE LALLY COLUMN IN BASEMENT rAT�- 1�1 b I EXPANDED LIVING j EXIST. � 0-4 b N � N 7 w EXIST EXIST. 0 19'•4t 1740'3 24••0.3 ,6•-0' (EXISTING) (EXISTING) (EXISTING) (ADDITION) NOTES: FIRST FLOOR PLAN z Li. N 1.) CONTRACTOR IS TO VERIFY ALL EXISTING CONDITIONS &DIMENSIONS IN THE FIELD EXIST.FIRST FLOOR =1410 S.F. SCALE 2.) CONTRACTOR TO VERIFY ALL INTERIOR&EXTERIOR MATERIALS, NEW ADDITION =412 S.F. DETAILS.&FINISHES IN THE FIELD WITH OWNER I/4" = F-0" 3.) ROUGH OPENING HEAD HEIGHT OF WINDOWS AT OO SMOKE DETECTOR FIRST FLOOR TO BE V-10"ABOVE SUBFLOOR DATE: ©CARBON MONOXIDE DETECTOR THE DESIGNER SHALL BE NOTIFIED IF ANY 2�7/2��7 I 4.) ALL CONSTRUCTION TO CONFORM TO 780 CMR MASSACHUSETTS ERRORS OR OMISSIONSARE FOUND ON .STATE BUILDING CODE THESE DRAWINGS PRIOR TO START OF LEGEND. CONSTRUCTION.THE BUILDING CONTRACTOR 5•) CONTRACTOR TO REMOVE EXISTING DOORS,WINDOWS, WILL BE RESPONSIBLE FOR THE CONTENT DRAWING NO.: IN THESE DRAWINGS IF CONSTRUCTION WALLS,&ROOFING AS REQUIRED FOR NEW CONSTRUCTION. EXISTING WALLS COMMENCES WITHOUT NOTIFYING THE DESIGNER OF ANY ERRORS OR OMISSIONS. 6.) ALL CONCRETE USED FOR FOUNDATION WALLS.FOOTINGS&SLABS CONSTRUCTION TO BE REMOVED THESE DRAWINGS RE SOLELY OF FOR THE TO BE 3000 PSI&FIBER MESH EMBEDDED IN SLAB `--� ON THE EN 7.) VERIFY ALL PLUMBING&ELECTRICAL DETAILS IN THE FIELD W/ M NEW CONSTRUCTION THESE DRAWINGSOFTHE EDESIGNER.THESE DRAW INGS CONTRACTOR.SUBCONTRACTORS.&OWNERS CONSENT TECTED DESIGNER. ARCHITECTURAL COPYRIGHT PROTECTION ACT OF 19?0. >y W4r r-e Irr Nm o mA v N C 8� o ° g V A r r A I� Z G) nu m N �+ Z � rn?m uDi _ v g p O Ng a 0m vo ® s� 0w z Z m z� V♦� A D IT-0' m o (VERIFY INFIELD) �"//r1 Dom-< O D mr Gm S mr N{ ANS /\ GZ1 LA o99 jOyD / �C I I S� mA A�InA D S GD m m D mrnauN� rZ mi lob x OVaT�T'��-Dica ymrc�m��1 oDA cg Ta' �xao+0xA- m—� pT m A=v �y Z 0' om 0 480 C m 2 �F,m - 3 A6Cmmo 0m oC ND U . z x 0Z D OO 0r Z/ z r z sczi 0 3 o o0 0 O AMA Z �n Om ^ O N z � N �o mA e-a r-e 1r2t- W Ul Z Nr � m O CM 0 I z gA ° N A �ax >pA=•mx x o z —+ Y GIN + m G 0 n O N X A om D 3Ao° N 00 OGl N u' ri � m m m r W z O = N D m _ ,T-Ir II Z _ (n m (VERIFY INFIELD) _ m NZ z m M. 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EXIST. \ r � r \ r \r D O D 0 N O41 z 2 Ob0=Z�mOy�OZA= V mzm mN3-'�FymAm �� (D71W ��Nm�m03mm m00 AS m zmtnm ONN G10y�oOmzmACAp 1 nO�p�OA yOAtmii�DA2 �OymyAAC0�mp0 O AGIC�NO�TT�ONm f71D =z'A�oFmO°Oa6piz y Omo �r ymyAj�mN 2m�0i-IV 0��fnn�o0O 1 M Z 0$ 2 0o r i "= Z grz ,a P ,aa c � N (ADDITION) (ADDITION) TPIO N)m N NI'v " NEW ADDITION FOR: a y COTUIT BAY DESIGN rn '�' 43 BREWSTER ROAD o " m FRANK & JOAN FAYNE NN SHPE 7MAG602649 b FAX 26 BUCKINGHAM WAY COTUIT, MA